- Trinity Health (Livonia, MI)
- …documentation contained in Complex Outpatient (CO)/Ambulatory Surgery health records to determine the principal diagnosis, secondary diagnoses, principal ... Clinic for International Classification of Diseases, Clinical Modification + The American Medical Association _(AMA_ ) for CPT codes and CPT Assistant + American… more
- Highmark Health (Lansing, MI)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
- Corewell Health (Grand Rapids, MI)
- …data to detect fraudulent or abusive practices by utilizing system tools, interviews, medical records audits, data mining, perform compliance audits of ... may include research, interviews, data analysis, and substantive desk or onsite medical record review. Responsible for preparing case file, final report and ensuring… more
- Guidehouse (Detroit, MI)
- …cases by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) ... software for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a technical expert/resource for department manager, staff,… more
- Elevance Health (Dearborn, MI)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- Corewell Health (Grand Rapids, MI)
- …Supervisor maintains regular formal and informal contact with a variety of Medical Center personnel to facilitate exchange of patient, regulatory, and record-related ... Groups (DRG) and Ambulatory Payment Classification (APC) assignment for all patient records . Provides direction and support to employees to ensure effectiveness and… more