- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- CenterWell (Topeka, KS)
- …of our caring community and help us put health first** As an **Accounts Receivable Specialist /Healthcare Claims Denials Specialist ** , you will: + Ensure the ... Our care teams include nurses, physical therapists, occupational therapists, speech -language pathologists, home health aides, and medical social workers -… more
- HCA Healthcare (Nashville, TN)
- …your knowledge and expertise! **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for ... from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to all rules and regulations of… more
- UTMB Health (Galveston, TX)
- Senior Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health ... experience. Minimum of two years Epic Revenue Cycle experience. **Job Summary:** The Sr . Patient Account Specialist will be responsible for billing all third… more
- University of Utah (Salt Lake City, UT)
- …**Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt **Patient ... of reports; provide feedback and recommendations to aid in reduction of denials . 2. Quality assurance for appropriate coding and documentation, collaborate with… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 09/05/2024 **Requisition Number** PRN39766B **Job Title** Billing Specialist , Sr **Working Title** Billing Specialist , Sr **Job ... benefits, pre-authorizations and to resolve claim issues. 4. Coordinates and resolves denials including the appeals process. 5. Processes changes in systems to… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... an exciting full time opportunity in its Utilization Review (UR) Department as Senior Utilization Review Physician Specialist . Prior clinical experience and an… more
- Catholic Health Initiatives (Chattanooga, TN)
- …hospital, connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper ... medical needs are met at the highest level. The Sr Coding Compliance Auditor's primary focus will be to...HCC diagnoses via claims. + Works to resolve claims denials and reports denial trends to leadership + Demonstrates… more
- Rush University Medical Center (Chicago, IL)
- …employees for charge capture functionality, coding, and EHR documentation. The Senior Business Analyst will work collaboratively with revenue cycle partners, ... improvement opportunities that could impact reimbursement, revenue integrity, and/or reduce denials . * Translates workflow issues to technical solutions that support… more
- TEKsystems (Raleigh, NC)
- …* Account Manager serves as the member of the Corporate Coding Team by reviewing denials and appeals for coding related issues * Reviews daily Epic work queues and ... Need to have billing experience, knowledge of inpatient AND outpatient (DRG, denials , claims, appeals), experience with the hospital setting and hospital billing… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Coding Specialist position is responsible for applying correct coding conventions to patient charge encounters in a clinical ... edit related coding errors in the electronic health record. In addition, the Sr Coding Specialist position is responsible for reviewing, correcting and appealing… more
- MD Anderson Cancer Center (Houston, TX)
- …trainees, professionals, employees and the public. **SUMMARY:** The primary purpose of the Sr . Clinical Coding Specialist position is to analyze medical records ... and regulations established through CMS and the AMA. 11. Resolves coding edits/ denials by performing second review of medical record documentation and code… more
- MD Anderson Cancer Center (Houston, TX)
- **REVENUE OPERATIONS & CODING POSITION DESCRIPTION** Position Title: Sr . Clinical Coding Specialist - Surgery Department: Revenue Operations & Coding Division: ... and the public. SUMMARY: The primary purpose of the Sr . Clinical Coding Specialist position is to...15. Resolves claim and billing edits as well as denials by performing second review of medical record documentation… more
- HUB International (Frisco, TX)
- …real-time solutions that help mitigate exposures and contain costs. **Job Summary** The Sr . Claims Specialist is responsible for helping to oversee the claim's ... conjunction with the organization's carrier partners and third party administrators. The Sr . Claims Specialist is involved in the overall design, implementation… more
- BayCare Health System (Clearwater, FL)
- …clinical excellence. **BayCare Health System** is currently seeking a **Utilization Review Specialist Senior ** to join our outstanding and compassionate team. ... **The Utilization Review Specialist Senior responsibilities include:** + Functions as...the supervisor including but not limited to processing concurrent denials . + Preferred experience includes Critical Care or Emergency… more
- Sanford Health (Sioux Falls, SD)
- …40.00 **Salary Range:** $21.50 - $34.50 **Department Details** Senior Appeals specialist focus is pharmacy pre service denials and appeals. Office location ... and industry audit practices and requirements. Conduct review of clinical-based denials (ie Medical Necessity, Level of Care) within required timeframes utilizing… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake ... + Report all payments on collection claims to the Collections Specialist (s) + Attend required hospital-wide orientations, meetings, and in-services + Demonstrate… more
- Vanderbilt University Medical Center (Nashville, TN)
- …action plans on trends related to patient account inquiries and payer denials . . KEY RESPONSIBILITIES * Processes claims, payments, adjustments, refunds, denials ... , and unpaid patient and insurance balances. * Accesses and corrects, if needed, demographic, insurance and financial information. * Provides accurate account maintenance and documentation. * Serves as a liaison with insurance companies, third party payors,… more
- Mount Sinai Health System (New York, NY)
- …and captured. 4. Ensures that documentation supports charges to prevent denials /underpayments and to ensure adherence to compliance standards. 5. Follow-up on ... updates. 12. Responsible for resolving any coding related errors, edits and denials that are identified by the physician practices or practice billing system.… more
- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 5595 - Specialist -Billing Senior Facility: BMG - Central Business Office Department: ... Minimum: Ability to read, understand, interpret and resolve payer front end denials Ability to research payer regulations and determine appropriate claim submissions… more