- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Elevance Health (Dearborn, MI)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Highmark Health (Lansing, MI)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Trinity Health (Livonia, MI)
- …Knowledge** of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, ... 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
- Humana (Lansing, MI)
- …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
- Trinity Health (Livonia, MI)
- …Revenue Integrity colleagues including areas of opportunity. Responsible for coding and/or validation of charges for more complex service lines, advanced ... Accountable for continuous role-based self-development & leadership growth. Supports the professional growth of team members. Self-monitors & initiates corrections &… more
- Trinity Health (Livonia, MI)
- …Knowledge** of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, ... 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
- University of Michigan (Ann Arbor, MI)
- …the effects of corporate ownership and market structure on system outcomes and how payment reform is reshaping US primary care. We use large national datasets and ... economists and health policy scholars. The position offers outstanding professional growth, including opportunities for skill development, mentorship, and authorship… more
- Corewell Health (Grand Rapids, MI)
- …- Priority Health - 1231 E Beltline - Grand Rapids Department Name PH - Payment Integrity - Planning and Implementation Employment Type Full time Shift Day ... health care, sciences or information systems Preferred + Certified Coding and Optum CES experience + CRT- Professional ...Certified Coding and Optum CES experience + CRT- Professional Coder CPC - AAPC American Academy of … more
- Nelnet (Lansing, MI)
- …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more