- 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
- Datavant (Lansing, MI)
- …Consultant role is an opportunity to make a significant impact in the field of medical coding . You will provide essential consulting services and educational ... support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as...and a specialist. **What You Will Do:** + Review medical records and assign precise codes to ensure accurate… more
- CenterWell (Lansing, MI)
- …as needed. + Participate in Payer calls/chart reviews. + May participate in provider education programs on coding compliance. + Exercises independent ... to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows...or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... minimal direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding … more
- Molina Healthcare (Warren, MI)
- …billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology. * Strong knowledge ... high-quality, high-value concepts and or process improvements, tools, etc. * Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
- Datavant (Lansing, MI)
- …Consultant role is an opportunity to make a significant impact in the field of medical coding . You will provide essential consulting services and educational ... support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as...encouraged to apply! **What You Will Do:** + Review medical records and assign precise codes to ensure accurate… more
- Henry Ford Health System (Detroit, MI)
- …have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. Strong organizational ... 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
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …the organization. The Coding Auditor will perform audits as well as provide guidance, training, and education to ensure high standards of coding ... guidelines and regulations (eg, ICD-10, CPT, HCPCS). + Review medical records and coding entries to verify...and report discrepancies, errors, and areas for improvement. + Provide detailed feedback and recommendations to coding … more
- R1 RCM (Detroit, MI)
- …of official coding conventions and rules established by the American Medical Association (AMA) (ie: Documentation Guidelines '95 & '97) For this US-based ... R1 is the leading provider of technology-driven solutions that transform the patient...experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines… more
- Intermountain Health (Lansing, MI)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and ... serves as a subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the system. They audit… more
- CVS Health (Lansing, MI)
- …and every day. **Position Summary** Responsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD codes ... **Required Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC… more
- Datavant (Lansing, MI)
- …presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff. + Report ... life experiences to realize our bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding… more
- Datavant (Lansing, MI)
- …on a daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving production and quality ... standards of the role. + Report trends for education opportunities to management for review and/or action. +...managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... position uses information from a tip, member benefits, and medical records to document relevant findings of a post...payments. + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. +… more
- Datavant (Lansing, MI)
- …reflect the complexity and severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + Provide coders' ... an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
- Henry Ford Health System (Detroit, MI)
- …and assertiveness. + Five (5) years of working experience with financial and medical billing/ICD10 and CPT coding . + Proficiency with database, spreadsheet, and ... GENERAL SUMMARY: The Coding and Documentation Supervisor is responsible for overseeing...and the entire Revenue Cycle team as an aggregate. EDUCATION /EXPERIENCE REQUIRED: + Associate degree and two (2) years… more
- Henry Ford Health System (Troy, MI)
- …with Revenue Integrity staff to identify charge system weakness, recommends changes, provide education , and tracks utilization. Due to its service focus ... with physician, nursing staff, leadership and other HFH personnel. + Knowledge of medical coding (facility and professional), related medical terminology,… 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
- Elevance Health (Dearborn, MI)
- …experience; or any combination of education and experience, which would provide an equivalent background. + Requires coding certification (CPC, CCS, CPMA). ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...to aid in investigations and stays abreast of current medical coding and billing issues, trends and… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. Our **Multispecialty QA Education Coding Associate** will be responsible for reviewing ... **Here's what you can expect as our Multispecialty QA Education Coding Associate:** + Assigns codes for...coding conventions and rules established by the American Medical Association (AMA) (ie:Documentation Guidelines '95 & '97) +… more