- Stanford Health Care (Palo Alto, CA)
- …Care job.** **A Brief Overview** Reporting to the VP, Patient Financial Services, the Director , Denials Management serves as the strategic leader and leads ... denials appeals, denial and write-off analysis, and denials prevention. The Director operates as the... reduction and prevention. + Approves and facilitates complex denials management operations and appropriately escalates operational… more
- Community Health Systems (Franklin, TN)
- …and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future ... all policies and standards. + This is a fully remote position **Qualifications** + HS Diploma or GED required...related field preferred + 1-3 years of experience in denials management , insurance claims processing, or revenue… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …billing denials across the healthcare system. + Reporting to the Director of Enterprise Denial Management , this role provides critical insights into ... more **Epic Certification required.** **Description** **RESPONSIBILITIES:** + The System Denials Analyst, is responsible for gathering, analyzing, and reporting data… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director Pre Appeals Management -HSO Appeals Management -Corporate 42nd Street-Full-Time-Days - Remote ** The Director , Pre ... costs. The Director collaborates closely with medical staff, vendors, case management , and payers to secure payment and benefits for beneficiaries that is in… more
- University of Michigan (Ann Arbor, MI)
- Revenue Cycle Coding Director - Professional Coding Apply Now **Job Summary** The Director of Professional Coding provides strategic and operational leadership ... Cycle, aligning operations with the health system's mission and values. The Director leverages data-driven insights, industry best practices, and team leadership to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …institutional compliance decisions, nationally recognized guidelines, and/or information from denials management records. + Performs related responsibilities as ... winshipcancer.emory.edu. **Winship is seeking qualified candidates for the Senior Director , Clinical Trials position.** **Position details are as follows:** JOB… more
- Growth Ortho (Nashville, TN)
- Job Title: Director , RCM Implementation Location: Remote (with limited travel as needed) Reports To: SVP, Revenue Cycle Organization: Growth Orthopedics - MSO ... Position Summary: Growth Orthopedics (GO) is seeking an experienced and dynamic Director of RCM Implementation to lead the execution of strategic Revenue Cycle… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeal Specialist II reviews, analyzes, and resolves insurance denials to ensure accurate reimbursement and regulatory compliance. This role logs ... and reviews denials for trend reporting, provides feedback to facilities, and...and coding practices, and reimbursement regulations. + Utilizes practice management systems and maintains documentation of appeal activity in… more
- Centene Corporation (Jefferson City, MO)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... team of medical directors and supervises MD's responsible for utilization management and appeals functions to ensure members receive medically necessary,… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote ** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** Reporting to the Executive Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst ... cycle integrity. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication...assigned by the SEOA to perform root-cause analysis of denials to reduce denials and manual rework… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Underpayment & Overpayment Collector - Healthcare ( REMOTE ) is responsible for the timely and efficient resolution of underpaid and overpaid ... discrepancies. + Identifies and analyzes trends in underpayments, overpayments, denials , and revenue opportunities to recommend process improvements. + Evaluates… more
- Trinity Health (Livonia, MI)
- …(CDI) activities for the Health Ministries (HM) in their defined region and day-to-day management of the CDI programs. Works with Director , CDI to ensure the ... Chief Medical Officers, HM Executive Leadership, clinical staff, coding and denials teams to facilitate documentation within the medical record and supports… more
- Ventura County (Ventura, CA)
- …Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding Supervisor ... - Health Information Management Salary $94,952.15 - $132,946.07 Annually Location Ventura and...(1) Regular vacancy that may be considered for a hybrid/ remote work option. TENTATIVE SCHEDULE OPENING DATE: 4/4/25 CLOSING… more
- University of Utah (Salt Lake City, UT)
- …11/17/2025 **Job Summary** **University Medical Billing ( UMB )** is a fully remote department that is viewed as the premier billing office for the University ... and/or departments. + Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials … more
- NYU Rory Meyers College of Nursing (New York, NY)
- …and recover outstanding receivables. Identify trends in payments, underpayment/overpayments and denials . Work with respective departments to evaluate trends and be ... all assigned underpayment appeals, follow-up and payer relationships. Report to management any gross payment discrepancies by payers. Contact payer to resolve… more
- Texas Health Resources (Arlington, TX)
- …Texas Health Resources + Core work hours: Monday - Friday; 8:00a-5:00p; Remote opportunity Position Summary Under general direction of the PBO Revenue Integrity ... Director , the PBO Payment Integrity Manager is responsible for...to the following: AR days, aged AR, cash collections, denials , avoidable write-offs, staff productivity and work quality. All… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The system director of provider education, working in a remote environment, will the ... and code selection to promote accuracy and foster appropriate reimbursement. The director serves as a primary resource for clinical documentation education, coding,… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital ... services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports denials and appeals… more
- CommonSpirit Health (Salt Lake City, UT)
- …Advisor/UR and is responsible for maintaining a collaborative partnership with the Medical Director CDI, Enterprise Director Case Management , UM Hub ... position is a hybrid role requiring a mix of remote and on-site work at the five CommonSpirit Hospitals...sites. This position provides support to the facility Utilization Management Committees, medical staff, UM Hub, and care coordination… more