- Trinity Health (Livonia, MI)
- …and external claim edits and routes non-coding ones to appropriate owners eg, Revenue Integrity, Billing , etc. Adheres to Inpatient coding quality and ... Management Association (AHIMA) Standards of Ethical + Coding + Revenue Excellence/Health Ministry (HM) coding procedures and guidelines **ESSENTIAL FUNCTIONS**… more
- University of Michigan (Ann Arbor, MI)
- …that directly relate to this position. **Job Summary** The Pre-Service Revenue Cycle Department, Outpatient Financial Clearance unit is looking for full-time ... to accept and collect payment prior to services being rendered + Ensure compliance with No Surprise's Act; appropriately identify uninsured and out of network… more
- University of Michigan (Ann Arbor, MI)
- …are notified; For inpatient to observation cases, ensure Condition Code 44 billing requirements are met + Communicates with third party payers to obtain ... medical secondary review and share findings with providers + Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials; input into appeals; share… more
- Trinity Health (Livonia, MI)
- …Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. 7. Demonstrates knowledge of current, compliant coder query ... and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims, denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as… more
- Integra Partners (Troy, MI)
- …strategy. Important to this work is a constant understanding that IT security and compliance are paramount. The CIO will manage all IT vendors to minimize both risks ... managing the IT infrastructure for a healthcare claims organization or Revenue Cycle Management organization. This includes depth of knowledge of healthcare… more