- Henry Ford Health System (Troy, MI)
- …Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple clinical departments and practices ... the Manager, Revenue Integrity , the Revenue Integrity Specialist identifies ...Revenue Cycle staff to drive process improvement, educate clinical departmental staff, and document workflows. Primary areas of… more
- Guidehouse (Detroit, MI)
- …remote **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity , the Revenue Integrity Coding Billing Specialistprovides ... for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific ...claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate… more
- Trinity Health (Livonia, MI)
- …preferred. CDC (Healthcare Compliance Certification) and CHRI (Certificate in Healthcare Revenue Integrity ) are strongly preferred. **Physical & Mental ... federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as...are placed on the claim appropriately including ancillary or clinical systems related to revenue cycle, charge… more
- Trinity Health (Livonia, MI)
- …and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Assist Nurse ... other stakeholders with denial related charge reviews, including analysis of clinical documentation, root cause analysis and education to the responsible ancillary… more
- Henry Ford Health System (Detroit, MI)
- …compliance best practices. + Denials Management & Process Optimization: Partner with Revenue Integrity and Compliance to monitor pharmaceutical claim denials, ... + Demonstrated experience in health system pharmacy operations, charge capture, revenue integrity , or financial analytics strongly preferred. + Knowledge… more
- Trinity Health (Livonia, MI)
- …Three (3) years of revenue cycle experience. Billing, Coding, PA, Revenue Integrity , collections, etc. Certification and membership in AAPC, AHIMA, HFMA, ... a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other… more
- GE HealthCare (MI)
- **Job Description Summary** As the Clinical Applications Specialist (CAS), you will deliver clinical and product platform knowledge and expertise by ... and results as outlined in the "Priorities" of a Clinical Applications Specialist . + Act as a...for the customer and growth + Drive realization of revenue thru execution of on-site or remote clinical… more
- GE HealthCare (MI)
- **Job Description Summary** The Clinical Application Specialist (CAS) will deliver clinical and operational expertise by providing excellent education and ... with the SOA/terms and conditions + Drive realization of revenue thru execution of on-site or remote clinical...deliver with focus, and drive ownership -always with unyielding integrity . Our total rewards are designed to unlock your… more
- University of Michigan (Ann Arbor, MI)
- …to a charge master. + Experience as a Certified Coder, Charge Master Administrator, Revenue Integrity Specialist , Epic Analyst or Senior Biller with ... an atmosphere of teamwork with other members of Charge Integrity as well as their peers in Revenue...revenue routing and reconciliation tools). + Work with Clinical Departments, Revenue Cycle peers, and other… more
- University of Michigan (Ann Arbor, MI)
- …core values and strategic goals. + Develops collaborative relationships with leadership, clinical staff, and revenue cycle teams to meet established objectives. ... needed. **STAKEHOLDER ENGAGEMENT** + Build collaborative relationships with physicians, clinical documentation improvement (CDI) teams, revenue cycle partners,… more
- Trinity Health (Livonia, MI)
- …problematic billing issues. Monitors pending authorizations report and collaborates with both the clinical and revenue cycle team to review and resolve pending ... client accounts and provides any additional documentation required. + Seeks assistance of Clinical Team Leaders and/or Revenue Cycle Leaders with clinical … more
- Oracle (Lansing, MI)
- …exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim ... **Job Description** Oracle Clinical AI Assistant (CAA) allows providers and their...input and expertise into the automation strategy across reimbursement ( revenue cycle) workflows, ensuring alignment with organizational goals and… more
- McLaren Health Care (Lansing, MI)
- …6. Develops working relationships with Patient Accounting, Patient Access, Coding and Revenue Integrity to assist departments for resolution of Discern ... Functions and Responsibilities:** 1. Provides leadership to drive accurate and timely revenue capture. 2. Analyzes all DNFB A/R for any category exceeding targets… more