- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: RMRA (Revenue Management Risk Adjustment) Health Risk Coding and Education Specialist - Level II, specific to the Risk ... the HAP provider network. + Provides detailed health risk clinical documentation and coding education and training to providers, independent practice… more
- Henry Ford Health System (Troy, MI)
- …improve with accurate submission of clinical documentation and coding of risk adjustment data through a combination of education and engagement programs ... for both administrative and coding /documentation processes. Leads/oversees engagement and education of coding staff Health Alliance Plan in-network… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Certified Medical Coding Manager - Remote** **Location:** Trinity Health PACE Corp ... **Shift:** 7 am to 330 pm Eastern **Position Purpose:** The Certified Medical Coding Manager oversees the Coding Regional Team's daily operations, ensuring… more
- Trinity Health (Livonia, MI)
- …services to RHMs such as remote coding (ie, coding pool), coding audits, coding education , clinical documentation education , and clinical ... impacting the activities associated with creation and maintenance of the health record, coding , clinical documentation improvement, transcription, front-end… more
- R1 RCM (Detroit, MI)
- …Condition Category) coding and auditing team to ensure accurate and efficient coding of patient diagnoses for risk adjustment purposes. This role involves ... to optimize coding processes. You will perform compliance audits, including risk -based audits and quality review (QR) monitoring, as needed. Every day you will… more
- Henry Ford Health System (Detroit, MI)
- …reports of findings and meets with providers and medical office staff to provide education and training on accurate coding practices and compliance risks. + ... Certified Coding Specialist - Physician Based (CCS- P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT),… more
- Trinity Health (Livonia, MI)
- …American Health Information Management Association (AHIMA) Standards of Ethical Coding * Revenue Excellence/HM coding procedures and guidelines **ESSENTIAL ... APR DRGs, POA, SOI & ROM indicators. Reviews Inpatient health record documentation, as part of the coding...education and experience is required. Bachelor's degree in Health Information Management (HIM) or related healthcare field is… more
- Elevance Health (Dearborn, MI)
- …benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a ... live within 50 miles of one of our Elevance Health PulsePoint locations Carelon Payment Integrity is a proud...for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will… more
- Henry Ford Health System (Troy, MI)
- …proficiency in healthcare/medical economics data and an understanding of healthcare industry coding systems such as ICD-10, CPT/HCPCS, and DRGs. + Take proactive ... for quarterly business meetings. + Perform other related duties as assigned. EDUCATION /EXPERIENCE REQUIRED: + Must have an undergraduate (BS) degree in Statistics,… more
- R1 RCM (Detroit, MI)
- …revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1(R) is ... To thrive in this role you must have a coding certification and experience working in revenue cycle. **Key...opportunities for revenue improvement or areas of potential compliance risk . Charge Capture Analysis: + Review and analyze patient… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** Trinity Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 ... is Required. OASIS COS-C certification required within 6 months of hire **Trinity Health at Home is seeking an experienced RN Clinical Quality Review Specialist for… more
- Henry Ford Health System (Troy, MI)
- …for managing all third-party payer audit processes across the Henry Ford Health System which includes denial, appeal, and financial tracking. This position will ... oversee the following: Coordination and aggregation of the medical, billing and coding records and the timely submission of documentation for Medicare Recovery Audit… more
- R1 RCM (Detroit, MI)
- …expert and authoritative resource on interpretation and application of CDI practices, coding rules, and regulations and conducts risk assessments of potential ... transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one...the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving… more
- Siemens Digital Industries Software (Livonia, MI)
- …as well as additional factors, including job-related skills, experience, and relevant education /training. Siemens offers a variety of health and wellness ... approaches to the CI/CD pipeline processes of various products. + Conduct risk assessments and vulnerability analyses to identify potential threats. + Oversee the… more
- BAE Systems (Sterling Heights, MI)
- …task definition, resource requirements, schedule, quality, and cost parameters + Assess project risk areas and develops risk mitigation plans + Prepare, monitor, ... developments and evolving organizational needs and required technical knowledge **Required Education , Experience, & Skills** + Bachelor's degree in Computer Science,… more
- Sedgwick (Detroit, MI)
- …claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical ... Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** ** Education & Licensing** Bachelor's degree from an accredited college or… more