- Henry Ford Health System (Troy, MI)
- …and Coding ? If your answer is YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel as needed ... work directly with providers. About the Role: As our Medical Coding Education Coordinator, you'll...forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record… more
- Henry Ford Health System (Detroit, MI)
- …accurate reimbursement. + Support initiatives for quality reporting, risk adjustment, provider education , and regulatory compliance. Innovation, Technology & ... together PRINCIPLE DUTIES & RESPONSIBILITIES Strategic Leadership & Oversight + Provide system-wide leadership for procedural and anesthesia coding , ensuring… more
- Henry Ford Health System (Troy, MI)
- …+ Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Six (6) months ... GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates...record for compilation of a patient database, which supports medical research projects, patient care evaluation, and administrative decision… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... position uses information from a tip, member benefits, and medical records to document relevant findings of a post...payments. + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. +… more
- Henry Ford Health System (Detroit, MI)
- …and assertiveness. + Five (5) years of working experience with financial and medical billing/ICD10 and CPT coding . + Proficiency with database, spreadsheet, and ... GENERAL SUMMARY: The Coding and Documentation Supervisor is responsible for overseeing...and the entire Revenue Cycle team as an aggregate. EDUCATION /EXPERIENCE REQUIRED: + Associate degree and two (2) years… more
- Henry Ford Health System (Troy, MI)
- …with Revenue Integrity staff to identify charge system weakness, recommends changes, provide education , and tracks utilization. Due to its service focus ... with physician, nursing staff, leadership and other HFH personnel. + Knowledge of medical coding (facility and professional), related medical terminology,… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Directly coordinates, oversees, and controls the flow of provider education and medical record coded information required of the hospital ... and ambulatory sites for billing, reimbursement, and compliance purposes. The Provider Education Coordinator serves as a subject matter expert for documentation… more
- Molina Healthcare (Sterling Heights, MI)
- …medical claims review, claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. ... necessity and appropriate/accurate billing and claims processing. * Validates member medical records and claims submitted/correct coding to ensure appropriate… more
- Molina Healthcare (Sterling Heights, MI)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
- Trinity Health (Livonia, MI)
- …Guidelines for Coding and Reporting + The American Hospital Association (AHA) Coding Clinic + The American Medical Association (AMA) for CPT codes and ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Analyzes physician/ provider documentation contained in assigned Emergency Department (ED) and… more
- Henry Ford Health System (Detroit, MI)
- …Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Minimum of ... GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical … more
- Trinity Health (Livonia, MI)
- …program standards, policies, procedures and workflows. Assists with policy and education development on the use of guidelines and proper documentation requirements ... and participates in performance improvement initiatives. Provides training and education to clinical documentation specialists (CDS) to enhance clinical and… more
- Trinity Health (Livonia, MI)
- …quality. Works closely with Regional and Local Health Physician Champions, Chief Medical Officers, HM Executive Leadership, clinical staff, coding and denials ... processes to improve performance and achieve defined goals. Provides training and education to clinical documentation specialists (CDS) to enhance clinical and … more
- Elevance Health (Dearborn, MI)
- …improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and...ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an… more
- Molina Healthcare (Sterling Heights, MI)
- …as required by regulatory and/or contract requirements. + Renders provider education on appropriate practices (eg, coding ) as appropriate based on national ... to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews.… more
- Molina Healthcare (Sterling Heights, MI)
- …models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical Management, Network, and ... early signs of trends or other issues related to medical care costs. + Work with clinical, provider...code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding… more
- Molina Healthcare (Sterling Heights, MI)
- … education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is generally favorable ... requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior authorizations, fee schedules, and other… more
- Molina Healthcare (Sterling Heights, MI)
- …of relevant education and experience. * Graduate of an accredited medical assistant (MA) program. * Demonstrated understanding of patient care, medical ... JOB DESCRIPTION Job Summary Provides medical assistant support for Care Connections team. Responsible for contacting members following appointments/services rendered… more
- Danaher Corporation (Detroit, MI)
- …in the US. In this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff and financial decision ... possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer facing role responsible for delivering compliant payer coverage, … more
- Fresenius Medical Center (Madison Heights, MI)
- …are met regarding End Stage Renal Disease (ESRD). + Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, ... and other related health conditions. + Discusses with patient, and records education related to diet/fluid and medication compliance. + Provides patient specific… more