74 jobs found in Detroit, MI

100% Remote!  Pay: $18-22/hour     We are looking for Medical Billing Specialists with experience in back-end A/R follow-up, resolution of aged accounts, and working denials for Hospital and/or Physician Billing.    Our team assists healthcare providers and hospital entities with the remediation of 3rd party accounts receivable, and a variety of revenue outsource capabilities. The primary role is to resolve assigned accounts by following up with commercial and government payers on denied, underpaid, or otherwise unresolved accounts and collecting insurance claim balances for the client. This position will require in-depth research and problem solving to get the resolution on these claims, while maintaining productivity and quality outputs for the assigned client.     Some of the additional benefits you will have working with us include:  Permanent position  Flex Schedule  Excellent Health, Dental, Vision, Life Packages  PTO, paid sick leave, paid holidays  Opportunity for...

Position Summary MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary...

Job Posting 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. Principal 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. May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M) CPT code. Verifies and/or requests documentation to support compliance. Assigns diagnostic and procedural codes in accordance with coding...

Physician Coding Auditor This is a full-time, remote position that offers a flexible schedule. Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds...

Medical Coder Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do: Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set...

Professional Medical Coder I (Remote Position, Must Reside in South Carolina) Coding Full Time AM Shift 8a-5p, Mon-Fri Sign-On Bonus: $5,000.00 Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina and the first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina's first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and...

Join Us in Transforming Kidney Care At Strive Health, our mission is to revolutionize the kidney care system. By focusing on early identification, patient engagement, and comprehensive care, we are committed to improving outcomes for those affected by kidney disease. Our model leverages predictive data and collaborates with local providers to deliver support throughout the patient's care journey. We value diversity, celebrate achievements, and foster collaboration, making Strive a great place for top healthcare talent. Be part of our mission to make a meaningful difference. Benefits & Perks Flexible Hybrid Work: Enjoy the balance of working from home while fulfilling in-person responsibilities at the office, clinics, or during patient home visits. Comprehensive Benefits: Receive medical, dental, and vision insurance, as well as access to employee assistance programs and life/disability coverage. Financial & Retirement Support: Benefit from competitive...

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...

A healthcare organization in Detroit is seeking a CBO Coding Senior Specialist to resolve complex accounts and ensure compliance in coding. The ideal candidate will possess at least five years of coding experience and expertise in specialty coding. Responsibilities include educating team members on account workflows, performing quality checks, and advocating for process improvements. This position requires strong organizational skills and proficiency in medical coding standards, offering a solid foundation for growth within a large healthcare system. #J-18808-Ljbffr

Job Posting 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. +...

Supervisor (Registered Nurse) – Medical Services DTE – Days – Full Time 1 day ago Be among the first 25 applicants 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; ensuring 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...

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

A leading healthcare provider is looking for a clerical technician in Detroit, Michigan. This role involves performing clerical and technical duties associated with medical records processes. Candidates should have a high school diploma and at least 1 year of applicable job-specific experience. Key responsibilities include processing health information, auditing data accuracy, and managing information release requests. Join a dynamic team focused on health information accuracy and operational flow. #J-18808-Ljbffr

A leading healthcare provider is seeking an experienced Revenue Cycle Manager to support billing processes and improve operational workflows. The ideal candidate will have at least 3 years of managerial experience in medical practice, focusing on compliance, financial reports, and providing education to medical staff. This full-time role is located in Southfield, Michigan, and offers a comprehensive benefits package including health insurance and retirement plans. #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

GENERAL SUMMARY: Under the direction of the Nurse Manager or Administration, assumes accountability for a clinic/department with multiple staff members (i.e., RNs, MAs, LPNs, etc.). Provides first line management responsibilities including clinical leadership and supervisory support to an assigned clinic/department. Performs duties of a Registered Nurse in the coordination and delivery of quality compassionate patient care. Utilizes the nursing process of assessment, planning, implementation, and evaluation to provide, delegate, supervise and document care and teaching of patients and families. Works in partnership with the Nurse Manager, the health care team and medical group leaders to ensure a quality practice setting that supports professional nursing practice and quality patient care. Demonstrates clinical competence. Participates in planning and budget development. Henry Ford Health is seeking an experiencedRN Supervisorto lead operations alongside the RN Manager at our...

Job Description Job Description Resolution Medical Billing Services Inc. has been in business for over 25 years, and we are currently seeking talented, certified, or experienced Medical Billers to join our team as an Insurance Posters or Charge Entry Biller. We offer hybrid work schedules with flexible hours for both full-time and part-time positions. Compensation starts at $20 per hour and includes benefits. We are looking for candidates with experience in the following areas: - Posting charges - Knowledge of modifiers - Posting insurance payments - Working rejections and accounts receivable reports If you are interested in this opportunity, please send your resume to shalena@rmbsinc.net or fax it to 734-629-4147. Company Description Detail-driven medical billing professional needed to ensure accurate claims, timely reimbursements, and compliance while supporting high-quality customer service. Company Description Detail-driven medical billing professional needed to...

Job Description Job Description We are seeking a full time  Medical Biller on site and in person for a fast pace multi-specialty full Service Medical Billing Company. Successful candidates must have a solid working knowledge of insurance plans with the ability to accurately reconcile physician charges, carrier payments and rejections. Strong professional communication and analytical skills are required. 2 years experience at least within a Medical Billing Environment. Salary commensurate with experience and certification. Limited positions available. Company Description Fast paced multi-specialty billing office. Must be organized and a team player. Experience with teams application, Carrier websites and hospitals website's Company Description Fast paced multi-specialty billing office. Must be organized and a team player. Experience with teams application, Carrier websites and hospitals website's

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Job Description Job Description Neurology and pain management office is seeking an experienced medical biller. The ideal candidate will have a strong background in medical billing and coding, with the skills necessary to increase collections and reduce A/R days by effectively working denied claims. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism. Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims, and report any problems, issues, or payer trends to management Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient Research payer guidelines and write and submit appeals...

Overview Certified Coder - Billing Onsite - Royal Oak, MI Sciometrix is a leading digital Health company looking for RN Case Manager Spanish. We are a leader in Telehealth -healthcare Virtual care Management. Our mission to engage patients to Deliver better outcomes. Sciometrix is known among customers, peers, and patients for clinical excellence, patient experiences, and provider satisfaction. Since the inception of our patient count, technological solutions have been evolving. We empower healthcare providers with advanced technology and human expertise, revolutionizing a patient\'s experience. Our propriety software and related technologies ensure HIPAA compliancy with cloud access. We have established HIPAA-compliant Clinicus, an artificial intelligence (AI) bot that monitors patients 24/7 and ensures fast response in their care management program. Clinicas watches each patient\'s vitals and alerts our licensed team when a patient\'s program progress or vitals are varying....

A leading digital health company in Royal Oak, MI, is seeking a Certified Coder - Billing to ensure the accuracy and compliance of medical coding for telehealth services prior to claim submission. The ideal candidate will have certification and 2–4 years of medical coding experience, including telehealth. Key responsibilities include reviewing documentation, assigning codes, and improving claim acceptance rates. Benefits include paid time off, 401k contributions, and health insurance. #J-18808-Ljbffr