• Senior Inpatient Medical

    Humana (Lansing, MI)
    …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety ... requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
    Humana (06/26/25)
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  • Coding Auditor Educator

    Highmark Health (Lansing, MI)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
    Highmark Health (05/09/25)
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  • Inpatient Production Auditor

    R1 RCM (Detroit, MI)
    …our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing inpatient medical records for validation while ... validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and... inpatient cases for DRG validation + Review inpatient medical records for validation of DRG… more
    R1 RCM (06/28/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. +… more
    Elevance Health (07/17/25)
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  • DRGV Auditor II

    R1 RCM (Detroit, MI)
    …internally facing Mentor role. **Every day in this role you will:** + Review inpatient medical records for validation of DRG assignment + Provide detailed ... Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding more
    R1 RCM (07/03/25)
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