- Rush University Medical Center (Chicago, IL)
- …national origin, disability, veteran status, and other legally protected characteristics.** **Position** Denial Appeal Coding Specialist **Location** ... follows up on appeals throughout entire process to ensure appeal has resulted in an overturned denial ...materials on the results of claim denials pertaining to coding and documentation errors for denial prevention.… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Denial Coding Review Specialist you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Denial Coding Review Specialist where...Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate + Compose technical denial … more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, 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 ... and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal ....for single or low volume errors. Report high volume coding denial trends to the coordinator +… more
- Glens Falls Hospital (Glens Falls, NY)
- *The Impact You Can Make* The Denial Management Specialist is responsible for tracking, trending and appealing denials associated with the Oncology Service Line ... collaboration with ordering providers to obtain additional clinical information to support appeal as necessary. Obtains retro-authorizations when denial is for… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied accounts ... reviewed for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement. The role also...needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior… 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 ... - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding … more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, 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 ... and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal ....for single or low volume errors. Report high volume coding denial trends to the coordinator +… more
- LifePoint Health (Brentwood, TN)
- …This role will serve as a navigator for the process flow and denial appeals of complex clinical coding cases. *Responsibilities:* * Responsible for ... *DRG Downgrade Specialist * *Who we are:* At Lifepoint Health, we...a thorough review of the medical record and drafting appeal letters, preparing for peer-to-peer and/or ALJ hearings and… more
- LifePoint Health (Brentwood, TN)
- …multi-specialty hospital or equivalent health related organization * * *Certifications:*Certified Coding Specialist (CCS) or American Academy of Professional ... *Director, Coding & Project Management - Remote* *Who we...appeal process with knowledge how to speak to denial and/or appeals. . Provide documentation feedback to providers… more
- Trinity Health (Farmington Hills, MI)
- …to key stakeholders across the various impacted departments + Coordinates rejection, denial and appeal activities with Ministry Organization (MO) based ... The position will report directly to the Supervisor Clinical / Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates… more
- HSS (New York, NY)
- …you too can be part of our transformation across the enterprise. Denials Specialist Denials Management Full Time Overview: The Denials Specialist will have ... and technical denials received on Hospital services. The Denials Specialist will report to the Supervisor, Denials Management. RESPONSIBITIES:...not limited to: + Reviews claims in which a denial has been received from the payer + Identifies… more
- Guthrie (Towanda, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 years… more
- Tufts Medicine (Tyngsboro, MA)
- …the 3rd Party AR Specialist , including verification, billing, analysis, follow-up, denial and appeal processing, and account closure for assigned third party ... documentation and payer requirements along with annual updates to CPT/ICD-10 coding guidelines. + Regular interaction with other departments of the hospital… more
- Community Clinic Inc. (Silver Spring, MD)
- …health centers and support center personnel to effectively challenge denials and reverse the denial decision. + Files appeal of denials in a timely and ... for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support...+ Must be familiar with hospital and or physician coding . + Strong customer service skills - bi-lingual (English/Spanish)… more
- SSM Health (MO)
- …diagnostic related group ambulatory payment classification (DRG/APC) denial and appeal management process. Preforms the necessary coding and documentation ... for coding , contracting, and clinical documentation teams. + Maintains denial / appeal process in collaboration with other revenue cycle stakeholders. +… more
- HCA Healthcare (Nashville, TN)
- …coding related payer denial letters, reviews the encounter's code and if coding is accurate, assist in writing an appeal letter** **Whatyou will need:** + ... to apply! **Job Summary and Qualifications** **We are seeking an Inpatient Coding Resolution Specialist for our center to ensure that we continue to provide all… more
- HCA Healthcare (Nashville, TN)
- …coding related payer denial letters, reviews the encounter's code and if coding is accurate, assist in writing an appeal letter** **Whatyou will need:** + ... potential!** **Job Summary and Qualifications** **We are seeking an Inpatient Coding Resolution Specialist for our center to ensure that we continue to provide… more