- Elevance Health (Denison, TX)
- **SCA Appeals Representative I** **_Locations:_** _This is a virtual position. The ideal candidate must live within 50 miles of one of our NGS_ **_OR_** _Elevance ... for Medicare and Medicaid Services to transform federal health programs. The **SCA Appeals Representative I** position is an entry-level position in the NGS … more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... of supporting documentation, CCI/LCD, carrier policy and utilization of coding software applications. The appeals process may...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Healthfirst (FL)
- …of current claims editing packages + Supports claims editing escalated provider disputes/ appeals and provides guidance across all areas of the company with regards ... to claims editing and proper coding , billing, and payment. + Researches and provides feedback...+ Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines + Supports continuous… more
- Mount Sinai Health System (New York, NY)
- …with compliance standards and credible coding sources + Assist PFS with analyzing coding denials and writing appeals , as needed. + Review and distribute ... **Job Description** **Reimbursement Analyst Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The...a health care environment** + _3-5 years of multispecialty coding experience in AmSurg and/or clinic settings Preferred_ +… more
- University of Michigan (Ann Arbor, MI)
- HEALTH INFORMATION MANAGEMENT ANALYST II - COMPLIANCE AND AUDITING Apply Now **Job Summary** Utilize the EPIC Release Module to locate, analyze, and produce medical ... General Counsel + Perform medical record release tracking related to audits and appeals activity in the MiChart Audit and/or MiChart Release of Information modules… more
- TEKsystems (Newport News, VA)
- …company in Newport News, VA, is hiring for a HYBRID Billing & Insurance Analyst with competitive pay and growth opportunity! Goes fully remote after training. Job ... Description: + The Billing & Insurance Analyst I is responsible for daily operations related to...or secondary insurance was billed + Prepare and submit appeals and or medical records to insurance companies +… more
- State of Colorado (Colorado Springs, CO)
- CDOC - Clinical Statistical Analyst III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4800466) Apply CDOC - Clinical Statistical Analyst ... Analysis; + Ensure accuracy of unit staff's collection and coding of data, data analysis, interpretation of results, and...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- WellSpan Health (York, PA)
- Medical Review Analyst Location: WellSpan Health, York, PA Schedule: Full Time Schedule Full-time: 40hrs/wk Hours: Monday - Friday, 8am - 4:30pm Work from home ... Summary Supports clinical areas throughout the System in charge capture, coding accuracy and revenue management. Maintains the department's chargemaster, in… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and ... revenue opportunities, and communicating discrepancies to relevant departments. The PCCM Analyst collaborates with financial and clinical teams to improve revenue… more
- University of Kansas (Lawrence, KS)
- **29746BR** **Job Title:** Financial Analyst Intermediate **Department:** Budget Office **Primary Campus:** University of Kansas Lawrence Campus **Job Description:** ... procedures. + Organize financial data for budget requests and appeals to the Board of Regents, State Division of...in writing SAS or SQL in SAS queries and coding programs for financial analysis, as evidenced in application… more
- Beth Israel Lahey Health (Burlington, MA)
- …in people's lives.** This position is on-site. **Job Description:** The Utilization Analyst works with physicians, the payers and inpatient case management team to ... of medical care provided. **This role specifically works with insurance appeals and denials.** **Essential Duties & Responsibilities** **including but not limited… more
- BrightSpring Health Services (Valdosta, GA)
- …assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.* Provide any additional research for ... balancing and reporting.* Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.* Send cash transfer & check requests to the… more
- Corewell Health (Grand Rapids, MI)
- …resolve conflicting points of view from providers and internal departments (includes appeals to health plan for Payment Integrity initiatives). + Analyze results of ... + Bachelor's Degree preferably in a health or business related degree + Certified coding + 3 years FACETS claims experience + 2 years payment integrity experience +… more
- Guthrie (Sayre, PA)
- …I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of ... necessary action to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to identify potential… more
- Health Advocates Network (Folsom, CA)
- Health Advocates Network is hiring a **Denials Analyst ** **(2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized hospital located in ... and resolving claim denials, ADR requests, and certs, submitting and tracking appeals , noting trends, and providing monthly reports. Respond to audit requests… more
- City and County of San Francisco (San Francisco, CA)
- …reflects the appropriate level of service. + Utilizes both clinical and coding knowledge effectively. + Performs initial inpatient chart reviews. + Manages ... determine the working DRG, performs audits, and communicates daily with HIM coding staff. + Assists in the development of diagnosis-specific and DRG-specific… more