- 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
- Trinity Health (Livonia, MI)
- …(RN) License + Registered Health Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Coding Specialists (CCS) + ... (CDI), this position supervises daily operations of the CDI program for the Health Ministries (HMs) within their region. Provides direct oversight of the Clinical… 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
- 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
- Henry Ford Health System (Troy, MI)
- …the patient billing, collection, and payment application processes for Henry Ford Health Corporate Business Office (CBO). This director is responsible for billing ... of all facility and professional services across Henry Ford Health . Henry Ford Health is a multi-facility...planning including, but not limited to, testing, installation and education of staff to produce and maintain high quality… 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
- 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
- Molina Healthcare (Sterling Heights, MI)
- …on databases and ensure adherence to business and system requirements of Health Plans as it pertains to contracting, benefits, prior authorizations, fee schedules, ... Plan for long-term success of the department and individual Health Plans with a focus on goals and improvement...Utilizes superior judgement in evaluating various approaches to limit risk and communicating risk to appropriate stakeholders.… more
- Molina Healthcare (Sterling Heights, MI)
- …The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to ... revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends.… more
- Molina Healthcare (Sterling Heights, MI)
- …learning * Other duties as identified and assigned. **Job Qualifications** **Required Education ** * Bachelor's degree in a job related field **Required Experience** ... Insurance Fraud and Abuse, Payment Integrity Program, Law Enforcement or Risk Management * Minimum 8-10 years leadership/supervisory experience required *… more