Coding Complex Specialist/Full Time/Remote Henry Ford HospitalCoding Complex Specialist/Full Time/RemoteDetroit, MIRemoteThe CBO Coding Complex Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes.
Medical Coding & Price Transparency Specialist Henry Ford HospitalMedical Coding & Price Transparency SpecialistTroy, MIIn this highly collaborative and patient-focused role, you will provide accurate pricing estimates for a wide range of services, helping patients navigate insurance coverage, self-pay options, and financial responsibilities with confidence and clarity. Strong interpersonal skills with the ability to communicate effectively with patients, prospective patients, clinic staff, and hospital personnel, both in person and over the phone.
Medical Coding Educator (Provider Education) - Full Time - Hybrid Henry Ford HospitalMedical Coding Educator (Provider Education) - Full Time - HybridDetroit, MIAbout the Role: As our Medical Coding Education Coordinator, you'll be at the forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information across our hospital and ambulatory sites. Associates Degree in Healthcare related field, Medical Record Sciences, or Business/Healthcare Administration or four (4) years coding experience may be considered in lieu of education requirement.
Medical Coding Specialist Integra PartnersMedical Coding SpecialistTroy, MIRemoteThis position is responsible for researching, analyzing, and interpreting HCPCS, CPT, and ICD-10 coding guidance to support accurate prior authorization requirements, coding resources, and client deliverables across Medicare, Medicaid, Commercial, and Marketplace lines of business. JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The Medical Coding Specialist's responsibilities include, but are not limited to: Coding Support • Research, analyze, and interpret HCPCS Level II, CPT, ICD-10-CM, and related coding guidance.•
CBO Coding Specialist - Full Time Days - Remote (Michigan Residents) Henry Ford HospitalCBO Coding Specialist - Full Time Days - Remote (Michigan Residents)Troy, MIRemoteThe CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation, and administrative decision making related to patient care. GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes.
Coordinator Professional Coding Quality/Education - Full Time-Remote Henry Ford HospitalCoordinator Professional Coding Quality/Education - Full Time-RemoteTroy, MIRemoteThe Coding Coordinator of Quality & Education is responsible for the completeness, accuracy, quality and timely submission of all medical data and supporting documentation for inpatient discharges and outpatient encounters. CERTIFICATIONS/LICENSURES REQUIRED: Certification in at least one of the following: Registered Health Information Technician (RHIT) or RHIT Certification eligibility,CPC, CPC-A, CCS, CCP, CCA, COC.
Analyst (Medical Coding)-104640 Marketplace Ops Blue Cross and Blue Shield AssociationAnalyst (Medical Coding)-104640 Marketplace OpsDetroit, MIEffective analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness. Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Detroit, MIIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Coordinator-Inpatient Coding Quality/Education -Full Time/Remote Henry Ford HospitalCoordinator-Inpatient Coding Quality/Education -Full Time/RemoteTroy, MIRemoteAs a Coding Quality Coordinator, you'll play a key role in guiding and developing coders, promoting accuracy and compliance, and helping ensure every patient's clinical story is captured correctly. Join a team where your expertise is valued, your mentorship makes a difference, and your work directly supports high-quality patient care.
Manager, Clinical & Coding Review Centene Corporation GroupManager, Clinical & Coding ReviewMIRemote$107,700–$199,300 / yearEstablishes and oversees the end-to-end audit program lifecycle within Payment Integrity by setting strategic audit direction, managing and developing teams, and ensuring full compliance with all regulatory, contractual, and organizational requirements. Leveraging deep expertise in ICD-10, CPT/HCPCS coding, and clinical guidelines, the manager delivers actionable insights that shape operational strategies and drive informed decision-making.
*Supervisor-Inpatient Coding/Full Time/Hybrid-Michigan Residents Henry Ford Hospital*Supervisor-Inpatient Coding/Full Time/Hybrid-Michigan ResidentsTroy, MIEDUCATION/EXPERIENCE REQUIRED: Associate degree and two (2) years' experience in related field or in lieu of degree two (2) years of management or supervisor experience in a position that demonstrates leadership ability, initiative, and assertiveness. Interpersonal skills necessary to provide effective leadership to departmental personnel and to develop and maintain a wide variety of internal and external cooperative working relationships.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerDetroit, MI$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Application Security Architect Secrets Detection & Secure Code Governance Dale Workforce SolutionsApplication Security Architect Secrets Detection & Secure Code GovernanceDetroit, MIRemoteLead an enterprise initiative focused on identifying, validating, and remediating secrets embedded within inherited source code repositories. Experience leading enterprise remediation efforts in regulated environments.
Billing and Benefits Coordinator Judson CenterBilling and Benefits CoordinatorWarren, MichiganPosition : Enrollment and Benefits Coordinator Status : Full Time, Exempt Reports to: Director of Integrated Care Job Summary : The Community Mental Health (CMH) Enrollment and Benefits Coordinator is responsible for managing client-facing benefit and enrollment processes within a behavioral health setting. Help clients, and sometimes their family members, complete and submit applications for Medicaid, Social Security Income (SSI), Social Security Disability Insurance (SSDI), or the Supplemental Nutrition Assistance Program (SNAP).
Outpatient Professional Coder - Full time - Detroit Henry Ford HospitalOutpatient Professional Coder - Full time - DetroitDetroit, MIAccurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement.
Outpatient Complex Coder - Full Time Days - Interventional Radiology (Michigan Residents) Henry Ford HospitalOutpatient Complex Coder - Full Time Days - Interventional Radiology (Michigan Residents)Detroit, MIRemotePRINCIPLE DUTIES AND RESPONSIBILITIES: Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient's medical record, including histories, physicals, operative reports, diagnostic testing reports, pathology reports, therapy notes and discharge summary, etc. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistDetroit, MI$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MI$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Medical Director/Primary Care Physician Indian Health ServiceMedical Director/Primary Care PhysicianDetroit, MIPreferred experience in primary care and in serving patients from diverse backgrounds Two plus years of leadership, supervisory, and clinical management experience Board certification preferred Prior experience in FQHC, community health setting, or Tribal health a plus Experience leading integrated care models (medical, behavioral health, care coordination) Master''s degree in Public Health (MPH), Healthcare Administration (MHA), or Business Administration (MBA) preferred Must be able to obtain admitting privileges for at least one local hospital Administrative, management, or supervisory experience Ability to motivate, train and work effectively with subordinates who have a variety of backgrounds and training. Duties: Essential Administrative Duties and Responsibilities: Provides oversight of delivery of medical care by providers through direct supervision and audits Directly supervises, Physicians, Mid-level providers, including Nurses, Registered Dietician, Medical Assistants,, and Client Care Coordinator Serves as collaborating physician, providing oversight of all agency affiliated NP/PA prescriptive authority, including DEA compliance, consultation, and required co-signatures in accordance with state regulations.
Sr. Application Analyst - Epic | Professional Billing | Full Time Henry Ford HospitalSr. Application Analyst - Epic | Professional Billing | Full TimeTroy, MIRequires more than two years of strong experience in one of the following: Technical experience: Strong knowledge of state-of-the art engineering approaches in design, build, testing, debugging problems, and ongoing technical support. Revenue experience includes: Specific knowledge of one or more of the following: bed management, registration, scheduling, revenue cycle reports, professional billing, hospital billing, medical records, or coding.