- Children's Mercy Kansas City (Kansas City, MO)
- …the lives of children beyond the walls of our hospital. Overview The Denials Prevention Analyst is directly responsible for reviewing current denial data to ... and tracking implementation of root cause resolutions under the supervision of the Denials Prevention leadership within CMH. This position also adheres to the Shared… more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials , appeals, and audit processes within the ... health system. This role ensures timely resolution of claim denials , effective appeal strategies, and proactive audit response. The manager leads a team of… more
- Carle Health (Champaign, IL)
- …This position is also responsible for tracking coding trends and assists with mitigation of coding-based denials through education of coding team members. The ... Overview The Manager over Coding Education and Quality is responsible...related to coding + Provide necessary education to mitigate denials to coding team based on review + Collaborate… more
- Huron Consulting Group (Chicago, IL)
- …team as the expert you are now and create your future. The CI&I Manager will oversee junior staff responsible for conducting A/R and metric research, identifying ... operational leaders to drive shared accountability toward A/R improvement. The CI&I Manager is expected to provide strategic thought leadership to cross functional… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities related to billing… more
- Penn State Health (Hershey, PA)
- …position influences all charges though charge capture process mapping, risk mitigation through education and problem solving through analytics. Collaboration occurs ... was needed to optimize charge/cash capture. This position reports to Team Manager Revenue Integrity and the Revenue Integrity Support Services Leadership. **MINIMUM… more
- Texas Health Resources (Bedford, TX)
- …as a content expert on the following: Compliance with program expectations Mitigation activities with all clinical partners / payors as needed. Compliance ... intervention, HINN letters, Second IMM, Observation letter, etc. Potential denials , avoidable days, alternate level of care days, etc....Resuscitation Upon Hire Required And ACM - Accredited Case Manager Upon Hire Preferred Or CCM - Certified Case… more
- CenterWell (Richmond, VA)
- …for the following: clinical and survey metrics, clinical operations metrics, claims denials , AO/state survey results, risk mitigation , clinical compliance, QAPI ... functioning in a branch leadership (Branch Director/Administrator) or Clinical Manager role strongly preferred. + Multi-site management and operations experience… more
- Travelers Insurance Company (St. Paul, MN)
- …and subrogation. + Facilitate timely claim resolution by leveraging any mitigation opportunities. + Establish and update reserves to reflect claim exposure ... of benefits through litigation). Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical services into the… more