- Nesco Resource (Bethesda, MD)
- …and Coding Certification- CPC-Certified Professional Coder, CBCS- Certified Billing and Coding Specialist , CCS-Certified Coding Specialist , or ... Job Summary The Claims Specialist - Appeals assesses and facilitates ongoing support...CPC-Certified Professional Coder. Experience 4 years of experience in medical billing or, processing Medical coding… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …broad training in fields such as business administration, accounting, computer sciences, medical billing and coding , customer service or similar vocations ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...caregivers. Services could include but not limited: Billing and coding support. Claims assistance, tracking and submission. Prior authorization… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for ... Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely… more
- Blanchard Valley Health System (Findlay, OH)
- …Accounting/previous billing experience required High School graduate or GED equivalent Medical Terminology required ICD-9/ICD-10, HCPCS and CPT coding knowledge ... PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and...to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims… more
- A-Line Staffing Solutions (St. Louis, MO)
- …Excel, Microsoft Excel, vlookups, pivot tables, financials, Financial analysis, Medical Coding , Denials, Grievance, Grievance and Appeals , Appeals and ... Accounts Payable, Billing Specialist openings with a Major Health Plan based...level Why Apply: Full benefits available after 90 days: Medical , Dental, Vision, Life, Short-term Disability 401k after 1… more
- Blanchard Valley Hospital (Findlay, OH)
- …health information is available timely to support clinical care, expedite coding and billing and healthcare operations. JOB DUTIES/RESPONSIBILITIES HIIS II ... projects, as assigned. This includes the ability to scan/index documents, analyze medical record to identify and record all deficiencies present, and compliantly… more
- University of Utah (Salt Lake City, UT)
- …06/19/2024 **Requisition Number** PRN38907B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job ... coding knowledge to abstract and record data from medical records and provides support to areas related to...CPC -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified … more
- Trinity Health (Farmington Hills, MI)
- …Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). CPMA will also ... appealing them based upon coding expertise and coding judgment within the Hospital and/or Medical ...and determining root causes of denials. Responsible for leveraging coding knowledge and standard procedures to track appeals… more
- Trinity Health (Farmington Hills, MI)
- …managed care contracts and coordination of benefits is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, ... Responsible for reviewing all post-billed denials (inclusive of clinical denials) for medical necessity and appealing them based upon clinical expertise and clinical… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Nurse Specialist LVN II...the direct supervision and management of the A&G Nurse Specialist , RN and/or Medical Director. This position… more
- Trinity Health (Farmington Hills, MI)
- …Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) for an assigned Patient Business ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials/ appeals experience ( Medical A/R) + Hospital/facility collections experience Description: Responsible for ... web sites available to increase efficiency of collections. * Responsible for timely medical records requests and submission of appeals * Maintain adequately… more
- Trinity Health (Farmington Hills, MI)
- …Maintains knowledge of state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues ... Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of an assigned Patient Business… more
- University of Virginia (Charlottesville, VA)
- This position analyzes accounts receivable and takes appropriate action to resolve coding and global denials. + Posts denials/rejects into EPIC billing system. + ... time specified by the contract using their knowledge of coding and utilizing various tools of CPT and ICD-10...in insurance field preferred. Experience utilizing EPIC or other medical billing system required. Licensure: CPC required or two… 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 ... and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS**...Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and audit ... processing of all episodes of care. Reviews documentation for appeals processes across the Home Health enterprise for all...minimize lost revenue. Conducts analysis on timely submission of coding reviews and supports branches to prevent edit lock… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs. Required Skills ... all messages in a timely manner. + Maintains communication between medical providers, administrative staff, and/or patient/families. Business Services: + Performs… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... all professional services. Reviews provider documentation in order to determine appropriate coding and initiate corrected claims and appeals . Duties include… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Denial Coding Review Specialist you want with your current employer? We have an ... committed, caring group of colleagues. Do you want to work as a(an) Denial Coding Review Specialist where your passion for creating positive patient interactions… more
- Seattle Children's (WA)
- …ensure coding and documentation compliance. Required Credentials: + Certified Coding Specialist (CCS) certification by the American Health Information ... creation of educational materials. + Experience in revenue cycle functions, including coding denial management and appeals process. + Experience in research… more
