- R1 RCM (Detroit, MI)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The ** Multi Specialty Denial Coding Lead** will ... external reporting, research, and regulatory compliance). Under the direction of the Coding Leadership Team, the successful candidate must be able to accurately code… more
- Trinity Health (Livonia, MI)
- …charges for more complex service lines, advanced proficiencies in surgical or specialty coding practice. Review's chart, including nursing notes, physician ... orders, progress notes, and surgical or specialty notes thoroughly to interpret and validate and/or extract...any required modifiers. Review's documentation, abstracts data and ensure charges/ coding are in alignment within AMA and Medicare … more
- Prime Therapeutics (Lansing, MI)
- …Escalates requests to Pharmacist when request requires extensive clinical review or denial . + Researches, resolves and documents physician or client inquiries and ... and/or pharmacists within SLA (service level agreement) guidelines. + Efficiently multi -tasks and monitors several queues and assignments. Adapts to team… more
- Henry Ford Health System (Troy, MI)
- …coordinating and leading a designated area within the CBO across a multi -facility integrated healthcare delivery system; which includes all insurance billing and ... and accurate claims submission for adjudication Coordinating and developing timely denial follow up processes and identifying solutions to prevent denials. Oversee… more