• Certified Professional

    Henry Ford Health System (Troy, MI)
    …departments, and work independently to achieve desired results. CERTIFICATIONS/LICENSURES REQUIRED: + Certified Professional Coder (CPC) required but ... GENERAL SUMMARY: As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT,… more
    Henry Ford Health System (11/14/25)
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  • Coder Senior Medical Records

    Corewell Health (Sterling Heights, MI)
    …in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent ... Coding Manager with departmental statistics such as the monitoring/tracking of Inpatient coder productivity and uncoded figures. Works with the Coding Manager and… more
    Corewell Health (12/25/25)
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  • Certified Risk Adjustment Coding Specialist

    Trinity Health (Livonia, MI)
    …certifications: Certified Outpatient Coder , Certified Coding Specialist, Certified Professional Coder thru AAPC or Registered Health Information ... processing. Duties also include abstracting and validating data from medical records and providing education on documentation to support...**Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If… more
    Trinity Health (12/20/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Detroit, MI)
    …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... **Job Description** **Job Summary** Provides support for medical claim and internal appeals review activities -...Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), … more
    Molina Healthcare (12/26/25)
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  • Ambulatory Clinical Documentation Integrity…

    Trinity Health (Livonia, MI)
    …integrated health care delivery system, revenue cycle or consulting experience. + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation ... in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. **Functional Role (not inclusive of titles or… more
    Trinity Health (12/19/25)
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  • Manager, Ambulatory Clinical Documentation…

    Trinity Health (Livonia, MI)
    …experiences in clinical documentation integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical ... in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. **Functional Role (not inclusive of titles or… more
    Trinity Health (12/19/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Dearborn, MI)
    …Information Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is responsible for… more
    Elevance Health (12/24/25)
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  • Senior Auditor, Delegation Oversight

    Molina Healthcare (Detroit, MI)
    …Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare Management (CPHM) ... ability to learn/navigate new software programs. **Preferred Qualifications** * Certified Credentialing Specialist (CCS), Licensed Practical Nurse (LPN), Licensed… more
    Molina Healthcare (12/17/25)
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  • Director, Clinical Data Acquisition

    Molina Healthcare (Detroit, MI)
    …measures that support business objectives. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** * Certified Professional in Health Quality (CPHQ) * Nursing License ... source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of...(RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all… more
    Molina Healthcare (10/22/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Dearborn, MI)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
    Elevance Health (12/18/25)
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