- HCA Healthcare (Nashville, TN)
- …**Introduction** Sign-On Bonus Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your current employer? ... colleagues. Do you want to work as an Inpatient Coding Denial Specialist where your...Discharge disposition + Identifies and writes clear and concise appeal letters utilizing all available documentation, regulations and guidelines… more
- Carle (Urbana, IL)
- Outpatient Denial /Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... medical necessity for outpatient services provided and billed and author effective clinical denial and prior authorization appeal letters. + Stay abreast of any… more
- Houston Methodist (Houston, TX)
- …& Denials Specialist is responsible for coordinating and monitoring the coding -specific clinical charges and denial management and appeals process in a ... - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding … more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, 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 ... and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal ....for single or low volume errors. Report high volume coding denial trends to the coordinator +… more
- McLaren Health Care (Bay City, MI)
- …ACDIS memberships + Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist ... **Position Summary:** Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors .… more
- Guthrie (Sayre, PA)
- …resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance ... CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Strong organizational and...payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist… more
- St. Mary's Healthcare (Amsterdam, NY)
- …educate case management staff and other departments regarding payer changes and denial / appeal process. Education: * Diploma from an accredited school/college of ... factors permitted by law. Responsibilities: * Uses clinical and coding knowledge to ensure accurate and compliant charge items...items. * Analyzes and creates reports to capture payer denial trends and volume, to support patient financial services… more
- Northern Light Health (Brewer, ME)
- …Type: Full Time Hours Per Week: 40.00 Work Schedule: Variable Summary: The Billing Specialist is a key role responsible for coordination of all billing and payment ... of worker's compensation claims and employer/client invoices, payment posting and denial resolutions, daily cash reconciliation and payment posting. The Billing … more
- Abbott (Plano, TX)
- …of therapy based on physician recommendation. Additionally, will assist with multiple levels of appeal in the event of initial coverage denial as well as forward ... Plano, TX currently has an opportunity for a **Patient Therapy Access Specialist ** professional. This individual is responsible for facilitating and assisting Abbott… more
- Community Clinic Inc. (Silver Spring, MD)
- …health centers and support center personnel to effectively challenge denials and reverse the denial decision. + Files appeal of denials in a timely and ... for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support...+ Must be familiar with hospital and or physician coding . + Strong customer service skills - bi-lingual (English/Spanish)… more
- Tufts Medicine (Lawrence, MA)
- …works closely with department leaders, coordinators and clinical team members toward their appeal and peer to peer workflow. 12. Monitors productivity and quality of ... including providing documentation records to assist with insurance appeals if a denial is received. 15. Maintains collaborative, team relationships with peers and… more
- Fairview Health Services (St. Paul, MN)
- …DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with ... (CDI) experience. License/Certification/Registration + One of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified… more
- University of Rochester (Rochester, NY)
- …and the Department of Radiation Oncology Aria EMR and Activity Capture system. Write appeal letters customized to the denial and will be patient specific. + ... GENERAL PURPOSE: Serves as the prior authorization specialist , with oversight of data and compliance to enterprise standards prior authorization guidelines.… more