- Henry Ford Health System (Troy, MI)
- …and Coding ? If your answer is YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel as needed ... work directly with providers. About the Role: As our Medical Coding Education Coordinator, you'll...forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record… more
- Henry Ford Health System (Detroit, MI)
- …accurate reimbursement. + Support initiatives for quality reporting, risk adjustment, provider education , and regulatory compliance. Innovation, Technology & ... together PRINCIPLE DUTIES & RESPONSIBILITIES Strategic Leadership & Oversight + Provide system-wide leadership for procedural and anesthesia coding , ensuring… more
- Henry Ford Health System (Detroit, MI)
- …+ Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Six (6) months ... GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates...record for compilation of a patient database, which supports medical research projects, patient care evaluation, and administrative decision… more
- Guidehouse (Detroit, MI)
- …for department manager, staff, physicians, administrative, and external customers to provide information or clarification accurate and ethical coding and ... **Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:**...analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Directly coordinates, oversees, and controls the flow of provider education and medical record coded information required of the hospital ... and ambulatory sites for billing, reimbursement, and compliance purposes. The Provider Education Coordinator serves as a subject matter expert for documentation… more
- Humana (Detroit, MI)
- …managing and responding to escalated issues for network providers, conducting ongoing education including provider training, education , and hosting Joint ... years of health care or managed care experience working with providers (eg, provider relations, claims education ). + Experience with Michigan Medicaid +… more
- Molina Healthcare (Detroit, MI)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
- Trinity Health (Livonia, MI)
- …Guidelines for Coding and Reporting + The American Hospital Association (AHA) Coding Clinic + The American Medical Association (AMA) for CPT codes and ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Analyzes physician/ provider documentation contained in assigned Emergency Department (ED) and… more
- Henry Ford Health System (Detroit, MI)
- …Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Minimum of ... GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical … more
- Trinity Health (Livonia, MI)
- …knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment. Must be proficient on identifying POA, ... high level technical competency and subject matter expertise analyzing physician/ provider documentation in Inpatient health records to determine the principal… more
- Trinity Health (Livonia, MI)
- …program standards, policies, procedures and workflows. Assists with policy and education development on the use of guidelines and proper documentation requirements ... and participates in performance improvement initiatives. Provides training and education to clinical documentation specialists (CDS) to enhance clinical and… more
- Trinity Health (Livonia, MI)
- …quality. Works closely with Regional and Local Health Physician Champions, Chief Medical Officers, HM Executive Leadership, clinical staff, coding and denials ... processes to improve performance and achieve defined goals. Provides training and education to clinical documentation specialists (CDS) to enhance clinical and … more
- Elevance Health (Dearborn, MI)
- …improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and...ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an… more
- Molina Healthcare (Detroit, MI)
- …as required by regulatory and/or contract requirements. + Renders provider education on appropriate practices (eg, coding ) as appropriate based on national ... to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews.… more
- Molina Healthcare (Detroit, MI)
- …models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical Management, Network, and ... early signs of trends or other issues related to medical care costs. + Work with clinical, provider...code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding… more
- Molina Healthcare (Detroit, MI)
- … education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is generally favorable ... requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior authorizations, fee schedules, and other… more
- Trinity Health (Livonia, MI)
- …including analysis of clinical documentation, root cause analysis and education to the responsible ancillary department. Performs daily reconciliation processes ... or GED + Minimum three (3) years of relevant coding and charge control work experience in a hospital...or a related field. + Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or… more
- R1 RCM (Detroit, MI)
- R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical ... your real-world experience in healthcare billing, AR management, or coding , you'll demonstrate how our solutions solve actual RCM...the technical and domain expert. + Shape the product: Provide feedback to product and engineering teams based on… more
- Henry Ford Health System (Detroit, MI)
- …degree in liberal arts, business, analytics, information technology, health care related field or medical coding . OR . High school diploma. Medical coding ... limited supervision of an administrative director, works independently to provide support managing panel attribution up to 30,000 (+/-)...certificate and one (1) year of medical coding experience. OR . High school diploma. Three (3)… more
- Fresenius Medical Center (Madison Heights, MI)
- …are met regarding End Stage Renal Disease (ESRD). + Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, ... and other related health conditions. + Discusses with patient, and records education related to diet/fluid and medication compliance. + Provides patient specific… more