- University of Utah (Salt Lake City, UT)
- …**Requisition Number** PRN41434B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals & Coding Specialist III **Job Grade** E ... candidate will exemplify these attributes too. We are looking for an experienced **Medical Appeals & Coding Specialist ( MAC ) III** to join our team. As the… more
- McLaren Health Care (Port Huron, MI)
- …ACDIS memberships + Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist ... . Provides support to both internal and external customers for denial/ appeals activities and audits. Assists with monitoring and auditing activities, reviews… more
- CDPHP (Albany, NY)
- …values and invites you to be a part of that experience. The Clinical Appeals Specialist is responsible for adhering to a member/provider appeal and grievance ... Using knowledge of clinical nursing and medical practices, the Clinical Appeals Specialist will review medical necessity requests, render determinations… more
- UCLA Health (Los Angeles, CA)
- …commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you will: + Facilitate responses to regulatory audits related ... to billing, coding , and collection practices in compliance with federal and...systems + Review claim denials for clinical issues, prepare appeals , and manage each case's resolution process + Develop… more
- St. Luke's Health System (Twin Falls, ID)
- …great place to work. **What You Can Expect:** Under limited supervision, the Clinical Appeals Specialist 2, is responsible for managing client medical denials by ... as necessary. + Acts as a resource to the verifiers on documentation, coding & clinical account review. + Maintains knowledge of state and federal guidelines,… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for ... SSC and ancillary departments all payor updates regarding billing and coding updates/changes, completes timely and consistently reports project status SSC leadership… more
- Molina Healthcare (Columbus, OH)
- …Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Hartford HealthCare (Farmington, CT)
- …and/or coder training experience.** *Licensure, Certification, Registration* * Certified Coding specialist (CCS) and/or Certified Procedural Coder (CPC) ... common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding ...to obtain further information to be used in the coding and appeals process. * Creates written… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! RN Clinical Coding Specialist FINANCE (Billings Clinic ... (Exempt) Starting Wage DOE: $32.06 - $40.07 The Clinical Coding Specialist RN will play a clinical...skills to medical record, and extract supportive documentation for appeals . Report any issues to the department managers and… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Work from Home you can be a part ... to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your potential!… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized ... to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager/Revenue… more
- Tidelands Health (Myrtle Beach, SC)
- …Information Technician (RHIT(R)) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) + Certified Outpatient Coder (COC) ... policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting...industry standard clean claim rate. May assistant with writing appeals letters. Assist with training to include team members… more
- ProMedica Health System (Toledo, OH)
- …RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES This position reports to the Director, Professional Coding , Audit & Education has no direct reports. POSITION SUMMARY ... Conducts audits of physician/provider documentation and coding for office and surgical procedure encounters. Develops and delivers education to physicians,… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake ... + Report all payments on collection claims to the Collections Specialist (s) + Attend required hospital-wide orientations, meetings, and in-services + Demonstrate… more
- R1 RCM (Boise, ID)
- …LCD's/NCD's for medical necessity. + Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient ... external reporting, research, and regulatory compliance). Under the direction of the Coding Leadership Team, the successful candidate must be able to accurately code… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs. Required Skills ... and denials from insurance companies and re-files the claim. + Files appeals to carriers according to prescribed guidelines, documents all information related to… more
- Intermountain Health (Murray, UT)
- …National professional coding certification (eg, Certified Professional Coder (CPC), Certified Coding Specialist (CCS)). Must be obtained within one year of ... **Job Description:** The Coding Analyst I for SelectHealth provides general expertise...billing practices. This analyst reviews claims and monitors provider appeals including sending correspondence to providers. **Essential Functions** +… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Specialist , Centralized Coding Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... Business Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals , and verifies...related to claims, coding , pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used.… more
- Billings Clinic (Billings, MT)
- …Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or other recognized AAPC or AHIMA ... the full circle of proper revenue cycle practices regarding clinical documentation, coding , reimbursement, denials and appeals . Strives to maximize reimbursement… more