- Insight Global (Houston, TX)
- Job Description A healthcare system in Houston, TX is seeking a Claims Denial Coder to join their team to assist with a backlog of denials. The Claims ... Coder is responsible for reviewing and analyzing medical claims that have been denied by insurance companies. This...years of experience working coding denials Experience reviewing denied claims to determine the reasons for denial … more
- Fresenius Medical Center (Waltham, MA)
- … Coder Denials Experience a Must Have** **PURPOSE AND SCOPE** : The Denial 's Coder performs data entry processing within the assigned function(s). The ... is responsible for applying appropriate diagnosis, HCPC, CPT, Modifiers and any other claims and/or medical justification identified upon claim denial or charge… more
- Houston Methodist (Dallas, TX)
- Looking for Hospital Outpatient facility Medical Coder with 2 years of experience.** Revenue Cycle experience is a plus.** 100% remote.** At Houston Methodist, the ... Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits related to the APC grouper, National Correct Coding Initiative… more
- University of Miami (Miami, FL)
- …The University of Miami/UHealth has an exciting opportunity for a full time Professional Coder 2 in the Pathology Department. SUMMARY The Professional Coder 2 ... medical specialties including Ancillary, Non-Surgical, and Surgical services. The Professional Coder 2 will have a thorough understanding of ICD-10-CM diagnosis, CPT… more
- Trinity Health (Livonia, MI)
- …and Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as ... resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: +… more
- Trinity Health (Livonia, MI)
- …and Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as ... established by Revenue Excellence/HM. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation… more
- Trinity Health (Livonia, MI)
- …and Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial , and appeals issues affecting reimbursement. 10. Maintains CEUs ... by Revenue Excellence/HM. 7. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists… more
- Catholic Health Initiatives (Omaha, NE)
- …efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires ... place of service, etc. Communicate with provider to resolve claims that require a written appeal or second level...escalated issues as necessary. 9. Organizes open accounts by denial type or payer to quickly address in bulk… more
- Health Advocates Network (Folsom, CA)
- …of two (2) years of Professional Billing with an emphasis on Managed Care denial follow-up and appeals processing - prior hospital billing experience is a plus. + ... 10 coding requirements with emphasis on modifiers and diagnosis association. + Certified coder or currently enrolled in a coding program + Working knowledge of… more
- Medical Mutual of Ohio (OH)
- …and proper coding combinations from a clinical and coding perspective and documents denial reasoning or erroneous activity. **_This position has the option to work ... **Responsibilities** **Clinical Auditor** + **Audits outpatient, inpatient and professional claims from a clinical and coding perspective applying coding guidelines… more
- Houston Methodist (Houston, TX)
- …responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative environment with ... risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position will collaborate with physicians,… more
- Molina Healthcare (Lexington, KY)
- …Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been ... submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues. + Assists with… more
- ClearChoiceMD (Concord, NH)
- …efforts to ensure the accuracy and timeliness or charge capture, coding, claims submission, follow-up, denial , and underpayment management. The ideal candidate ... exceed cash collections, reduce days in AR, and reduce denial and adjustment rates + Conduct staff annual performance...with suggestions to mitigate future write offs and denied claims + Ensures the EMRs are optimized to ensure… more
- Fairview Health Services (St. Paul, MN)
- …processes: insurance verification, acquiring prior authorizations, billing, claim follow up, and denial management. This position is apoproved for 80 hours every two ... provide all information for payers to process and pay claims quickly and accurately. + Resolve credit balances and...billing office setting or relevant experience + Certified Ambulance Coder (CAC); must obtain within 9 months of hire… more
- Grace Hospital (Morganton, NC)
- … claims which include reviewing and/or processing Insurance remittances, working assigned denial and follow-up work queues, initiating secondary claims to be ... billed; working closely with Supervisor and Coder to reconcile accounts; working with Physician Practices and Hospital departments regarding authorization for… more
- LogixHealth (Bedford, MA)
- …to support interdepartmental goals. Key Responsibilities: + Working through coding and denial trends found by the partner teams and internal teams + Research ... and revenue integrity in all areas including client audits and concerns, coder audits, billing trends, etc. + Proactively monitor company policies and address… more