- Trinity Health (Livonia, MI)
- …ideally be based in a Trinity Health Ministry market with remote opportunity. The Vice President of HIM Coding provides executive leadership, oversight and ... associated with creation and maintenance of the health record, coding , clinical documentation improvement, transcription, front-end voice recognition, health record… more
- University of Michigan (Ann Arbor, MI)
- Revenue Cycle Coding Supervisor - Appeals & Denials Apply Now **Job Summary** The Denial Coding Supervisor provides subject matter expertise in physician medical ... coding , insurance billing, and follow-up activities. This position oversees...Full-Time **Regular/Temporary** Regular **FLSA Status** Exempt **Organizational Group** Exec Vp Med Affairs **Department** MM Rev Cycle (PTO) **Posting… more
- Molina Healthcare (Grand Rapids, MI)
- …and the appropriate approvals and escalations are achieved. Coordinates with both the Associate Vice President of Fraud, Waste and Abuse (FWA) and Associate ... Vice President of Special Investigations Unit (SIU)...SAS, SQL other reporting software * ICD-10 CPT-4, HCPCS coding **Preferred License, Certification, Association** Professional certifications/accreditations, such as… more
- Humana (Lansing, MI)
- …and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Humana (Lansing, MI)
- …and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- University of Michigan (Ann Arbor, MI)
- …Additional projects focus on supporting the initiatives of the Office of the Vice President of Research. Duties include conducting literature reviews, preparing ... editing of manuscripts, reports, and presentations + Assist with survey design and coding in Qualtrics + Manage research participant recruitment + Other duties as… more
- Elara Caring (Ludington, MI)
- …relate across both supervisory and leadership levels You will report to the Area Vice President . _This is not a comprehensive list of all job_ responsibilities ... health care environment** _required_ + **Previous experience in quality assurance or coding and 4 years of supervisory experience** _required_ + Previous experience… more
- University of Michigan (Ann Arbor, MI)
- …teams, Finance, and Revenue Cycle leadership and peers (Billing, Coding , HIM, Reimbursement Specialists, Compliance, Patient Business Services, Provider Enrollment, ... available through Reporting Workbench or Tableau. + Obtain and maintain Coding Certification. Remain current on Payer specific regulations including subscribing to… more
- University of Michigan (Ann Arbor, MI)
- …including revenue code, CPT, HCPCS, and modifier changes. + Maintain Coding Certification including staying current on articles, newsletters, memos and attend ... combination of education and work experience. + Experience with facility reimbursement, coding process and compliance concerns related to a charge master. +… more
- University of Michigan (Ann Arbor, MI)
- …authorizations for services based on our level of care decisions, preliminary coding and payer requirements. The Precertification staff work closely with a variety ... Healthcare Administration, or other healthcare related field and/or current Professional Coding Certification (CPC) with 2-3 years of healthcare experience is… more
- University of Michigan (Ann Arbor, MI)
- …to the appropriate hospital personnel. Coordinates with Patient Financial Services, HIM/ Coding Department's, Transplant Clinic staff, and other internal customers to ... in hospital and/or professional billing with multiple payers + Facility coding process and/or reimbursement experience, including familiarity with the functions and… more
- University of Michigan (Ann Arbor, MI)
- …insurance, third party payers, government regulations and ICD-10 and CPT coding are required. + Strong written, verbal, and interpersonal communication skills, ... prior experience working with health insurances, Prior Authorization, Financial Clearance, or Coding is preferred. + A CPC certification is strongly desired. +… more
- University of Michigan (Ann Arbor, MI)
- …+ Knowledgeable of Revenue Cycle processes including billing, insurance and/or coding practices + Experience working with insurance companies and third-party payers ... Full-Time **Regular/Temporary** Regular **FLSA Status** Nonexempt **Organizational Group** Exec Vp Med Affairs **Department** MM Rev Cycle (PTO) **Posting Begin/End… more
- University of Michigan (Ann Arbor, MI)
- …UMHS contracting and/or legal offices. + Utilize knowledge of CMS regulations, OPPS coding for surgical procedures and the Medicare inpatient only list to ensure ... Full-Time **Regular/Temporary** Regular **FLSA Status** Exempt **Organizational Group** Exec Vp Med Affairs **Department** MM Rev Cycle (PTO) **Posting Begin/End… more
- University of Michigan (Ann Arbor, MI)
- …of hospital reimbursement technology. + Ability to stay abreast of Federal coding requirements and guidelines. + Ability to submit clean claims and collect ... Full-Time **Regular/Temporary** Regular **FLSA Status** Nonexempt **Organizational Group** Exec Vp Med Affairs **Department** MM Rev Cycle (PTO) **Posting Begin/End… more
- University of Michigan (Ann Arbor, MI)
- …documenting audits for code appropriateness. + Ability to stay abreast of Federal coding requirements and guidelines. + Ability to submit clean claims and collect ... Full-Time **Regular/Temporary** Regular **FLSA Status** Nonexempt **Organizational Group** Exec Vp Med Affairs **Department** MM Rev Cycle (PTO) **Posting Begin/End… more
- Molina Healthcare (MI)
- …operational and technical enhancements. **Knowledge/Skills/Abilities** * With direction from the VP or AVP of Payment Integrity, leads the implementation of ... (such as ESRD and Medicare Secondary Payer) and Pre-pay Editing for correct coding and medical payment polices. Many of these activities include oversight of vendors… more