• RN Provider Appeals Coordinator (Hybrid)…

    Henry Ford Health System (Troy, MI)
    …GENERAL SUMMARY: Unit Description: Health Alliance Plan (HAP) is looking to grow our Medical Appeals Team with an experienced Registered Nurse ! We are a team of ... RN PROVIDER APPEALS COORDINATOR - MEDICAL APPEALS -...+ Minimum of two (2) years of experience in clinical management of patients in an inpatient or ambulatory… more
    Henry Ford Health System (07/10/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Sterling Heights, MI)
    …resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical ... Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical … more
    Molina Healthcare (07/12/25)
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  • CDI Coord

    Corewell Health (Southfield, MI)
    …providers regarding documentation requirements for optimal data integrity, data reliability, and clinical coding . Works with CDI Manager and CDI Physician ... + Acts as a liaison between the technical and clinical coding functions. + Educates health team...Cycle professionals in third party payer DRG audits and appeals . Qualifications Required + Associate's degree + 5 years… more
    Corewell Health (07/08/25)
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