- Trinity Health (Livonia, MI)
- …equivalent certification required, eg, Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technologist ... Health & Human Services (DHHS) - Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Department of Justice (DOJ) as well as input… more
- Molina Healthcare (MI)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- Corewell Health (Grand Rapids, MI)
- …process and development of resident MDS/Care Plans. Position will monitor Medicare and Medicaid requirements. Essential Functions + Reviews nursing chart on ... evaluations as needed to complete MDS according to state regulatory and Medicare A requirements. Establishes weekly MDS schedules and Care Conference calendars… more
- Molina Healthcare (Warren, MI)
- …High School Diploma or GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a ... sanctions/exclusions. * Reviews and processes monthly daily alerts for Medicare Opt-Out reports to determine if any provider has...to determine if any provider has opted out of Medicare . * Reviews and processes assigned daily NPDB Continuous… more
- Corewell Health (Grand Rapids, MI)
- …delivery system; LPN, RN, BSN. + Certified Professional Coder CPC or Certified Coding Specialist CCS + Project Management Professional PMP certification + ... Medicare and ACA Risk Adjustment experience + Proven leadership experience About Corewell Health As a team member at Corewell Health, you will play an essential role… more
- Trinity Health (Ann Arbor, MI)
- …Certification/Licensure: Completion of certification and skills competencies such as the Certified Revenue Cycle Specialist Professional (CRCSP) through the ... American Association of Healthcare Administrative Management (AAHAM) and/or Certified Healthcare Access Associate (CHAA) through the National Association of… more
- Trinity Health (Howell, MI)
- …**Certification/Licensure:** Completion of certification and skills competencies such as the Certified Revenue Cycle Specialist Professional (CRCSP) through the ... American Association of Healthcare Administrative Management (AAHAM) and/or Certified Healthcare Access Associate (CHAA) through the National Association of… more
- Corewell Health (Grand Rapids, MI)
- …with participation on improvement initiatives + Proven experience working in Medicare environment + Certification from the Institute of Healthcare Improvement, ... Professional in Healthcare Quality, or National Association for Healthcare Quality Certified Professional in Healthcare Quality About Corewell Health As a team… more
- Corewell Health (Watervliet, MI)
- …aspects of IRF-PAI tool including transmission of records to the Centers for Medicare and Medicaid Services (CMS) and other insurances as needed. Monitor and educate ... State of Michigan Upon Hire required Or + CRT-Occupational Therapy Assistant, Certified (COTA) - NB-COT National Board for Certification in Occupational Therapy Upon… more
- Banner Health (MI)
- …through 5 years of current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder ... Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist -Physician (CCS-P) or Registered Health Information Technologist… more