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.
NewCoder I McLaren Health Care CorpCoder IShelby Township, MIPosition Summary: Responsible for coding inpatient or outpatient records, reviews documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. Essential Functions and Responsibilities As Assigned: Responsible for outpatient coding and charge validation (charge entry).
Patient Access Representative - Advanced Orthopedics McLaren Health Care CorpPatient Access Representative - Advanced OrthopedicsPort Huron, MIUnder general direction, the Patient Access Representative I is responsible for completing tasks associated with specific assignments. Proven skills in Microsoft Office, specifically Excel and Word, Window based applications, and 10 key calculators.
Patient Access Representative - Digestive Health McLaren Health Care CorpPatient Access Representative - Digestive HealthPort Huron, MIUnder general direction, the Patient Access Representative I is responsible for completing tasks associated with specific assignments. Proven skills in Microsoft Office, specifically Excel and Word, Window based applications, and 10 key calculators.
Patient Access Representative | Shelby Rural Health Clinic | PRN Status Logan Health Medical CenterPatient Access Representative | Shelby Rural Health Clinic | PRN StatusShelby, MichiganPRN positions (also referred to as Casual, As Needed, or Per Diem) at Logan Health offer flexibility and are designed to provide coverage during busy periods, employee absences, and vacations, making them an excellent opportunity to support the team as needed. Previous work experience in registration, financial clearance or patient financial services with strong working knowledge of healthcare insurance and benefit programs preferred.
NewCoder II McLaren Health Care CorpCoder IIShelby Township, MIPosition Summary: Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. Performs research and investigation regarding National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim.
RN Readmission Manager, Payment Integrity Centene Corporation GroupRN Readmission Manager, Payment IntegrityMI$87,700–$157,800 / yearEducation/Experience: Bachelor's degree in Healthcare Administration, Business, Public Health, Health Information Management, Nursing, or a related field required; an additional four (4) years of directly related experience may be considered in lieu of a degree. License/Certification: Active Health Information Management or coding credentials required, such as RHIT, RHIA, CCS, CIC, or CCDS or Registered Nurse licensure or higher clinical qualification, in combination with a coding credential, required.
Physician Assistant Bay City URGENT CARE WALK IN CLINICPhysician AssistantMacomb, MIFull timeThe ideal candidate will work collaboratively with physicians and other healthcare professionals to provide high-quality patient care. Join our team as a Physician Assistant where you can make a significant impact on patient care while advancing your professional skills in a supportive environment.
Physician Lead - Michigan - September Start Homeward Health IncPhysician Lead - Michigan - September StartMI$250,000–$300,000 / yearOccasional travel to meet with providers across the region Bonus Points: Experience in a healthcare leadership role in a value-based care setting Knowledge of rural health systems and the unique challenges faced by rural healthcare providers and patients Experience in data-driven care models, including the use of population health tools and electronic medical records (EMRs) What Shapes Our Company: Deep commitment to one another, the people and communities we serve, and to care that enables everyone to achieve their best health Compassion and empathy Curiosity and an eagerness to listen Drive to deliver high-quality experiences, clinical care, and cost-effectiveness Strong focus on the sustainability of our business and scalability of our services to maximize our reach and impact Nurturing a diverse workforce with a wide range of backgrounds, experiences, and points of view Taking our mission and business seriously but not taking ourselves too seriously- having fun as we build! What You Bring: MD or DO with an active medical license; board certification in family medicine, internal medicine, or another primary care specialty strongly preferred Must be licensed in Michigan and ideally Minnesota, preferably both 8+ years of clinical experience with demonstrated clinical leadership responsibility, including experience in rural or underserved settings Experience overseeing providers with strong documentation, CDI, and utilization management expertise.
NewPharmacy Technician 1 - 590134 Actalent IncPharmacy Technician 1 - 590134Utica, MI$21–$24 / hourThe position focuses primarily on fulfillment activities for partner manufacturer free drug programs, with a particular emphasis on providing medications to patients with chronic and debilitating illnesses, including those with Multiple Sclerosis. The pharmacy technician prepares orders for pharmacist review, assists with inventory management, supports shipping operations, and helps maintain a clean, organized, and compliant pharmacy.
Medical Assistant McLaren Health Care CorpMedical AssistantPort Huron, MIPerforms or assists in a variety of medical procedures and tests in the examination and treatment of patients, including but not limited to vital signs, procedures, various treatments, administering medications and performing venipuncture. Knowledge, Skills, and Abilities: A basic understanding of patient care, medical terminology, coding procedures, reference tools, and appropriate clinical pharmacology for medical assistant practice scope.
Surgical Technologist Certified McLaren Health Care CorpSurgical Technologist CertifiedPort Huron, MIDuring surgery performs scrub functions including passing sterile surgical equipment to surgeons, may cut sutures, tracking items used/performing instrument counts, collecting and labeling specimens taken and helping dress a patient's wounds. Knowledge, Skills, and Abilities: A basic understanding of patient care, medical terminology, anatomy, surgical techniques and equipment, coding procedures for surgical technologist practice scope.
Patient Access Scheduling Representative McLaren Health Care CorpPatient Access Scheduling RepresentativeShelby Township, MIPosition Summary: Under the direction of the Patient Access leadership team, Schedules, registers, initiates pre-authorization and referrals process, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures for McLaren Health. Preferred: 2-years previous experience with third party medical insurance, HMO and managed care including experience with CPT and ICD-10 coding and medical terminology.
Wound Care Nurse - RN - Full Time Project RestorixWound Care Nurse - RN - Full TimeUtica, MIWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.