- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Hospital Coding Auditor , you will review hospital ... ability to work independently. **Here's what you will experience working as a Hospital Coding Auditor ** + Review hospital charges against medical record… more
- Elevance Health (Dearborn, MI)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims… more
- Highmark Health (Lansing, MI)
- …Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality… more
- Humana (Lansing, MI)
- …Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, ... This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and… more
- LifePoint Health (Marquette, MI)
- …you are not just what you can do. UPHS - Marquette is a 222 bed hospital and houses the region's only Level II Trauma Center and Neonatal Intensive Care Unit (NICU). ... more Position Summary: Monitors, consults, educates, audits and performs trend coding decision making. Reports to: Director FLSA: Exempt ESSENTIAL FUNCTIONS:… 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 ... and underpaid claims. Every day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes. Then you will draft… more
- R1 RCM (Detroit, MI)
- …and provide educational materials cross-functionally. **Required Skills:** + Experience with hospital /physician coding . + Medical Coding Certification - ... tasks independently, and have a working understanding of the hospital revenue cycle process. **Here's what you will experience...CCS, CPC, CPC-H - preferred. + Knowledge of coding with CPT/HCPCS/ICD10 diagnosis and PCS, and medical terminology.… more