- Henry Ford Health System (Troy, MI)
- …Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple clinical departments and practices ... the Manager, Revenue Integrity , the Revenue Integrity Specialist identifies ...Revenue Cycle staff to drive process improvement, educate clinical departmental staff, and document workflows. Primary areas of… more
- Guidehouse (Detroit, MI)
- …remote **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity , the Revenue Integrity Coding Billing Specialistprovides ... for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific ...claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate… more
- Trinity Health (Livonia, MI)
- …preferred. CDC (Healthcare Compliance Certification) and CHRI (Certificate in Healthcare Revenue Integrity ) are strongly preferred. **Physical & Mental ... federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as...are placed on the claim appropriately including ancillary or clinical systems related to revenue cycle, charge… more
- Henry Ford Health System (Detroit, MI)
- …compliance best practices. + Denials Management & Process Optimization: Partner with Revenue Integrity and Compliance to monitor pharmaceutical claim denials, ... + Demonstrated experience in health system pharmacy operations, charge capture, revenue integrity , or financial analytics strongly preferred. + Knowledge… more
- Trinity Health (Livonia, MI)
- …problematic billing issues. Monitors pending authorizations report and collaborates with both the clinical and revenue cycle team to review and resolve pending ... client accounts and provides any additional documentation required. + Seeks assistance of Clinical Team Leaders and/or Revenue Cycle Leaders with clinical … more
- Trinity Health (Livonia, MI)
- …and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Assist Nurse ... Knowledge** of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies,… more