• Outpatient Complex Audit Specialist/Full Time/…

    Henry Ford Health System (Grand Blanc, MI)
    …care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health ... conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical… more
    Henry Ford Health System (06/24/25)
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  • Experienced Patient Services Specialist I - Days…

    Henry Ford Health System (Troy, MI)
    …care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health ... in patient lives from the comfort or your own home ? In this position you will be providing exceptional...experience. * One (1) year of billing (billing and coding ) experience. * Six (6) months of remote… more
    Henry Ford Health System (04/24/25)
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  • Coordinator- Payor Audit/Full Time/ Remote

    Henry Ford Health System (Troy, MI)
    …care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health ... related denials for outpatient, procedural, and inpatient cases. Using established coding principles and procedures reviews, analyzes and reviews diagnostic and/or… more
    Henry Ford Health System (07/09/25)
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  • Inpatient DRG Quality Auditor

    Humana (Lansing, MI)
    …and develop educational materials. This is a full-time, remote /work-from- home position. **Description** The Inpatient Medical Coding Auditor extracts ... your skills to make an impact** **WORK STYLE:** 100% remote /work at home **WORK HOURS:** Typical business...home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + Medical… more
    Humana (06/17/25)
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  • Quality Practice Transformation Advisor

    CVS Health (Lansing, MI)
    …demonstrate initiative, and drive results in a fast-paced environment. + Position is remote - secure home network required and familiar with Microsoft Office ... delivery of patient care + This is a fully remote role and candidates can live anywhere in the...products and VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding… more
    CVS Health (06/30/25)
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  • Medical Director - Commercial Appeals

    CVS Health (Lansing, MI)
    …quality and effective use of health care resources. **This is a remote based (work from home ) position.** Preferred candidates will have Internal Medicine ... At CVS Health , we're building a world of health...participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as well as directing case… more
    CVS Health (07/04/25)
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  • Claims Analyst

    Trinity Health (Livonia, MI)
    …Type:** Full time **Shift:** **Description:** **Claims Analyst** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time **Shift:** ... records for processing. **Position Details:** HYBRID work environment - remote 4 days a week and on site one...degree preferred. + Familiarity with ICD-9-CM, ICD-10-CM, and CPT coding required. + 1-3 years of claims, adjusting, or… more
    Trinity Health (06/11/25)
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  • Regional Account Director

    Sanofi Group (Grand Rapids, MI)
    **Job Title:** Regional Account Director, MI **Location:** Remote /Field Based **About the Job** The Regional Account Director reports to the Regional Accounts Leader ... of short- and long-term business plans that will optimize appropriate coverage, coding , Utilization Management, payment of and patient access to Sanofi products.… more
    Sanofi Group (06/18/25)
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  • Quality Program Delivery Professional

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Quality Programs Delivery Professional 2 who will support ... with members of the National Medicaid Quality team, state health plan quality teams, and external vendors to support...NCQA HEDIS experience. + One (1) year of medical coding experience. + One (1) year of working in… more
    Humana (07/07/25)
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  • Medical Records Examiner-E

    State of Michigan (Kalamazoo, MI)
    …MI Job Type Permanent Full Time Job Number 3909-24-KPH-094-FILL Department Health and Human Services - Kalamazoo Psychiatric Hospital Opening Date 03/07/2025 ... (https://www.michigan.gov/documents/mdhhs/MDHHS\_Diversity\_Equity\_and\_Inclusion\_Plan\_649033\_7.pdf) . This is a key position in the Health Information Department. Employees in this position perform a… more
    State of Michigan (06/10/25)
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