- Henry Ford Health System (Detroit, MI)
- …retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor,...of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
- Trinity Health (Livonia, MI)
- …certification required, eg, Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technologist (RHIT), or Registered ... Must understand and have in depth knowledge of Hospital Outpatient Prospective Payment System, Inpatient Prospective Payment System, Medicare Physician… more
- Elevance Health (Dearborn, MI)
- …Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, ... acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG,...appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …include but are not limited to: Performs weekly or monthly audits of outpatient encounters. Reviews results of external audits and prepares education and/or audit ... center leadership and HIMs. Researches current guidelines related to inpatient and outpatient services and provides guidance to coding department and clinical staff… more