- Baylor Scott & White Health (Lansing, MI)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
- R1 RCM (Detroit, MI)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Hospital Coding Auditor , you will review hospital charges against medical ... work independently. **Here's what you will experience working as a Hospital Coding Auditor ** + Review hospital charges against medical record and all applicable… more
- Elevance Health (Dearborn, MI)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding … more
- Elevance Health (Dearborn, MI)
- **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims… more
- R1 RCM (Detroit, MI)
- …patient satisfaction and improves financial performance. R1 is currently seeking a Physician Coding Auditor with a background in Physician coding , billing, ... guidelines. The Auditor must understand medical terminology, coding , contractual agreements, and various payment methodologies. This position requires… more
- Highmark Health (Lansing, MI)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- McLaren Health Care (Shelby Township, MI)
- …Assigned** **:** 1. Responsible for completing quality assurance audits on professional coding specialists, onboarding audits and training of newly hired coding ... specialist is accurately abstracting data into medical record systems, following coding guidelines, and relevant federal and other pertinent materials. 2. Optimizes… more
- Cognizant (Lansing, MI)
- …**Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10 ... the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued...and team. **In this role, you will:** - **Ensure Coding Accuracy and Compliance** . Conduct thorough reviews of… more
- Humana (Lansing, MI)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
- Corewell Health (Royal Oak, MI)
- …HFMA Healthcare Financial Management Association 180 Days preferred Or + CRT-Inpatient Coding Auditor , Certified (CICA) - HFMA Healthcare Financial Management ... Association 180 Days preferred Or + CRT-Specialist Accounting & Finance, Certified (CSAF) - HFMA Healthcare Financial Management Association 180 Days preferred Or + CRT-Specialist Business Intelligence, Certified (CSBI) - HFMA Healthcare Financial Management… more
- Elevance Health (Dearborn, MI)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- R1 RCM (Detroit, MI)
- …one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding… more
- Henry Ford Health System (Troy, MI)
- …medical records to determine accuracy of billing through verification of coding , billing and supporting clinical documentation. Coordinates all activities associated ... in nursing (BSN) preferred. + Experience in medical record review, billing and coding accuracy and insurance carrier audit requests. + Knowledge of billing and… more
- Trinity Health (Ann Arbor, MI)
- …is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, HCPCS) are highly desirable. Customer service background ... is required. Working knowledge of Electronic Health Records (EHR) is preferred. Ability to interact effectively with multidisciplinary teams, including physicians and other clinical professionals internally and externally. Must possess in-depth familiarity… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and interpret medical ... day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes....a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more