- TEKsystems (Annapolis, MD)
- Hybrid Coding Appeals Analyst Opportunity to join one of Maryland's most renowned and established healthcare systems. This organization is committed to ... Schedule : Monday - Friday (Normal Business Hours) Position Summary: As a Coding Appeals Specialist, you will be a crucial member of the denial management team… more
- Beth Israel Lahey Health (Charlestown, MA)
- …role in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high level ... and state laws and regulations as they pertain to coding , billing, and documentation. To educate, give support, and...gather information that would support submitted charges. Prepare clinical appeals relevant to the audits in order to prove… more
- Elevance Health (Louisville, KY)
- **SCA Appeals Representative I** **_Locations:_** _This is a virtual position. The ideal candidate must live within 50 miles of one of our NGS_ **_OR_** _Elevance ... - $18.15 + Louisville, KY - $17.25 The **SCA Appeals Representative I** position is an entry-level position in...and regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... of supporting documentation, CCI/LCD, carrier policy and utilization of coding software applications. The appeals process may...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Healthfirst (FL)
- …of current claims editing packages + Supports claims editing escalated provider disputes/ appeals and provides guidance across all areas of the company with regards ... to claims editing and proper coding , billing, and payment. + Researches and provides feedback...+ Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines + Supports continuous… more
- State of Michigan (Lansing, MI)
- Departmental Analyst 9-P11 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4790883) Apply Departmental Analyst 9-P11 Salary $25.10 - ... Reimbursement (SSCR) portal, verifying customer social security information accuracy, initiating appeals , and remedying any disputes or discrepancies related to SSA-… more
- Robert Half Accountemps (Flint, MI)
- …duties as assigned. * Apply skills in Cerner Technologies, CMS Platform, Appeals , Billing Functions, Claim Administration, and Coding . Requirements * Minimum ... Flint, Michigan, United States, currently seeking a Medical Claims Analyst . In this role, you will be responsible for...role, you will be responsible for tasks such as coding patient data, auditing patient records, and liaising with… more
- Mount Sinai Health System (New York, NY)
- …with compliance standards and credible coding sources + Assist PFS with analyzing coding denials and writing appeals , as needed. + Review and distribute ... **Job Description** **Reimbursement Analyst Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The...a health care environment** + _3-5 years of multispecialty coding experience in AmSurg and/or clinic settings Preferred_ +… more
- University of Michigan (Ann Arbor, MI)
- HEALTH INFORMATION MANAGEMENT ANALYST II - COMPLIANCE AND AUDITING Apply Now **Job Summary** Utilize the EPIC Release Module to locate, analyze, and produce medical ... General Counsel + Perform medical record release tracking related to audits and appeals activity in the MiChart Audit and/or MiChart Release of Information modules… more
- Keystone Lab (Asheville, NC)
- …and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country, ... more cost-effectively than anyone else. Summary/Objective The Billing and Reimbursement Analyst is responsible for the maximization of reimbursements by contacting… more
- TEKsystems (Newport News, VA)
- …company in Newport News, VA, is hiring for a HYBRID Billing & Insurance Analyst with competitive pay and growth opportunity! Goes fully remote after training. Job ... Description: + The Billing & Insurance Analyst I is responsible for daily operations related to...or secondary insurance was billed + Prepare and submit appeals and or medical records to insurance companies +… more
- TEKsystems (Newport News, VA)
- As the Medical Billing and Insurance Analyst If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth ... or secondary insurance was billed + Prepare and submit appeals and or medical records to insurance companies +...for running detailed A/R reports + Work with the coding team to resolve coding related denials… more
- State of Colorado (Colorado Springs, CO)
- CDOC - Clinical Statistical Analyst III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4800466) Apply CDOC - Clinical Statistical Analyst ... Analysis; + Ensure accuracy of unit staff's collection and coding of data, data analysis, interpretation of results, and...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Beth Israel Lahey Health (Burlington, MA)
- …in people's lives.** This position is on-site. **Job Description:** The Utilization Analyst works with physicians, the payers and inpatient case management team to ... of medical care provided. **This role specifically works with insurance appeals and denials.** **Essential Duties & Responsibilities** **including but not limited… more
- BrightSpring Health Services (Valdosta, GA)
- …assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.* Provide any additional research for ... balancing and reporting.* Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.* Send cash transfer & check requests to the… more
- Sanford Health (Sioux Falls, SD)
- …**Salary Range:** $27.50 - $44.00 **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement related guidance and support to ... Medicare, Medicaid or other third party cost reports, related audits, appeals , disproportionate share hospital (DSH) programs, drug discount programs (340B) and… more
- Guthrie (Sayre, PA)
- …I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of ... necessary action to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to identify potential… more
- City and County of San Francisco (San Francisco, CA)
- …splitting gross revenue between Donor Network West and private insurance, and ensuring coding accuracy to avoid inappropriate billing + Acts as the Server Patching ... knowledge of CMS FQHC reporting requirements, knowledge of donor organ billing, coding , and coordination processes, and knowledge of SNF/LTC billing and follow-up… more
- Health Advocates Network (Folsom, CA)
- Health Advocates Network is hiring a **Denials Analyst ** **(2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized hospital located in ... and resolving claim denials, ADR requests, and certs, submitting and tracking appeals , noting trends, and providing monthly reports. Respond to audit requests… more
- City and County of San Francisco (San Francisco, CA)
- …reflects the appropriate level of service. + Utilizes both clinical and coding knowledge effectively. + Performs initial inpatient chart reviews. + Manages ... determine the working DRG, performs audits, and communicates daily with HIM coding staff. + Assists in the development of diagnosis-specific and DRG-specific… more