- Humana (Lansing, MI)
- …relationships with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of ... situations or data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate … more
- R1 RCM (Detroit, MI)
- …margin results for modular coding organization. + Lead and manage the coding department, ensuring compliance with all regulatory requirements and coding ... and industry trends. + Prepare and present reports on coding operations to senior management. **Required Skills...+ Experience and strong knowledge of inpatient and outpatient coding , compliance and audit + Experience with… more
- R1 RCM (Detroit, MI)
- …review and correct billing edits, internal and external reporting, research, and regulatory compliance ). Under the direction of the Coding Leadership Team, the ... intelligent automation, and workflow orchestration. Our **Multispecialty QA Education Coding Associate** will be responsible for reviewing clinical documentation and… more
- Cardinal Health (Lansing, MI)
- …of the adequacy and accuracy of documentation in support of services billed; compliance with other documentation and coding and billing standards; communication ... coding and billing policies and procedures. + Conducts compliance orientation training for new providers as well as...potentially sensitive issues to all levels of management including senior leadership, physicians, coding staff and others.… more
- Highmark Health (Lansing, MI)
- …across operations + Stay updated on industry trends and emerging technologies in RCM . ** Compliance and Regulatory Oversight** : + Ensure strict adherence to ... in a senior leadership role **Preferred** + Experience in managing RCM teams in a global, multi-site environment. **SKILLS** + Strong understanding of end-to-end… more
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