78 jobs found in Livonia, MI

Employment Opportunities Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Essential Functions: Knows, understands, incorporates, and demonstrates the Trinity...

Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a medical coder on our team, you ensure our claims process runs smoothly and efficiently for our customers. Attention to detail is invaluable as you review and enter medical billing information, ensure billing codes correspond with and support medical records, and apply applicable fee schedules and coding rules while making appropriate adjustments. The ideal candidate will have strong customer service and interpersonal skills - which you'll rely on while assisting medical representatives with coding questions and answering calls from customers, providers, billing offices and attorneys. Duties & responsibilities Review health insurance EOB's (Explanation of Benefits) on excess claims to ensure proper payment Ensure AOB (Assignment of Benefits) has been submitted to provider (in...

Job Description Job Description Duties: 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. Requirements: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding. CCS, CCS-P, CPC, or COC certification required. Minimum of two (2) years\'\' experience coding outpatient medical records using ICD-10-CM, ICD-10-PCS, CPT-4 and E&M classification systems required. Proficient with ICD-10-PCS coding. Licensure: Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA required. Skills: Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA - Required Education: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding - Required

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...

Medical Coder History of the Company: Superior Ambulance Service started in 1959 with one ambulance and today is the largest independent, locally owned, and operated emergency medical services provider in the Midwest. Superior employs more than 3,500 licensed EMTs, Paramedics and Nurses, operating a fleet of more than 800 ambulances throughout Illinois, Indiana, Ohio, Michigan, and Wisconsin. Superior also provides Critical Care, helicopter, and fixed wing emergency medical transportation. We are currently looking for a Medical Coder for our Billing Department. Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual. This position is fully in-office Monday through Friday in Elmhurst, IL or Taylor, MI. Responsibilities The primary duties and responsibilities of the Medical Biller and Coder consist of, but are not limited to the following: Reviews patient care report thoroughly, utilizing all available...

Certified Home Health Coder & QA Specialist Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and reports unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis guidelines. Performs other related duties as requested by the Home Health Supervision. Must be...

Job Description Job Description Medical Coder (Onsite) Medical Records Full Time: 8:00A-5:00P Mon-Fri Surgeons Choice Medical Center is a patient centered health care facility and physician owned destination of care focusing on all hand, joint, orthopedic and sports medicine. In 2004, in an ambitious push to bring hospitality back to the hospital, a small group of top Metro-Detroit surgeons decided to create their own surgical hospital; one that provided patients with the best possible care in a small, easy-to-manage environment that truly embraces the best patient experience. We have since become the premier center of choice with 30 surgical beds and 6 operating rooms. Surgeons Choice Medical Center has an exciting opportunity for an Onsite Medical Coder in our Medical Records Department . An ideal candidate has a passion to serve people to improve their quality of life and empower them on their health journey. Perks for our staff: ●...

Join to apply for the Medical Billing and Coding Specialist role at North West Labs . 2 days ago Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. This range is provided by North West Labs. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $20.00/hr - $20.00/hr Responsibilities: Maintain proper filing procedures; keeping all records in their proper area(s). Maintain the billing log by entering all correct information and updating notes accordingly. Record information given by accessioning, and enter the information into the proper programs. Verify patients' insurances, through web-portals or phone, and enter the information into the proper programs. Save all insurance verification in LabDaq. Complete the “clean-up” list promptly when given by the third-party billing company. Follow up after 90 days for auto and workers' compensation claims. Follow up on all claim...

Certified Home Health Coder & QA Specialist 4 months ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and report unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis...

A major automotive supplier in Novi, Michigan, is seeking a Bilingual (Japanese-English) Compliance Auditor to assess internal controls and develop audits for compliance. The candidate should have a Bachelor’s degree, 2-3 years of experience in compliance auditing, and be fluent in both Japanese and English. This role involves creating audit reports and providing recommendations for operational improvements. #J-18808-Ljbffr

Bilingual (Japanese-English) Compliance Auditor Lingua Science is recruiting for a direct hire position of bilingual (Japanese-English) Internal Compliance Auditor I or Internal Compliance Auditor II at a major automotive supplier in Novi, Michigan. Duties: Responsible for company assessing internal controls, risk, information security, and overall corporate governance for North American operations. Develop and implement audits to review internal compliance with laws, regulations, and industry standards, and verify adherence to corporate policies and ethical standards. Develop and implement audits to assess business operation efficiency and effectiveness. Assess the security of the company’s information systems, data, and technology infrastructure. Provide recommendations to optimize processes and productivity. Conduct reviews of operations to identify areas for improvement and cost savings. Coordinate with various groups for improvement activities and monitor progress. Create...

Overview Shift: 4:00am-Finish 10:00pm-Finish Schedule set at time of hire Compensation: $18.00 / Hourly Romulus, MI Pay: $18.00 / Hourly 4:00am-Finish | 10:00pm-Finish | Schedule set at time of hire Job Details Vendor Compliance Auditor JOB SUMMARY JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. SUPERVISORY RESPONSIBILITIES None ESSENTIAL FUNCTIONS Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations #J-18808-Ljbffr

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...

Job Type Full-time Description Ready for a change? Are you an Experienced DME Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT? APPY NOW! - Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!! NEW HIRE ORIENTATION STARTS 10/8 Medical Biller is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies. The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims. Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction. Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner. Demonstrate a high level of expertise in the management of denied claims and deploy an analytical approach to resolving denials while recognizing trends and patterns in order to proactively resolve...

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...

POSITION DESCRIPTION: Responsible for overseeing the Medical Records and Medical Reception staff and other specified areas of the office in collaboration with office leadership and the Practice Manager. This includes accountability for efficient patient/workflow, customer satisfaction, staff satisfaction, productivity and achievement of operational goals as defined by practice leadership. ESSENTIAL JOB FUNCTIONS: Supervises day-to-day operations of assigned areas to ensure efficient, fiscally responsible and customer-responsive procedures and operations. Serves as a resource to patients and reception office staff; provides direction for the reception team (Receptionists, Medical Records). Is approachable and welcomes opportunity to provide feedback to staff and problem resolution to patients. Develops and distributes daily assignments for assigned Reception staff. Assists with recruitment, hiring, orientation, training and coaching of medical records and medical...

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. +...

Business (Non-Clinical) 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...

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...