- R1 RCM (Jenkintown, PA)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Complex Denials Consultant , you will represent healthcare ... other relevant topics. **Here's what you will experience working as a Complex Denials Consultant :** + Assist recovery staff in pursuing appeals, including… more
- Atlantic Health System (Morristown, NJ)
- …regulatory, and reimbursement parameters. As a peer to physicians and a consultant to Case Management and administration, intervenes when practice patterns or ... committees + Provides medical and professional staff with education regarding denials , DRG LOS, level of care downgrades, readmission reduction, clinical… more
- St. Luke's University Health Network (Allentown, PA)
- …coding guidelines as they relate to physician services for hospital inpatient, observation, consultant , surgical, critical care, and E & M services. 3. Maintains an ... that may negatively impact productivity, quality or revenue to mitigate claim denials . Maximize opportunities to enhance front end, coding-related claim edits to… more