- Hartford HealthCare (Farmington, CT)
- …and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and prevention ... Discharge Data Set (UHDDS) * Understands DRGs, APCs and/or Outpatient Code Edits (OCE) and Correct Coding ...Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 1 / HIM Coding… more
- Sanford Health (SD)
- …Information Technician (RHIT), Certified Professional Coder (CPC), Certified Outpatient Coding (COC), Certified Coding Specialist (CCS), or Certified ... Specialist Professional (CCS-P). Must have two years' experience in hospital outpatient coding . Must have a working knowledge of anatomy, physiology, and… more
- St. Luke's University Health Network (Allentown, PA)
- …medical necessity and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues ... a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and...appropriate. + Investigates managed care and commercial insurance rejections, denials for possible experimental services and coding … more
- Penn Medicine (East Petersburg, PA)
- …Information Technician , RHIA Registered Health Information Administrator , CCS Certified Coding Specialist , COC-A Certified Outpatient Coder-Apprentice , ... your life's work? Summary: + Position Summary: + The Coding Specialist is responsible for supporting Penn...work queues based on payer edits, CCI edits, and coding -related denials + Collaborate with customer service… more
- Tidelands Health (Myrtle Beach, SC)
- …Health Information Technician (RHIT(R)) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) + Certified Outpatient Coder (COC) ... ICD-10-CM diagnostic codes, CPT, and HCPCS codes to all outpatient , ED, and hospitalists accounts, based on the medical... coding compliance and accuracy. Responsible for resolving coding edits, account checks, rejections, and denials … more
- University of Washington (Seattle, WA)
- …has outstanding opportunities for a **full-time (100% FTE, 40 hours/week), day shift,** ** CODING SPECIALIST 1** **.** **WORK SCHEDULE** + 40 hours per week ... medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes...specified procedures for charge accuracy; reroutes accounts to correct coding specialist for coding resolution… more
- Prairie Ridge Health (Columbus, WI)
- …(CPC) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) Certified Coding Specialist Physician-Based ... join our Medical Records Department in the role of Coding Specialist . This position is a 1.0...Edits and work with billing to resolve all insurance denials related to coding and charging. This… more
- Novant Health (NC)
- …the appropriate education based on reviewing trending reports to include medical necessity denials , coding charge review changes and CPT distribution compared to ... and large group settings as well as electronically. The physician documentation specialist (PDS) utilizes extensive knowledge of coding guidelines (ICD-10-CM,… more
- University of Washington (Seattle, WA)
- …has outstanding opportunities for a **full-time (100% FTE, 40 hours/week), day shift,** ** CODING SPECIALIST 2** **.** **WORK SCHEDULE** + 40 hours per week ... and medical record documentation meet appropriate guidelines or standards. + Reviews and resolves coding denials and coding claim edits in Epic daily as… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Specialist , Centralized Coding Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... Business Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals, and verifies...assesses specific types of denial as it relates to coding and documentation issues, outpatient registration, and… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Reporting to the Business Manager, the Outpatient Administrative Specialist is responsible for obtaining insurance referrals and authorizations for ... necessity as needed, and coordinating new patient referrals for services. The Outpatient Administrative Specialist will work with various computer programs… more
- Kaleida Health (Buffalo, NY)
- …audit/review findings, and identify opportunities and develop a training plan for the coding specialist . Participates in a variety of other departmental quality ... Info Tech (RHIT) and Reg Health Info Admin (RHIA)required upon hire. Certified Coding Specialist (CCS) through AHIMA is preferred. **Candidates must take and… more
- Fairview Health Services (St. Paul, MN)
- …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) + Outpatient or Professional ... Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) + Outpatient or Professional… more
- Billings Clinic (Billings, MT)
- …Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or other recognized AAPC or AHIMA ... the full circle of proper revenue cycle practices regarding clinical documentation, coding , reimbursement, denials and appeals. Strives to maximize reimbursement… more
- SUNY Upstate Medical University (Syracuse, NY)
- …queues and claim edit errors, Assists with audits & analysis of denials . Assists with development of training materials. Appropriately relays issues identified as ... of medical terminology, medical billing/insurance requirements, familiarity with medical coding , and excellent written/oral communication skills required. Certified Health… more
- PeaceHealth (Vancouver, WA)
- …experience **Required Credentials** + Registered Health Information Administrator or Certified Coding Specialist or + Registered Health Information Technician ... hospital coding to ensure timely and accurate coding of inpatient and outpatient records. Monitors...and policies/procedures related to the use of 3M computer-assisted coding product. + May manage the denials /appeals… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Part Time, 48 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) and over 85 outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical… more
- Mount Sinai Health System (New York, NY)
- …and payer guidelines + Knowledge of CCI and McKesson edits + Knowledge of reviewing Coding denials a plus + Accounts Receivable experience a plus + Prior ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …charges and billing protocols. + Assist the Health Information Department with RAC requests, coding reviews, and denials . + Educates Departments and staff on the ... With direction from the Patient Financial Services Director, the Revenue Integrity Specialist is responsible for performing audits of itemized charges versus the… more