- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials… more
- Veterans Affairs, Veterans Health Administration (IN)
- …regular reports to top management regarding the status of billed/unbilled claims . Develops performance standards and conducts performance evaluations for subordinate ... creditable experience that is paid or non-paid employment equivalent to a MRT ( Coder ). C. Certification. At this level you must have a mastery level certification.… more
- Ellis Medicine (Schenectady, NY)
- …manner. Requirements: High School Diploma or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health ... Basic Function: The Medical Coder II is responsible for the revenue cycle...worklists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the… more
- University of Rochester (Rochester, NY)
- …Coding Specialist (CCS) preferred. + **Or** + Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical ... GENERAL PURPOSE: The Med Records Coder III functions as an advanced coder...+ Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides… more
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as an Inpatient Coder today with Work from Home. **Benefits** Work from Home, offers a total ... by location._** Come join our team as an Inpatient Coder . We care for our community! Just last year,...Today! **Job Summary and Qualifications** As an Inpatient Coding Specialist , you will be responsible for working inpatient coding… more
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as an Outpatient Coder today with Work from Home. **Benefits** Work from Home, offers a total ... by location._** Come join our team as an Outpatient Coder . We care for our community! Just last year,...post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall… more
- Trinity Health (Sioux City, IA)
- …established by Revenue Excellence/HM. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- Trinity Health (Livonia, MI)
- …by Revenue Excellence/HM. 7. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... all aspects of Payment Resolution Specialist role to support progressive responsibility....Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).… more
- Intermountain Health (Broomfield, CO)
- …understanding of the professional revenue cycle to perform final validation and resolution of professional claims issues not requiring coding expertise. They ... perform manual charge entry and participate with Claims Solution Specialist -Coders in the continuous improvement efforts focused on increasing the efficiency and… more
- Beth Israel Lahey Health (Burlington, MA)
- …and helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 4. Maintains open ... you're making a difference in people's lives.** The Denial Specialist I role is vital to ensure that hospital...Central Billing Office. 16. Assists the supervisor with the resolution of claims issues, denials, appeals and… more
- The Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or Revenue ... coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …all procedures. Follow Up on accepted or denied claims . Review denied claims for denial reasons and provide resolution . Investigate insurance fraud and ... are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this...in-depth evaluation, and sound judgment. As our Biller and Coder , your daily duties will include entering and coding… more
- Aligned Modern Health (IL)
- …skills. + Certifications: Certified Professional Biller (CPB), Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) ... and manage the performance of the outsourced billing teams, inclusive of claims processing, denials management, AR, payment posting, and ensuring timely and accurate… more