- University of Michigan (Ann Arbor, MI)
- …+ Certified Professional Coder (CPC), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) credentials is required + Minimum of 2 ... Revenue Cycle Coding Supervisor - Appeals & Denials Apply Now **Job Summary** The Denial Coding Supervisor provides subject matter expertise in physician… more
- Sedgwick Government Solutions (Dublin, OH)
- Job Details Claims Specialist Appeals (Remote) - 2025-1407 Strong Internal Dublin, OH, USA Client Services Full Time Description **Overview** The Claims ... Specialist - Appeals assesses and facilitates ongoing support for... Certification- CPC-Certified Professional Coder, CBCS- Certified Billing and Coding Specialist , CCS-Certified Coding … 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
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals , Insurance) - ... with PulsePoint sites used for collaboration, community, and connection. The **Referral Specialist II** is responsible for providing support to a clinical team in… 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
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals… 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
- Houston Methodist (Houston, TX)
- …& Denials Specialist is responsible for coordinating and monitoring the coding -specific clinical charges and denial management and appeals process in a ... and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS**...Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved… 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
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Coding Specialist position is responsible for applying correct coding conventions to patient charge encounters in a clinical ... in the electronic health record. In addition, the Sr Coding Specialist position is responsible for reviewing,...posting to the assigned work queues. + Investigates and appeals unpaid, denied and partially paid claims by third… 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
- 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
- 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
- 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
- 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
- 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
- St. Luke's University Health Network (Allentown, PA)
- …after review of supporting documentation, CCI/LCD, carrier policy and utilization of coding software applications. The appeals process may include collaboration ... to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who...with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an… more
- PeaceHealth (Vancouver, WA)
- …+ Registered Health Information Administrator, Registered Health Information Technician, Certified Coding Specialist , Certified Professional Coder or Certified ... as directed. + Reviews records for payor, RAC, regulatory denials/ appeals , and downgrades by providing in depth coding...denials/ appeals , and downgrades by providing in depth coding review, audit findings and appeal strategies to the… more
- Trinity Health (Livonia, MI)
- …Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. Three (3) years of current ... procedure codes and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes. Uses encoder software and coding … more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** Certified Coding Specialist - American Health Information ... patient encounter. * Writes explanations to support or rebut coding recommendations and appeals for denied or downcoded encounters. * Participates in accurate… more