- 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
- Highmark Health (Lansing, MI)
- …key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education , analyzing reports, and identifying ... in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. ** EDUCATION...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… 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
- Ascension Health (Kalamazoo, MI)
- …compliance areas. **Requirements** Licensure / Certification / Registration: + Certified Coding Specialist (CCS) credentialed from the American Health ... Group + **Location:** Kalamazoo, MI **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match… 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
- Baylor Scott & White Health (Lansing, MI)
- …and their role in the final Diagnosis Related Group, Severity of Illness, and Risk of Mortality. **SALARY - WORK MODEL** 100% Remote The pay range for this ... conditions or procedures to support the appropriate severity of illness (SOI), expected risk of mortality (ROM) and complexity of care of the patient through… more
- CIBC (MI)
- …partner relationships in a manner that fosters cooperation, respect and a positive risk culture. + Proactively seek relevant education , exposure and/or training ... please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) The Senior Auditor II (Model Risk ) will primarily be responsible for executing audit programs in… more
- Ally (Lansing, MI)
- …dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. ... by supporting aspects of Ally Insurance's growing Business Line Risk Reinsurance Operations program. The team is responsible for...Office Suite * Familiarity with Python, R, or similar coding language \#LI-Hybrid \#DFS **How We'll Have Your Back**… 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
- University of Michigan (Ann Arbor, MI)
- …CPC, or CRC certification + Demonstrated experience providing clinical documentation and coding education to providers. + Excellent communication skills (verbal ... Specialist (CDS) is responsible for applying their knowledge of medical terminology, risk adjustment, and coding to ensure appropriate capture of diagnoses… 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
- CVS Health (Lansing, MI)
- …to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free ... Bring your heart to CVS Health . Every one of us at CVS ...(CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts… 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
- Molina Healthcare (MI)
- …is identified as required by regulatory and/or contract requirements. + Renders provider education on appropriate practices (eg, coding ) as appropriate based on ... reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing...and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible… 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 (Howell, MI)
- …and escalates to Patient Access Lead for resolution. Assists in the training and education of colleagues upon hire and ongoing as new systems and processes are ... date of birth, diagnosis, procedure, date, and physician signature to minimize risk to hospital reimbursement. Accurately uses the patient search feature to find… more
- Trinity Health (Chelsea, MI)
- …and escalates to Patient Access Lead for resolution. Assists in the training and education of colleagues upon hire and ongoing as new systems and processes are ... date of birth, diagnosis, procedure, date, and physician signature to minimize risk to hospital reimbursement. Accurately uses the patient search feature to find… more