- 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 (Warren, 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
- 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
- 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 (Warren, 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 (Warren, 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 (Warren, 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
- 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
- Danaher Corporation (Detroit, MI)
- …in the US. In this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff and financial decision ... possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer facing role responsible for delivering compliant payer coverage, … 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
- Grifols Shared Services North America, Inc (Detroit, MI)
- …Part B, Centers for Medicare and Medicaid (CMS) Healthcare Common Procedure Coding System (HCPCS), and American Medical Association (AMA) Current Procedural ... pull-through tactics, and reimbursement strategies that support optimal patient and provider access across the Grifols Biopharma portfolio. This role supports the… more
- TEKsystems (Dearborn, MI)
- …in the full software development lifecycle, including architecture design, coding , quality assurance, and deployment. Full-stack engineers are expected to ... with practices like test-driven development, continuous integration, and secure coding -including encryption and anonymization-is essential. Engineers are expected to… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Clinical Documentation Specialist (CDS) uses clinical, coding , and Clinical Documentation Integrity (CDI) knowledge and experience to improve ... the quality and integrity of documentation in the medical record. Identifies factors influencing the complexity of a patients diagnosis and treatment plan. Serves as… 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 ... AR performance with an emphasis on aging categories. + Prepare, analyze, and provide daily, weekly, and monthly metrics reports. **Required Skills:** + At least 3+… more