- Humana (Lansing, MI)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse license in a state that is part of the ... community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to...remote environment + Minimum of three, (3), years varied clinical nursing experience. + Minimum of one, (1), year… more
- Henry Ford Health System (Troy, MI)
- …with department standards regarding productivity and audit quality. CERTIFICATIONS/LICENSURES REQUIRED: Registered Nurse credentialed from the Michigan Board of ... accuracy of billing through verification of coding, billing and supporting clinical documentation. Coordinates all activities associated with insurance carrier audit… more
- Trinity Health (Ann Arbor, MI)
- …travelling between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / ... Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies… more
- R1 RCM (Detroit, MI)
- …to ensure internal and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + An active CCS, RHIA, RHIT, CCA, CPC-A, ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and… more