- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Sign-On Bonus Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your ... a committed, caring group of colleagues. Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating positive patient… more
- Banner Health (AZ)
- …abilities - apply today. The Registered Nurse RN Denial Management Specialist is responsible for reviewing concurrent inpatient denials from the insurance ... **Primary City/State:** Arizona, Arizona **Department Name:** Denial Recovery-Corp **Work Shift:** Day **Job Category:** Revenue Cycle Nursing careers are better at… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments...current Performance Improvement Plan. 8. Maintains 95% accuracy of coding and DRG denial decision to appeal… more
- Mount Sinai Health System (New York, NY)
- …- Surgery - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. Reviews ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...education programs to effectively apply ICD-10-CM/PCS, CPT and HCPCS coding guidelines to inpatient and outpatient diagnoses… more
- Sharp HealthCare (San Diego, CA)
- …practices. **Required Qualifications** + Other : successful completion of ICD and CPT coding classes, or equivalent work experience. + 3 Years working in the managed ... delegated risk medical group/IPA setting. + 1 Year experience with medical coding and data entry, preferably in a managed care environment. **Preferred… more
- Trinity Health (Livonia, MI)
- …with the 72-hour rule and other account combine scenarios. Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. ... as required by credentialing associations. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as… more
- Trinity Health (Livonia, MI)
- …the 72-hour rule and other account combine scenarios. 6. Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. ... as required by credentialing associations. 11. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as… more
- Columbus Regional Hospital (Columbus, IN)
- …required. Certifications, Licenses, Registrations + One of the following is required: + Certified Coding Specialist (CCS) + Certified Coding Specialist - ... about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses… more
- University of Miami (Hialeah, FL)
- …Information Management is highly preferred. Certification and Licensing: + Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), ... compatible with orders. + Communicates professionally identified discrepancies, documentation issues, denial management issues and coding concerns in the medical… more
- Mount Sinai Health System (New York, NY)
- …MSH FPA - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for complex or more specialized inpatient and outpatient ... **Job Description** The Procedural Billing Specialist III is a senior level individual, responsible...for specialized or complex pre and post-surgical procedures, including coding , Accounts Receivable, Charge Entry, Edits and Payment Posting.… more
- University of Virginia (Charlottesville, VA)
- The Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure that Medical Center receives correct ... as well as the knowledge of medical billing and coding guide- lines to resolve insurance denials and guarantor/patient...knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... as well as the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries....knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal… more
- UPMC (Pittsburgh, PA)
- …a part of this great team! **Purpose:** To perform authorization activities of inpatient , outpatient and emergency department patients, denial management and all ... **UPMC University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to join their team at the** Heart Vascular Institute at CHP! This position… more
- Granville Health System (Oxford, NC)
- …any insurance denial or DRG downgrade based on documentation and coding issues. #Responsible to detect, observe, and report compliance variances to the Director ... Summary:#The CDI Specialist is responsible for improving the overall quality...intensity of service to ensure medical necessity.# #Collaborates with Coding Team to ensure proper documentation.# #Registers and attends… more
- UPMC (Pittsburgh, PA)
- University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to support UPMC Vision Institute, Mercy Pavilion. This role will work Monday ... to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and… more
- UPMC (Pittsburgh, PA)
- **UPMC Department of Plastic Surgery is hiring a Part-Time Authorization Specialist . This is a Monday-Friday, daylight position. No nights, weekends, or holidays!** ... to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and… more
- Fairview Health Services (St. Paul, MN)
- …supervisory and/or management experience. + At least 3 years of inpatient coding or clinical documentation integrity (CDI) experience. ... License/Certification/Registration + One of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding … more
- University of Florida (Gainesville, FL)
- …Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required. Preferred Qualifications: + Knowledge of ... Clinical Coder III Job Description: -Performs highly specialized diagnosis and procedural coding for all operative procedures and inpatient consulting services… more