• Facility Coding Inpatient DRG…

    Banner Health (MI)
    …with different focuses (Facility vs Profee)._ In this ** Inpatient Facility-based HIMS Coding Quality Associate ** position, you bring your **5 years of ... Coding experience.** This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department. If you have experience… more
    Banner Health (06/15/25)
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  • Inpatient DRG Quality Auditor

    Humana (Lansing, MI)
    …looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider ... put health first** In this role, you will conduct quality reviews of coding processes within the...and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) **So,** **do you**… more
    Humana (06/17/25)
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  • Coder IV, Inpatient (Remote)

    Trinity Health (Livonia, MI)
    …comply with the 72-hour rule and other account combine scenarios. 6. Adheres to Inpatient coding quality and productivity standards established by Revenue ... as required by credentialing associations. 11. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as… more
    Trinity Health (06/24/25)
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  • Coding Auditor Educator

    Highmark Health (Lansing, MI)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
    Highmark Health (05/09/25)
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  • Facility Coding Outpatient Complex Coder

    Banner Health (MI)
    …assignment of disease and procedure codes, and any pertinent abstract elements. 3. Provides quality coding by ensuring compliance with coding rules and ... and accurate coding in accordance to department specific productivity and quality standards. Codes ICD CM/PCS and CPT4 for accurate APC assignment. Addresses… more
    Banner Health (05/31/25)
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  • Medical Records Coder Senior

    Corewell Health (Sterling Heights, MI)
    …general supervision and according to established procedures, provides technical support to the Inpatient Coding Staff and coordinates daily workflow based on the ... coding issues. Serves as the primary contact for outside departments for Inpatient coding related questions. Reports to the Director of Medical Records and… more
    Corewell Health (06/04/25)
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  • Prospective Payment Specialist Coordinator

    Corewell Health (Watervliet, MI)
    …selection and IRF-PAI tool. Preferred + Experience with quality reporting, coding experience and reimbursement systems for inpatient acute and/or subacute ... authorizations. + Educates medical staff/other health professionals regarding billing, coding and quality requirements. Makes recommendations and provides… more
    Corewell Health (04/23/25)
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  • REMOTE Coder III - Complex Outpatient, Ambulatory…

    Trinity Health (Livonia, MI)
    … ones to appropriate owners eg, Revenue Integrity, Billing, etc. Adheres to Inpatient coding quality and productivity standards established by Revenue ... **MINIMUM QUALIFICATIONS** Completion of an AHIMA or AAPC approved coding program or Associate 's degree in Health Information Management or a related field… more
    Trinity Health (05/23/25)
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  • Medical Director-Payment Integrity

    Humana (Lansing, MI)
    …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The possibility exists of doing… more
    Humana (06/06/25)
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  • Experienced Patient Services Specialist I - Days…

    Henry Ford Health System (Troy, MI)
    …assigned EDUCATION/EXPERIENCE REQUIRED: * High school diploma or GED equivalent. Associate 's degree in Business Administration, Accounting, Billing, Coding , or ... hospital and professional billing associated with Henry Ford Health inpatient hospitals, outpatient clinics, laboratory, radiology and employed physicians.… more
    Henry Ford Health System (04/24/25)
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  • Medical Director - National Medicare

    Humana (Lansing, MI)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (06/25/25)
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  • Medical Director - Mid West Region

    Humana (Lansing, MI)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (05/14/25)
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  • Medical Director - Care Plus - Florida

    Humana (Lansing, MI)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (04/24/25)
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  • Trauma Registrar - 40 Hours - Day Shift

    Henry Ford Health System (Detroit, MI)
    …records for data collection and abstraction. + Analyzes all records for quality assurance trauma standards recommended by governing bodies and as stipulated by ... regulatory groups. + Performs the abstraction, coding (ICD) and application of all trauma data points...trauma data points in the registry taken primarily from inpatient trauma cases. + Apprises program coordinator of all… more
    Henry Ford Health System (04/10/25)
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