- Highmark Health (Lansing, MI)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- University of Michigan (Ann Arbor, MI)
- Health Information Analyst II - Compliance & Auditing Apply Now **Job Summary** Use the EPIC EHR Release Module within specified timeframes to find, review, and ... medical records and supporting documentation to substantiate claim payment audits and/or appeals . + Coordinate with the Office of General Counsel, Patient Relations… more
- Trinity Health (Livonia, MI)
- …functions related to home office third party cost reports, third party appeals , third party payer contract negotiations, analysis of financial impact of changes ... final settlements. Coordinates, researches and analyzes prior year reopening and appeals . Prepares financial month end close reporting for Net Revenue.… more
- Evolent (Lansing, MI)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Operational Analytics** The Operational Performance Analytics team, a part of ... Evolent's Analytics department, is seeking a Senior Analyst to collaborate cross-departmentally to help our organization gain efficiencies and drive decision-making… more
- University of Michigan (Ann Arbor, MI)
- …of mortality, accuracy of patient outcomes, PSI90/HAC reviews, clinical denials and appeals and complexity of patient care. Serves as key resource for ... **Working Title** Clinical Documentation Integrity Specialist III **Job Title** Clinical Info Analyst Sr **Work Location** Michigan Medicine - Ann Arbor Ann Arbor,… more