• Reimbursement Sr Analyst

    Intermountain Health (Lansing, MI)
    …settlements, and files appeals and exception requests to appropriately maximize reimbursement . Interacts with Medicare Administrative Contractor, State Medicaid, ... in Medicare , Medicaid, and/or governmental reporting + Experience with reimbursement world and cost reports. **Physical Requirements:** + Ongoing need for… more
    Intermountain Health (05/28/25)
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  • Medicaid Provider Hospital Reimbursement

    Humana (Lansing, MI)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
    Humana (05/29/25)
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  • Senior Reimbursement Analyst

    Trinity Health (Livonia, MI)
    reimbursement practices adhere to federal, state and other third-party reimbursement regulations. Prepares Annual Medicare , Medicaid, Blue Cross and Tricare ... potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such… more
    Trinity Health (03/29/25)
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  • Revenue Cycle Analyst

    R1 RCM (Detroit, MI)
    …while reducing operating costs and enhancing the patient experience. As a Revenue Cycle Analyst , you will execute audits and conduct reimbursement research for a ... research and validate hospital reporting. + Build and maintain expertise in Medicare and Managed Care billing, coding, and reimbursement policies. +… more
    R1 RCM (05/24/25)
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  • Net Revenue Analyst Senior - Hybrid…

    McLaren Health Care (Grand Blanc, MI)
    **Position Summary:** Responsible for compiling complex reimbursement data to support management decision making and internal and external reporting for assigned ... subsidiaries. Assists in coordination of reimbursement functions related to the strategic financial planning process....reviews the schedules required to support the submission of Medicare , Medicaid and Blue Cross cost report, complying with… more
    McLaren Health Care (05/16/25)
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  • PPS Coordinator Senior

    University of Michigan (Ann Arbor, MI)
    …Facility Patient Assessment Instrument (IRF-PAI) in accordance with Centers for Medicare and Medicaid Services. This individual utilizes specialty knowledge of IRF ... Medicare rules and regulations to support compliant billing for...and staff, ensure facility compliance with regulatory standards, maximize reimbursement and contribute to quality initiatives especially related to… more
    University of Michigan (05/27/25)
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  • Facility Coding Inpatient Senior Coder

    Banner Health (MI)
    …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code… more
    Banner Health (05/25/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (MI)
    …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code… more
    Banner Health (05/24/25)
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  • Physician Coding Senior Coder Surgical Pediatric

    Banner Health (MI)
    …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
    Banner Health (05/23/25)
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