• REMOTE Coder I - Ancillary, Routine Outpatient

    Trinity Health (Livonia, MI)
    …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. One (1) year ... modifiers. Utilizes coding guidelines established by: + The Centers for Medicare /Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting,… more
    Trinity Health (08/09/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Sterling Heights, MI)
    …Experience with Medicare , Medicaid, and Marketplace lines of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
    Molina Healthcare (08/20/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    Banner Health (MI)
    …field. Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - ... your attached resume);** + **Specialty experience preferred;** + **Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below.… more
    Banner Health (07/30/25)
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  • Senior Coding Data Quality Auditor, Coding Quality…

    CVS Health (Lansing, MI)
    …auditing. + CPC ( Certified Professional Coder) or CCS-P ( Certified Coding Specialist -Physician) required. + Experience with International Classification ... ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of...process and Hierarchical Condition Categories (HCC) required. + CRC ( Certified Risk Adjustment Coder) required within the first six… more
    CVS Health (08/24/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Grand Rapids, MI)
    …of business. + PMP, Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + ... At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept...**PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and Marketplace lines… more
    Molina Healthcare (08/14/25)
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  • Special Investigation Unit Analyst

    Corewell Health (Grand Rapids, MI)
    …AHIMA American Health Information Management Association Upon Hire + CRT-Coding Specialist , Certified -Physician Based (CCS-P) - AHIMA American Health Information ... and Federal laws related to fraud, waste or abuse, Medicare and Medicaid regulations, etc. + Ability to work...Academy of Professional Coders Upon Hire + CRT-Professional Coder, Certified - Payer (CPC-P) - UNKNOWN Unknown Upon Hire… more
    Corewell Health (08/08/25)
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  • Biomedical Equipment Technician I,II,III

    Marshfield Clinic (Iron Mountain, MI)
    …AAMI Credentials Institute (AMI), Certified Biomedical Electronics Technician (CBET), Certified Radiology Equipment Specialist (CRES), or Certified ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
    Marshfield Clinic (06/18/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Ann Arbor, MI)
    …or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
    Molina Healthcare (08/15/25)
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  • Outpatient Coding Coordinator (Remote)

    Trinity Health (Livonia, MI)
    …+ Must be currently certified as one of the following: + Certified Coding Specialist (CCS). + Registered Health Information Administrator (RHIA). + ... Registered Health Information Technician (RHIT). + Certified Outpatient Coder (COC). + Certified Professional Coder (CPC). + Analytical ability and skill to… more
    Trinity Health (08/20/25)
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  • Coding Auditor Educator

    Highmark Health (Lansing, MI)
    …AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): ... in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine...Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical… more
    Highmark Health (08/08/25)
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