- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures...provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and ... formal meetings with auditor or payor representatives in defense of coding appeals , as needed. + Maintain necessary audit/appeal activity documents including… more
- Elevance Health (Morristown, NJ)
- …RHIT certification as a Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make...Documentation Specialist (CCDS). + Requires minimum of 10 years experience… more
- SERV Behavioral Health System (Hamilton, NJ)
- …JOB SUMMARY: Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing and submitting claims and handling escalated ... billing and collection issues. The Senior Accounts receivable specialist serves as a subject matter expert in complex...timeframe. + Identifies corrected claims and process all claim appeals . + Ensures secondary billing is accurate and timely,… more
- St. Luke's University Health Network (Allentown, PA)
- …Medicaid (MA)/ MA Managed Care. Medicare /Medicaid Follow Up The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more