- 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...such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists… more
- Cognizant (Lansing, MI)
- …Facets experience is highly preferred + Knowledge of physician practice and hospital coding , billing, and medical terminology, CPT, HCPCS, ICD-9 + Experience ... a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing...Based** Claims Processors to join our growing team. The ** Medical ** **Claims Processor** is responsible for the timely and… more
- Trinity Health (Livonia, MI)
- …is required. Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-10, CPT, HCPCS), multilingual and basic computer ... Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $19.2123-$28.8184) The Customer Service Representative handles… 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 ... providing exceptional customer service to assist patients with their medical bills via phone. We pride ourselves on one...receivable errors with the hospital and professional billing or coding teams, which includes but is not limited to… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position Utilizes advanced clinical and coding expertise to ... Facilitates the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record review. Through extensive interaction… more
- Molina Healthcare (Grand Rapids, MI)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
- Datavant (Lansing, MI)
- …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
- Datavant (Lansing, MI)
- …Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate ... by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked...CIC or CRC) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease… more
- Datavant (Lansing, MI)
- …you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication ... with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation,… 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