- Fairview Health Services (St. Paul, MN)
- **Overview** The Outpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services. Reviews and ... payer requirements pertaining to billing, coding , and documentation. The Outpatient Coding Denials Specialist will also handle audit-related and… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Medical Records / Health Information* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding * **Location:** ... Summary:_* Responsible for the development and implementation of an effective HIM Coding denials program consistent with regulatory and healthcare revenue cycle… more
- Hartford HealthCare (Farmington, CT)
- …and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and prevention ... Discharge Data Set (UHDDS) * Understands DRGs, APCs and/or Outpatient Code Edits (OCE) and Correct Coding ...Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 1 / HIM Coding… more
- St. Luke's University Health Network (Allentown, PA)
- …medical necessity and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues ... a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and...appropriate. + Investigates managed care and commercial insurance rejections, denials for possible experimental services and coding … more
- Tidelands Health (FL)
- …Health Information Technician (RHIT(R)) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) + Certified Outpatient Coder (COC) ... ICD-10-CM diagnostic codes, CPT, and HCPCS codes to all outpatient , ED, and hospitalists accounts, based on the medical... coding compliance and accuracy. Responsible for resolving coding edits, account checks, rejections, and denials … 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
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a full time Provider Coding Specialist II. This remote role requires the incumbent to reside in OR, WA, AK or TX.** The ... billing office or medical records department. + Required Upon Hire: Certified Coding Specialist Physician, Certified Professional Coder other HIM recognized,… more
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a full time Provider Coding Specialist . This remote role requires the incumbent to reside in OR, WA, AK or TX.** The ... Coding for Provider Coders, Certified Professional Coder, Certified Coding Specialist Physician,Registered Health Information Technician,Registered Health… more
- St. Luke's University Health Network (Allentown, PA)
- …TRAINING, KNOWLEDGE AND EXPERIENCE: Minimum 5 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting. Knowledge ... serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and… more
- Catholic Health Services (Melville, NY)
- …and providers. Must be fluent with the Evaluation and Management guidelines, ICD10 coding guidelines for outpatient , inpatient, observation coding including ... procedural coding and hospital rounding. DUTIES/RESPONSIBILITIES: Review documentation and coding for both inpatient and outpatient (hospital and office)… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coder Specialist , Centralized Coding Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... Business Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals, and verifies...assesses specific types of denial as it relates to coding and documentation issues, outpatient registration, and… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Reporting to the Business Manager, the Outpatient Administrative Specialist is responsible for obtaining insurance referrals and authorizations for ... necessity as needed, and coordinating new patient referrals for services. The Outpatient Administrative Specialist will work with various computer programs… more
- Kaleida Health (Buffalo, NY)
- …audit/review findings, and identify opportunities and develop a training plan for the coding specialist . Participates in a variety of other departmental quality ... Info Tech (RHIT) and Reg Health Info Admin (RHIA)required upon hire. Certified Coding Specialist (CCS) through AHIMA is preferred. **Candidates must take and… more
- Fairview Health Services (St. Paul, MN)
- …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) + Outpatient or Professional ... Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) + Outpatient or Professional… more
- Trinity Health (Albany, NY)
- …required. Must be currently certified as one of the following: Certified Coding Specialist (CCS). Registered Health Information Administrator (RHIA). Registered ... coding , billing, reimbursement and compliance management as it relates to coding . Assists with denials management, complex case resolution and may perform… more
- Tufts Medicine (Burlington, MA)
- …One of the following Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or ... will focus on chart reviews, the detailed physician chart abstraction, related coding education, evaluation of denials , and ensuring regulatory compliance. The… more
- Billings Clinic (Billings, MT)
- …Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or other recognized AAPC or AHIMA ... the full circle of proper revenue cycle practices regarding clinical documentation, coding , reimbursement, denials and appeals. Strives to maximize reimbursement… more
- TEKsystems (Chesapeake, VA)
- …charging questions and issues Routinely review and analysis of inpatient and outpatient records for appropriate coding and charging. Provide educational sessions ... HCPCS codes and modifiers Assist the Health Information Department with RAC requests, coding reviews, and denials Ensure accuracy and integrity of charge data… more
- SUNY Upstate Medical University (Syracuse, NY)
- …queues and claim edit errors, Assists with audits & analysis of denials . Assists with development of training materials. Appropriately relays issues identified as ... of medical terminology, medical billing/insurance requirements, familiarity with medical coding , and excellent written/oral communication skills required. Certified Health… more
- Hunterdon Health Care System (Flemington, NJ)
- …independent efforts to keep knowledge base current , responds to CBO needs in coding outpatient services for specialist offices Actively participates in ... providers via one on one , email, written and/or verbal communication and answering the requested coding needs of the specialist physician practices + Initiates… more