- Molina Healthcare (Grand Rapids, MI)
- …related results as needed + Other duties as assigned + 2 years previous coding experience + Proficient in Microsoft Office Suite + Ability to effectively ... improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive...such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists… 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)
- …Call Center experience . * One (1) year of billing (billing and coding ) experience . * Six (6) months of remote work experience . * Internet requirement ... receivable errors with the hospital and professional billing or coding teams, which includes but is not limited to...of 25 Mbps and wired. * Experience in healthcare/ medical office customer service strongly… 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 and Finance team through analyzing key… 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 ... Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP). Two (2) years experience in Critical Care, Medical or Surgical Inpatient Care… more
- Datavant (Lansing, MI)
- …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience , while certified. + Full understanding and knowledge of ICD-10, ... an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
- Datavant (Lansing, MI)
- …tasks asked by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive knowledge ... an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized...and verbal communication skills, ability to work in a remote environment and time management skills + Working knowledge… more
- Datavant (Lansing, MI)
- …to Succeed:** + 3+ years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in ... a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and...secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the… more
- Henry Ford Health System (Troy, MI)
- …combination of education and experience , required. + Minimum of 3-5 years of experience in a medical clinic setting or training in a hospital or corporate ... + Additional coursework in business, computers or health care administration, preferred. + Experience in a medical or surgical specialty clinic, preferred. +… 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