-
Senior Nurse Clinical Auditor Days FT
2 weeks ago
Tenet Healthcare Corporation Detroit, MI, United States$10,000 Signing Bonus with relevant experience · Children's Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children ...
-
Senior Nurse Clinical Auditor Days FT
3 weeks ago
DMC Children's Hospital of Michigan Detroit, MI, United States$10,000 Signing Bonus with relevant experience · Children's Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children ...
-
Senior Nurse Clinical Auditor Days FT
3 weeks ago
Tenet Healthcare Detroit, United States Full timeSenior Nurse Clinical Auditor Days FT Description : $10,000 Signing Bonus with relevant experience · Children's Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. ...
-
Senior Nurse Clinical Auditor Days FT
4 weeks ago
DMC Children's Hospital of Michigan West bloomfield, United States$10,000 Signing Bonus with relevant experience · Childrens Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children p ...
-
clinical coding appeals nurse
3 weeks ago
R1 RCM Detroit, MI , USA, United StatesR1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals ...
-
ACCESS Dearborn, United StatesJob Title: Coordinator, Behavioral Health (RN) · Job Status: Full-time · COVID-19 VACCINATIONS: Highly recommended for all newly hired employees in Community Health and Resource Center · Job Summary: Under limited supervision, the Coordinator of Behavioral Health uses specialized ...
-
Coordinator, Behavioral Health Registered Nurse
2 weeks ago
Arab Community Center for Economic and Social Serv Dearborn, United StatesCoordinator, Behavioral Health Registered Nurse (BHH Program) Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION \_id=2040576&source= CJB-0) Job Title: Coordinator, Behavioral Health (RN) Job Status: Full-time **COVID-19 VACCINATIONS: Hig ...
-
Arab Community Center for Economic and Social Services Dearborn, United StatesCurrent job opportunities are posted here as they become available. · Subscribe to our RSS feeds to receive instant updates as new positions become available. · Coordinator, Behavioral Health Registered Nurse (BHH Program) · Job Title: Coordinator, Behavioral Health (RN) · Job S ...
-
Arab Community Center for Economic and Social Services Dearborn, United StatesCurrent job opportunities are posted here as they become available. · Subscribe to our RSS feeds to receive instant updates as new positions become available. · Coordinator, Behavioral Health Registered Nurse (BHH Program) · Job Title: Coordinator, Behavioral Health (RN) · Jo ...
-
Arab Community Center for Economic and Social Serv Dearborn, United StatesCoordinator, Behavioral Health Registered Nurse (BHH Program) · Department: Community Health & Research Center · Location: Dearborn, MI · START YOUR APPLICATION ) · Job Title: Coordinator, Behavioral Health (RN) · Job Status: Full-time · **COVID-19 VACCINATIONS: Highly reco ...
-
Health Information Management Specialist
3 weeks ago
Corewell Health Royal Oak, United StatesJob Summary · Responsibility for processing the patient medical records in accordance with regulatory and accreditation standards. · Essential Functions · Retrieve patient medical records from nursing units upon discharge. Reconcile, prep, scan, index and QC per procedure. · Proc ...
-
Provider Engagement Specialist
3 weeks ago
Molina Healthcare Troy, MI, United States***Remote and must live in Michigan*** · JOB DESCRIPTION · Job Summary · Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance ...
-
Cardiac Sonographer Full Time Days
1 week ago
Trinity Health Corporation Ypsilanti, United States Full timeEmployment Type: · Full time · Shift: · Day Shift · Description: · POSITION PURPOSE · Provides diagnostic services-Adult echocardiography, stress testing, ECGs and Holter monitoring. Is responsible for the safe and effective function of complex medical technology used for diagnos ...
-
specialist, collections
4 weeks ago
Molina Healthcare Troy, MI, United StatesRemote and must live in Michigan*** JOB DESCRIPTION · Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Qualit ...
-
Cardiac Sonographer Full Time Days
1 week ago
Trinity Health Ypsilanti, United States Full timeEmployment Type: · Full time · Shift: · Day Shift · Description: · POSITION PURPOSE · Provides diagnostic services-Adult echocardiography, stress testing, ECGs and Holter monitoring. Is responsible for the safe and effective function of complex medical technology used for diagnos ...
-
Provider Engagement Specialist
3 weeks ago
Molina Healthcare Troy, United States***Remote and must live in Michigan*** · JOB DESCRIPTION · Job Summary · Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenanc ...
-
specialist, collections
4 weeks ago
Molina Healthcare Troy, MI, United StatesRemote and must live in Michigan*** · Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement pro ...
-
Provider Engagement Specialist
3 weeks ago
Molina Healthcare Troy, United States Full timeJOB DESCRIPTION · Job Summary · Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement program ...
Senior Nurse Auditor - Detroit, MI, United States - DMC Children's Hospital of Michigan
Description
10,000 Signing Bonus with relevant experienceChildren's Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI.
The Children's Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center.
Experts in pediatric critical care, rehabilitation, and neonatal and perinatal medicine provide care for thousands of children every year at Children's Hospital of Michigan, Children's Hospital of Michigan - Troy and six ambulatory sites.
Under limited direction and according to established policies and procedures conducts audits of hospital bills and medical records.Ensures documented charges are correctly billed and billed charges are documented in the medical record. Corrects billing errors in the Patient Accounting system and in some cases, the Cerner system.
Identifies new services and technology in the clinical setting and facilitates establishment of new charges.
Conducts in-service training for hospital personnel to ensure understanding of the importance of effective charge capture and documentation of services performed.
Identifies opportunities to maximize billing in accordance with federal and state regulations.Safeguards the assets of the DMC, advocates appropriate levels of internal control and promotes operating effectiveness and efficiency.
Defend the hospitals revenue through research, documentation and negotiation by participating in and acting as a content expert for the hospital in audits conducted by third parties including, but not limited to, Blue Cross Catastrophic audits; HOPP audits; MPRO audits and all commercial insurance audits.
Provides both clinical and technical/billing expertise and acts as liaison and resource for user departments.Analyzes results, identifies trends and patterns and prepares monthly statistical and narrative reports for various levels of hospital and corporate management.
Bachelors Degree in Nursing.Three years of patient care experience in a hospital as a Registered Nurse, at least one of which should be in a critical patient care specialty area such as I.Charge audit or similar experience preferred.
Facility:
DMC Children's Hospital of Michigan
Job Type:
Full-time
Shift Type:
Days
Shift Begin: 8:00 AM
Shift End: 5:00 PM
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
