Henry Ford Health System

*Medical Billing Specialist II/Full Time/Hybrid Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with established policies and procedures - the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. High school diploma or equivalent required. Two years of experience in an office environment or healthcare-related field, required. Prior experience in a healthcare revenue cycle position, preferred. Knowledge of Medical terminology, preferred. Knowledge of CPT/HCPCS revenue codes, preferred. College course work in accounting, business or Health Care...

Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences...

Remote Position GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. PRINCIPLE DUTIES AND RESPONSIBILITIES: • Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical record, including...

General Summary Provides on-site support and directs resources to DTE Energy in the provision of medical services to the company. Responsible for coordinating quality assurance and risk management programs; insuring that proper medical surveillance procedures are followed and regulatory bodies are adhered to; monitoring supplies and services for the company in a fiscally prudent manner, and providing education and development opportunities in support of a superior medical services for DTE Energy. EDUCATION & EXPERIENCE: Registered Nurse (RN) with current license in the State of Michigan required. Certification as an Occupational Health Nurse (COHN), and certification as Hearing Conservationist preferred. Demonstrable knowledge and experience in medical Case Management Certification desired. Demonstrable knowledge and experience related to OSHA, MIOSHA, DOT and other regulatory and safety governing bodies. Requires five or more years of...

Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with established policies and procedures - the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. High school diploma or equivalent required. Two years of experience in an office environment or healthcare-related field, required. Prior experience in a healthcare revenue cycle position, preferred. Knowledge of Medical terminology, preferred. Knowledge of CPT/HCPCS revenue codes, preferred. College course work in accounting, business or Health Care Administration,...

GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience....

GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience....

GENERAL SUMMARY: Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: Degree in Medical Record Sciences preferred but not required or successful completion of a certification program with certification as a Registered...

GENERAL SUMMARY: As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT, HCPCS, ICD used in the development and maintenance of Benefit Administration Manual policies and HAP's coverage tool (Master Tiering Database) as well as actively participate in various HAP code-related committees and ad hoc projects. PRINCIPLE DUTIES AND RESPONSIBILITIES: Conduct research for development and update of codes for Benefit Administration Manual policies and the Master Tiering Database, requests by the Utilization Management Committee and HAP code-related committees, and other issues such as new technology. Maintain organized documentation of findings from research as well as proposed resolutions. Research all types of codes (e.g., CPT, HCPCS, ICD) including new codes, existing codes, additions and deletions of codes, use of modifiers, and revenue codes to be compliant with Medicare rules and...

GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience....

Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record...

GENERAL SUMMARY: Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: Degree in Medical Record Sciences preferred but not required or successful completion of a certification program with certification as a Registered...

GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience....

Business (Non-Clinical) General Summary: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Education/Experience Required: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding...

A healthcare organization in Troy, Michigan is looking for a Medical Billing Specialist II to manage insurance accounts and ensure the accuracy of patient financial information. Responsibilities include resolving claims issues and following up on payer responses. The position requires at least a high school diploma and two years of experience in a healthcare environment. Benefits include competitive health plans and additional perks. This role allows for hybrid work arrangements. #J-18808-Ljbffr

General Summary Provides on-site support and directs resources to DTE Energy in the provision of medical services to the company. Responsible for coordinating quality assurance and risk management programs; insuring that proper medical surveillance procedures are followed and regulatory bodies are adhered to; monitoring supplies and services for the company in a fiscally prudent manner, and providing education and development opportunities in support of a superior medical services for DTE Energy. Education & Experience Registered Nurse (RN) with current license in the State of Michigan required. Certification as an Occupational Health Nurse (COHN), and certification as Hearing Conservationist preferred. Demonstrable knowledge and experience in medical Case Management Certification desired. Demonstrable knowledge and experience related to OSHA, MIOSHA, DOT and other regulatory and safety governing bodies. Requires five or more years of progressive experience with a minimum...

A healthcare organization in Detroit is seeking a CBO Coding Certified Specialist to review, analyze, and validate coding for reimbursement. The ideal candidate will have a high school diploma and experience in billing or coding, with required certifications. Strong organizational skills and the ability to work independently are essential. This role offers the possibility to work remotely as part of a dynamic team focused on optimizing patient care and compliance. #J-18808-Ljbffr

Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. 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. 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. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience. One to two (1-2) years college or...

A leading healthcare provider in Michigan seeks a CBO Coding Certified Specialist to review and validate diagnostic coding for billing purposes. The role requires strong knowledge in medical terminology, anatomy, and coding systems such as ICD-10 CM and CPT. Applicants should have a high school diploma, relevant coding certifications, and preferably some billing experience. The job offers competitive health plans and benefits, emphasizing team well-being and support. #J-18808-Ljbffr

A leading healthcare provider seeks a Coding Senior Specialist to work remotely, resolving complex accounts and ensuring accurate coding to send compliant claims. Candidates must have at least five years of coding experience, a high school diploma or equivalent, and certifications like RHIT or CPC. The role involves educating team members, performing quality validation, and identifying areas for improvement in the workflow. Competitive compensation and extensive benefits are offered. #J-18808-Ljbffr