- Insight Global (Skokie, IL)
- Job Description Insight Global is looking for a clinical denials specialist to join the team at one of your healthcare clients in Chicago. As a Clinical ... Denials Specialist you will be working with the denials team to review and analyze denials from a clinical perspective. This person will be… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries....Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Houston Methodist (Houston, TX)
- …Revenue Cycle experience** At Houston Methodist, the Accounts Receivable (AR) Appeals Denials Specialist position is responsible for reviewing accounts which ... contracting terms and requirements in order to address underpayments and denials in accordance with regulatory and contractual obligations. This includes contract… more
- TEKsystems (Austin, TX)
- Description: Job Summary: The Revenue Cycle Denials and Appeals Specialist will be responsible for building and maintaining collaborative and productive ... of knowledge for the designated revenue cycle function, with a focus on Denials and Appeals * Performs analysis, identifies trends, presents opportunity areas, and… more
- TEKsystems (Charlotte, NC)
- Description: The Revenue Cycle Denials and Appeals Specialist will be responsible for building and maintaining collaborative and productive relationships within ... of knowledge for the designated revenue cycle function, with a focus on Denials and Appeals * Performs analysis, identifies trends, presents opportunity areas, and… more
- TEKsystems (Boise, ID)
- …Cycle specialists to support a growing healthcare company! As a rev cycle specialist on our team you will be verifying insurance information, following up, doing ... within medical insurance roles handling claims, payer portals, appeals, AR follow up, denials or anything within revenue cycle we would love to chat with you!… more
- CenterWell (Topeka, KS)
- …of our caring community and help us put health first** As an **Accounts Receivable Specialist /Healthcare Claims Denials Specialist ** , you will: + Ensure the ... patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow… more
- Texas Health Resources (Arlington, TX)
- **Coder II - Denials ** _Are you looking for a rewarding career with a top-notch health care company? We're looking for a qualified_ **Coder II** _like you to join ... Professional Coder Upon Hire **REQUIRED** or CCS-P - Certified Coding Specialist - Physician-based Upon Hire **REQUIRED** and Other Specialty certification such… more
- Carle (Urbana, IL)
- Clinical Documentation Integrity Specialist + Department: Health Information Management + Entity: Champaign-Urbana Service Area + Job Category: Nursing + ... and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk...peers and providers we needed or requested. Reviews DRG denials and provides information to the denials … more
- MD Anderson Cancer Center (Houston, TX)
- …professionals, employees and the public. **SUMMARY:** The primary purpose of the Sr. Clinical Coding Specialist position is to analyze medical records and ... abstract clinical data by assigning codes from patient records in...established through CMS and the AMA. 11. Resolves coding edits/ denials by performing second review of medical record documentation… more
- Catholic Health Services (Melville, NY)
- …contractual agreements. Staying current on payer policy changes that impact charge capture, denials , and cash. Working with PRC teams and DTS on rules to increase ... revenue and decrease denials and touches based on payer requirement/regulations. DUTIES/RESPONSIBILITIES: Keeps...departments and DTS to build payer rules to reduce denials and increase cash based on payer regulations. Perform… more
- MD Anderson Cancer Center (Houston, TX)
- **REVENUE OPERATIONS & CODING POSITION DESCRIPTION** Position Title: Sr. Clinical Coding Specialist - Surgery Department: Revenue Operations & Coding Division: ... the public. SUMMARY: The primary purpose of the Sr. Clinical Coding Specialist position is to analyze...15. Resolves claim and billing edits as well as denials by performing second review of medical record documentation… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation ... and meet the criteria). Grade Determinations: Medical Records Technician ( Clinical Documentation Improvement Specialist (CDIS-Outpatient)), GS-9 Experience. One… more
- Spaulding Rehabilitation (Charlestown, MA)
- Clinical Documentation Integrity Specialist , Per Diem - ( 3303241 ) **Description** **Job Summary** Under the direction of the Clinical Documentation ... Care Team to be successful in this role. Utilizes clinical and ICD 10 coding knowledge to obtain appropriate...compliance, coding staff, physicians, and finance to reduce payment denials and improve medical necessity documentation. * Acts as… more
- HCA Healthcare (Nashville, TN)
- …your knowledge and expertise! **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for ... from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to all rules and regulations of… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The CDI Specialist performs concurrent inpatient chart reviews for documentation improvement opportunities. Communicates with physicians to ensure ... comprehensive medical record documentation to reflect clinical treatment and diagnose. Uses provided CDI software to...guidelines for compliant and accurate code assignment. + Uses denials information and trends to improve documentation capture at… more
- Priority Health Care (Marrero, LA)
- …and appeals, and monitoring day-to-day activities related to appeal follow-up and denials . Additionally, the Specialist is responsible for understanding and ... JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of...preparation and delivery of items required for annual audits. Denials Management and Accounts Receivable Follow-Up: + Manage and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- UTMB Health (Galveston, TX)
- Billing Specialist , Ob/Gyn Clinical Support Services (Partial Remote) **Galveston, Texas, United States** **New** Clerical & Administrative Support UTMB Health ... and Contracts + Sterilization Procedure review and remittance to sponsor(s) + TMHP Denials Research + Reporting + Work Queue review and management + CPT Appeals… more
- Columbus Regional Hospital (Columbus, IN)
- …Medical Auditor (CPMA), Certified Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Integrity Specialist (CCDS) certification ... to know about the position: + The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines… more