- 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 (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
- Humana (Southfield, MI)
- …managing and responding to escalated issues for network providers, conducting ongoing education including provider training, education , and hosting Joint ... years of health care or managed care experience working with providers (eg, provider relations, claims education ). + Experience with Michigan Medicaid +… 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
- 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
- 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
- Trinity Health (Livonia, MI)
- …including analysis of clinical documentation, root cause analysis and education to the responsible ancillary department. Performs daily reconciliation processes ... or GED + Minimum three (3) years of relevant coding and charge control work experience in a hospital...or a related field. + Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or… more
- University of Michigan (Ann Arbor, MI)
- …, HIM, Reimbursement Specialists, Compliance, Patience Business Services, Provider Enrollment, Audit/Appeals, Revenue Analytics, LPI). **Mission Statement** Michigan ... Bachelor's degree in Business or Health Administration, Nursing or equivalent combination of education and work experience. + Coding Certification- CPC, CPC-H or… 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
- Henry Ford Health System (West Bloomfield, MI)
- …candidate will have experience with surgical case scheduling inEPIC, knowledge of medical coding , and familiarity with insurance authorization and appeals ... plays a key part in coordinating surgical scheduling, managing provider templates, and ensuring seamless patient access across the...case scheduling and EPIC strongly preferred. + Knowledge of medical terminology and basic coding helpful. +… more
- TEKsystems (Dearborn, MI)
- …in the full software development lifecycle, including architecture design, coding , quality assurance, and deployment. Full-stack engineers are expected to ... with practices like test-driven development, continuous integration, and secure coding -including encryption and anonymization-is essential. Engineers are expected to… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- …clinical and administrative areas of a complex health care facility; scanning, bar- coding , receiving, storing and distributing medical and surgical supplies, ... Summary This position serves as Supply Technician ( Medical ) for the Medical Supply Distribution...Health Care System. As a Supply Technician, you will provide wards, clinics, operating rooms, secondary storage locations, and… more
- University of Michigan (Ann Arbor, MI)
- …at minimizing denials and improving documentation practices. + Provide ongoing education and feedback to coding , clinical documentation, and billing staff. + ... clinical validation issues by leveraging comprehensive knowledge of clinical documentation, medical coding (with special emphasis on ICD-10), payer policies,… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Clinical Documentation Specialist (CDS) uses clinical, coding , and Clinical Documentation Integrity (CDI) knowledge and experience to improve ... the quality and integrity of documentation in the medical record. Identifies factors influencing the complexity of a patients diagnosis and treatment plan. Serves as… more