06/03/2026

Medical Credentialing Specialist

Medical Management Systems of Michigan (MMS)

Medical Management Systems of Michigan (MMS) is seeking a detail-oriented and organized Medical Credentialing Specialist to join our team. The ideal candidate will be knowledgeable in all aspects of the insurance provider enrollment process, including initial enrollment, re-credentialing, and revalidation.

This position works onsite in our Lansing, Michigan office and serves as the primary liaison between payers, providers, and provider organizations to ensure participation status is maintained accurately and in a timely manner. We are seeking candidates interested in full-time employment onsite five days per week.

Key Responsibilities

Responsibilities include, but are not limited to:

• Complete credentialing and re-credentialing applications (electronic and hardcopy)
• Update and maintain service and payment address information
• Investigate and resolve credentialing-related rejections
• Manage EDI, ERA, and EFT enrollments
• Communicate regularly with providers, insurance carriers, and internal leadership
• Maintain strong relationships with payers and clients
• Perform additional duties as assigned

Education and Experience Requirements

• High School Diploma or equivalent required
• Associate’s Degree or CPCS (Certified Provider Credentialing Specialist) certification preferred
• 2–5 years of provider enrollment, medical billing, or credentialing experience preferred
• In-depth knowledge of payer applications and workflow processes including CHAMPS, PECOS, and CAQH preferred

Qualifications

• Ability to work in a fast-paced, deadline-driven environment with frequent interruptions and competing priorities
• Ability to work independently with minimal supervision
• Strong attention to detail and high level of accuracy
• Excellent organizational and time management skills
• Strong problem-solving abilities
• Excellent verbal and written communication skills
• Ability to analyze information and make timely, sound decisions
• Professional demeanor when interacting with providers and external stakeholders
• Proficiency in Microsoft Office programs including Outlook, Word, and Excel

Work Environment and Expectations

• Fast-paced office environment with frequent interruptions and competing priorities
• Ability to manage multiple deadlines simultaneously
• Regular interaction with providers, insurance carriers, and internal leadership

Schedule

• Monday through Friday
• Business hours: 8:00 AM – 5:00 PM

Benefits

MMS is an equal opportunity employer offering a comprehensive benefits package for all full-time employees, including:

• Medical, dental, and vision insurance
• Long-term disability coverage
• Life insurance
• 401(k) savings plan with company contribution
• Health Savings Account (HSA)
• Paid time off and paid holidays
• Education reimbursement
• Business casual dress environment

How to Apply

For consideration, please apply directly or submit your resume to:

mmsmrecruiting@gmail.com

05/13/2026

The UMHP Clinical Documentation Specialist (CDS) is responsible for planning, coordinating and providing education related to clinical documentation improvement and clinical charge capture optimization for their assigned UM Health Partners market service line physicians, APPs and staff.

The CDS will improve and optimize workflows

processes related to the education

analysis, maintenance and support of charging

coding, documentation, 

Annual Wellness Visits (AWVs)

prior authorization

modifier usage trends/development

portal messaging and CPT/ICD-10 

HCC code usage for UMHP to achieve best in class.

The CDS will apply their knowledge of medical terminology and coding to develop workflows, implement education plans and communicate the principles and importance of accurate and complete documentation to support charging for outpatient professional clinical visits/services, surgeries, procedures and imaging studies. The CDS identifies gaps and opportunities for charge capture and partners with the medical and service line leadership on the implementation of processes in the ambulatory clinical setting. The CDS understands and articulates data analysis specific to physician and APP clinical documentation, charge capture and revenue activity, provides updates on status and progress of efforts to improve revenue capture, and maintains a strong collaborative relationship with the Clinically Integrated Network (CIN) and other relevant departments. RHIT, RHIA, CCS, CCS-P, CPC or other professional HIM coding certificate • EPIC or Revenue Cycle Certification – preferred • Clinical Documentation certification – preferred At least three (3) years of experience with healthcare documentation, coding requirements or revenue cycle experience • At least one (1) year of experience as an educator or trainer in a healthcare setting • Prior clinical experience – preferred • Experience using EPIC – preferred

https://careers.uofmhealthsparrow.org/job/%C2%A054213/CLINICAL-DOCUMENTATION-SPECIALIST

Send resume to: Chris.Drevers@uofmhealth.org

02/04/2026

Position Title: Certified Outpatient Medical Coder

Location: Traverse City, Michigan

Reports To: Business Manager

Employment Type: Full-time

Date Posted: 01/26/2026

Job Overview

A motivated and detail-oriented outpatient certified medical biller is being sought to support healthcare practices in precise coding and billing for patient services. This role offers an excellent opportunity to contribute to a compliant, efficient, and patient-centered environment. The ideal candidate will bring a strong foundation in medical coding, technological proficiency, and excellent communication skills to thrive in this collaborative setting.

Key Responsibilities

The Certified Coder will handle a variety of crucial tasks, including:

• Preparing claims with accurate linking of diagnosis codes and appropriate modifiers

• Writing appeals and resolving claim denials effectively

• Developing and delivering monthly educational sessions for healthcare providers

•

Qualifications

• Experience: 2-4 years in outpatient healthcare coding

• Certification: Certified Professional Coder (CPC) certification required

• Skills:

o Deep understanding of medical coding principles, including ICD-10, CPT, HCPCS, and relevant guidelines

o Strong attention to detail to ensure documentation and coding accuracy and compliance

o Excellent communication skills for clear and professional interactions with healthcare providers and team members

o Proactive problem-solving abilities to address coding discrepancies and compliance challenges

o Proficiency in coding software, EHR systems, and office productivity tools

How to Apply

Candidates interested in this rewarding opportunity are encouraged to submit their resume and a brief cover letter to llking@cmpmedbilling.com

11/19/2025

Interested applicant please fax me your résumé 989-286-3011 or feel free to email kapmedicalbilling@gmail.com. This is not a remote position and requires in office work.