- Trinity Health (Livonia, MI)
- …records utilizing encoder software and consistently uses online tools to support the coding process and references to assign ICD codes, MS-DRG, APR DRGs, POA, SOI ... ROM indicators Reviews Inpatient health record documentation, as part of the coding process, to assess the presence of clinical evidence/indicators to support… more
- Henry Ford Health System (Grand Blanc, MI)
- …conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical ... be responsible for utilizing knowledge of Local, State and Federal coding guidelines and regulations, NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position At the direction of the Regional Manager and Supervisor, ... and serves as a subject matter expert regarding documentation, compliant queries, coding , billing, reimbursement and compliance management as it relates to CDI.… more
- Henry Ford Health System (Troy, MI)
- Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for ... patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used… more
- Molina Healthcare (Grand Rapids, MI)
- …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain ...providers when overpayments are identified. + Works may be remote , in office, and on-site travel within the state… more
- Molina Healthcare (Grand Rapids, MI)
- …on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive relationships between providers and ... Molina by providing coding assistance when necessary + Responsible for administrative duties...+ Other duties as assigned + 2 years previous coding experience + Proficient in Microsoft Office Suite +… more
- Henry Ford Health System (Troy, MI)
- …(3) years of Call Center experience. * One (1) year of billing (billing and coding ) experience. * Six (6) months of remote work experience. * Internet ... resolves account receivable errors with the hospital and professional billing or coding teams, which includes but is not limited to autopay updates, newborn/patient… more
- Datavant (Lansing, MI)
- …regulations and accreditation guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by leadership. **What you will ... or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge...communication skills, problem solve, ability to work in a remote environment, and time management skills. + Working knowledge… more
- Datavant (Lansing, MI)
- …entered on the auditor by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked by quality supervisor **What You ... Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience +...and verbal communication skills, ability to work in a remote environment and time management skills + Working knowledge… more
- Cognizant (Lansing, MI)
- …analysis physician payer denials, identify procedures impacted by National Correct Coding Initiative Edits (NCCI), work with technical payer policies, appeal ... solutions. + **NCCI Edits** : Understand procedures impacted by National Correct Coding Initiative Edits (NCCI). + **Appeal Documentation** : Prepare and submit… more