54 jobs found in Lansing

A leading healthcare provider in Michigan is seeking a skilled Coder Abstractor responsible for the charge capture process within the organization. The ideal candidate will verify medical records, assign proper diagnostic codes, and ensure data entry accuracy. Strong attention to detail and a solid understanding of medical coding guidelines are essential. Join a dedicated team providing exceptional care and support within a vibrant community. #J-18808-Ljbffr

A leading healthcare provider in Michigan is seeking a Medical Coder to analyze and code inpatient medical records. Required qualifications include an Associate's or Bachelor's degree in Health Information and CCS certification, along with at least 2 years of coding experience. Candidates must demonstrate proficiency in ICD10-CM and ICD10-PCS coding systems. This position offers a sign-on bonus of $5,000 and emphasizes a supportive work culture with multiple benefits. #J-18808-Ljbffr

Company Description More Than Just Care, It’s Community Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare – northern Michigan’s largest healthcare system, with eight award‑winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures – you might just be Munson Material . To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in‑person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays,...

A leading healthcare system in Michigan is seeking a detail-oriented Coder to analyze medical records and ensure proper coding and abstraction. Applicants should possess an Associate’s or Bachelor's degree in Health Information, along with necessary certifications. Join a team dedicated to exceptional patient care, enjoying generous benefits, tuition reimbursement, and a supportive environment. Hired candidates are eligible for a $5,000 sign-on bonus. #J-18808-Ljbffr

POSITION SUMMARY This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow-up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services. ESSENTIAL JOB FUNCTIONS 1. Examines patient care reports to gather essential information for insurance documentation. 2. Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements. 3. Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim and/or billing records. 4. Communicates with insurance companies to verify coverage, determine payor schedules, and gather benefit details. 5. Assigns relevant codes based on documented information in the patient care report and determines the appropriate level of ambulance service. 6. Allocates charges for services supported by...

Join Datavant, the leading data collaboration platform in healthcare. Our mission is to make health data secure, accessible, and actionable, providing vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. Whether it’s managing a patient’s medical records or advancing AI in healthcare, our collaborative team is dedicated to significantly transforming the industry. We are seeking experienced and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a comprehensive understanding of medical terminology. Enjoy the flexibility of this fully remote role while helping to shape the future of healthcare! Preferred: Outpatient coder specializing in Cath coding, Endo, Observation coding, and OP Surgery is highly desired. Experience with Cerner/3M is a plus. Key Responsibilities: Review medical records and accurately assign codes for diagnoses and...

Non-Exempt Medical Only Claim Specialist Supervisor Effectively supervises the day-to-day work and team performance of the Non-Exempt Medical Only Claim Specialists to ensure the goals and customer service expectations are met. Acts as a direct supervisor for non-exempt claim professionals handling assigned claims. Responsible to supervise all aspects of this team and work with other departments as it relates to process, workflows, and continuous improvement opportunities which may cross departments. Identify ways to continuously improve claim process and workflows. Objectively evaluate opportunities against objective results or historically reports to support changes. Works with managers and employees to identify methods of improving employee performance and closing performance gaps. Responsible to work with peer Supervisors and Claim Management team to ensure all training is coordinated and delivered in a timely manner. Must know all training materials and have ability to...

Join our compassionate community and prioritize health! Humana invites you to apply for an exciting opportunity as an Outpatient Medical Coding Auditor focused on Durable Medical Equipment (DME) auditing. In this role, you will be an essential member of the PPI Coding Disputes Team, where your expertise in medical coding will play a pivotal role in resolving provider disputes within a results-driven environment. Become part of a Fortune 100 company that values the well-being of both its employees and consumers. As a DME Outpatient Coding Auditor, you will report to the Manager and collaborate with fellow coding professionals across various departments. Your primary goal will be to uphold the highest standards of coding accuracy, compliance, and quality. Bring your extensive experience in outpatient DME coding disputes and expertise in CPT/HCPCS code assignments. Ensure accuracy by adhering to coding guidelines and professionally communicating dispute outcomes to...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: Join our dynamic team as a Coding Auditor Instructor, where you will play a critical role in ensuring the accuracy and compliance of coding, billing, and medical documentation. You will conduct comprehensive audits on medical records relating to DRGs, APCs, CPTs, and HCPCS Level II codes. Your expertise will help us optimize reimbursement strategies and improve data quality while adhering to regulatory requirements. ESSENTIAL RESPONSIBILITIES: Lead audits and assess the documentation, coding, and billing practices across various AHN entities. Develop and implement training programs tailored to address deficiencies discovered during audits, ensuring compliance with regulatory standards. Work closely with management on external audit findings and participate in strategic discussions to resolve issues. (20%) Create detailed audit reports to highlight coding, documentation, and financial...

Your Future Evolves Here Evolent is dedicated to transforming health care by partnering with health plans and providers to improve outcomes for individuals with complex and high-cost health conditions. We aim to bridge the gaps in the fragmented health care system, ensuring every person receives the compassionate care we would wish for our own loved ones. At Evolent, we prioritize work/life balance and provide the flexibility to allow our employees to tailor their work to fit their lives. We believe that the best work happens in an environment that supports personal well-being and encourages authenticity. This commitment to diversity and inclusion is at the heart of our organization. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Medical Coder - FWA Auditor plays a vital role in ensuring the accuracy of complex claim reviews, coding, and billing in alignment with the Plans' provider agreements and National Healthcare...

Datavant is the premier data collaboration platform in healthcare. Our mission is to ensure that the world’s health data is secure, accessible, and actionable, providing vital data solutions for various healthcare organizations, including providers, health plans, researchers, and life sciences companies. At Datavant, we are revolutionizing how data is interconnected and utilized to enhance health outcomes. By joining Datavant, you will be part of a dynamic and collaborative team dedicated to effecting transformative change in the healthcare landscape. What We're Excited About: We seek a Profee Coding Lead with a solid orthopedic background, specializing in spinal procedures. The ideal candidate will efficiently monitor and report on work queue volumes, address coding queries from physicians and staff daily, and effectively communicate between the client and the coding team. Key Responsibilities: Review medical record documentation to accurately identify diagnoses...

Company Description More Than Just Care,It’sCommunity Imagine doing meaningful work in a place where peoplevacation.That’slife at Munson Healthcare وہ northern Michigan’s largest healthcare system, with élaborated award‑winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and alifestylemost people only dream about – with freshwater lakes, scenic trails, charming downtown skole, a vibrant arts scene, and endless outdoor adventures - you might just beMunson Material. To us, that means teammates who live by our values of excellence,teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow:Tuition reimbursement, in-person and onlinedevelopment,and access to ourcareer hubto help you advance. Thrive:Full benefits, paid holidays, generous...

A healthcare organization is hiring for an experienced medical coding auditor to conduct reviews of medical records and ensure compliance with state and federal regulations. Applicants should have a minimum of 5 years in medical documentation, relevant coding certifications, and a strong commitment to quality. This full-time position is based in Michigan and offers a competitive salary ranging from approximately $46,988 to $112,200 annually, along with comprehensive benefits. #J-18808-Ljbffr

Advanced Coding Position Positions Location: Lansing, MI Job Description General Purpose of Job: Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine Sparrow policies and procedures and maintains required quality and productivity...

Role Summary A field-based key member of the Medical Marketing team who is aligned to a specific specialty or function within the broader Marketing team. Acts as the primary Marketing point of contact for field intelligence through gathering valuable insights from Key Opinion Leaders (KOLs) and customers to help shape and inform marketing strategies. Responsibilities Partners actively in brand planning and strategic development across HCP, Patient, and Medical Marketing initiatives Partners with Marketing leadership to transform field insights and real-world feedback into data-driven program enhancements, optimizing campaign effectiveness and strategic investments to maximize market impact Manages Advisory Board execution end-to-end, including leading participant recruitment to match Needs Assessments, facilitating sessions, and compiling and reporting key insights Ensures that peer-to-peer programs meet the identified educational need within the assigned audience, specialty,...

Certified Urology Coder This is a remote position. BizTek People is hiring for the role of CERTIFIED UROLOGY CODER for our client in Lansing, Michigan. Hospital Billing - Remote Coder CERTIFIED UROLOGY CODER Must have own equipment and urology coding experience Certifications Required GED Certified Professional Coding Certificate (AAPC), current with required continuing education CUC Skills & Experience Required 1 year of diagnostic and procedure coding experience Experience working in a multi-physician practice Working knowledge of CPT and ICD-10-CM Knowledge of computer billing systems, programs, and applications Detailed knowledge of medical records, anatomy, physiology, and disease processes Physician electronic filing experience covering all insurance carriers Provide procedure and diagnostic coding based on documentation in patient medical records Responsible for coding daily activities to support the revenue cycle process

Job Summary At Catholic Charities of Ingham, Eaton, and Clinton Counties, every team member plays an essential role in advancing our mission to serve vulnerable individuals and families with compassion and dignity. As part of our team, the Medical Biller will support the financial operations of our Pediatric and Primary Care programs by ensuring accurate and timely submission of medical claims, proper coding, payment posting, and resolution of billing discrepancies. This position reports to the Accounting Department and is responsible for managing the full cycle of medical billing in compliance with all applicable regulations and organizational policies. Key Responsibilities Enter and code client services into billing software for Pediatric and Primary Care patients , the Dental Clinic, and the Medical Center Input payment history, upcoming payment information, and other financial data into individual client accounts Respond to client inquiries and requests...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Job Opportunity Job ID:51909 Positions Location: Lansing, MI Job Description General Purpose of Job: Advanced Description: Positions Location: Lansing, MI Job Description General Purpose of Job : Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows...

Job Opportunity Job ID:52414 Description: Positions Location: Lansing, MI Job Description General Purpose of Job : Ensure Revenue Cycle Coding and Billing are compliant with State and Federal regulations. Respond to and Investigate compliance issues within Revenue Cycle. Lead and/or coordinate audit activity with governmental audits. Essential Duties : This job description is intended to cover the minimum essential duties assigned on a regular basis. Team members may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position. Ensures conformance with applicable laws, regulations and Medicare/Medicaid reimbursement rules to ensure UMHS is in compliance with federal, state and/or local regulations. Monitors, analyzes and reports on laws, regulations, audits and industry standards that impact the organization. Develops and maintains Professional and Hospital billing issues on the...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...