- 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
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Medical Billing & Coding Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2402723&source=2402723-CJB-0) Job Title: Medical Billing and Coding Specialist Job Status:… more
- R1 RCM (Detroit, MI)
- …to HACs, PSI, Mortalities, Core Measures and focused CMS initiatives + Provides coding education /guidelines to Quality and Risk, related to HAC, PSI, ... codes. Our collaborative partners include the following R1 teams: Coding , Quality, Education and Training Teams, Revenue...to potential lost revenue via Axiom and high dollar medical necessity edits + Identify trended coding … more
- R1 RCM (Detroit, MI)
- …official coding conventions and rules established by the American Medical Association (AMA) (ie:Documentation Guidelines '95 & '97) + Experience with Microsoft ... R1 is the leading provider of technology-driven solutions that transform the patient...experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines… more
- Elevance Health (Dearborn, MI)
- …position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and ... issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute… more
- Elevance Health (Dearborn, MI)
- …The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, ... business, and its clients. Specializes in review of DRG coding via medical record and attending physician's...environment preferred. + Broad, deep and niche knowledge of medical claims billing/payment systems provider billing guidelines,… more
- Henry Ford Health System (Detroit, MI)
- …Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Strong ... 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
- R1 RCM (Detroit, MI)
- …coding , billing, and reimbursement guidelines. The Auditor must understand medical terminology, coding , contractual agreements, and various payment ... At R1 RCM we are a leading provider of technology-driven solutions that transform the patient experience... Coding Auditor with a background in Physician … more
- R1 RCM (Detroit, MI)
- …Hospital Coding Auditor, you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on ... R1 is the leading provider of technology-driven solutions that transform the patient...codes). The Auditor must have a comprehensive understanding of medical terminology, coding , contractual agreements, and various… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Remote Coding Specialist I - Ancillary Coding & Claim Edits is responsible for coding ... to NCCI, OCE, LCD & NCD edits during the coding process. The Remote Coder I - Ancillary ...works with appropriate resources for completion. + Collaborates with Medical Staff and Clinical Documentation Specialists to ensure that… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Director of Insurance Recovery - CBO Coding is responsible for the effective functioning of the Corporate Insurance Billing office across the ... PSAs. This position focuses on those workflows that require coding interpretation to properly submit or modify the claim...motivation and empowerment of insurance billing office team to provide high quality services, which meet or exceed customer… more
- Henry Ford Health System (Detroit, MI)
- …field) or equivalent combination of at least 3 years financial and medical billing/ coding experience. + Bachelor's Degree (Business or Healthcare Administration ... or related field), preferred. + Minimum of three (3) years financial, medical billing or coding experience with one (1) year in a lead role or supervisory… 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
- Trinity Health (Livonia, MI)
- …**Description:** **_* Position allows for remote opportunity._** **_Experience with HIM Coding or Operations preferred._** **_* Must be available to travel as/when ... other care providers to establish standards of care for target medical conditions and procedures, utilizing evidence, quality indicators, regulatory requirements,… more
- Henry Ford Health System (Troy, MI)
- RN PROVIDER APPEALS COORDINATOR - MEDICAL APPEALS - 40 HOURS WEEKLY - DAY SHIFT Full Time Benefit Eligible Schedule: Monday through Friday, 8:00AM to 4:30PM. ... medical criteria , readmission appeals, administrative appeals for provider and member appeals in partnership with our ...of Microsoft Office Suite. Knowledge of ICD-10 and CPT coding , medical necessity criteria and medical… more
- R1 RCM (Detroit, MI)
- …other edits; verify and correct documentation + Communicate with other departments to provide coding guidance **Required Skills:** + High school diploma, GED, or ... R1 is the leading provider of technology-driven solutions that transform the patient...and emergency and trauma care + Strong understanding of medical terminology and coding guidelines in both… 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 patient's medical… more
- Trinity Health (Livonia, MI)
- …knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment. Must be proficient on identifying POA, ... high level technical competency and subject matter expertise analyzing physician/ provider documentation in Inpatient health records to determine the principal… 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
- 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