- Fairview Health Services (St. Paul, MN)
- …Line/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials , and other key stakeholders to improve the quality of ... Administrator (RHIA) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist - Professional (CCS-P) or Certified… more
- Molina Healthcare (Akron, OH)
- …subrogation and eligibility criteria. Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . Customer service experience. Strong organizational and time management...care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina… more
- Fairview Health Services (St. Paul, MN)
- …with patients, payers, and vendors to address insurance issues, process denials , manage credits or refunds, and explain patient financial responsibilities. The ... experience Organizational skills, Communication skills, Attention to detail Certified Ambulance Coder (CAC); must obtain within 9 months of hire date Preferred… more
- Texas Health Resources (Arlington, TX)
- …a rewarding career with a top-notch health care company? We're looking for a qualified_ Coder II ( Denials ) _like you to join our Texas Health family._ Position ... physiology, or similar REQUIRED Licenses and Certifications CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist -… more
- Catholic Health Initiatives (Omaha, NE)
- …to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The incumbent ... to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies to bring timely resolution to issues that… more
- CommonSpirit Health (Centennial, CO)
- …codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with ... multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance responsibilities.… more
- University of Southern California (Alhambra, CA)
- …& state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ... 'claims denials ' and 'claims rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS,...Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC… more
- Hartford HealthCare (Farmington, CT)
- …The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials . This ... *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial reasons, and determine the appropriateness… more
- Children's Mercy Kansas City (Kansas City, MO)
- …the lives of children beyond the walls of our hospital. Overview The Denials Prevention Analyst is directly responsible for reviewing current denial data to ... of root cause resolutions under the supervision of the Denials Prevention leadership within CMH. This position also adheres...of the organization. #LI-DNI Must have a Certified Professional Coder (CPC) or Certified Outpatient Coder (COC)… more
- Texas Health Resources (Arlington, TX)
- Inpatient Coding Denials Analyst _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ Inpatient Coding Analyst _like ... in an acute care setting REQUIRED 2 Years Performing billing and coding denials resolution preferred Licenses and Certifications CCS - Certified Coding Specialist 12… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends...Appeals. + Partners with peers and Director to develop coder education based on findings. + Performs other duties… more
- University of Washington (Seattle, WA)
- …Health Information** has an outstanding opportunity for a **Coding Specialist 1 - Edits Coder ** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays + 100% Remote ... **POSITION HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within...medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes… more
- HCA Healthcare (Brentwood, TN)
- …opportunity below: Cardiology Profee CoderParallon **Parallon is looking for a Profee Coder with a specialization in Cardiology.** **Fully work from home position!** ... may vary by location._** We are seeking a Profee Coder for our team to ensure that we continue...and other coders. You will also work with the denials team to resolve coding-related denials . You… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- Summary MRTs ( Coder ) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding ... but are not limited to, the following: Supervisory MRTs ( Coder ) are responsible for supervising coding staff at the...or uncoded episodes of care for inpatients Ensures claim denials related to coding errors are resolved, and/or daily… more
- Emory Healthcare/Emory University (Decatur, GA)
- …for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. + FRONT END CODER : This position is accountable for the performance of charge capture, TES edit ... be responsible for other duties as assigned. + CODING DENIALS SPECIALIST: The primary focus of this position will...be to review and resolve all daily coding related denials based on coding/billing guidelines. + The job role… more
- SSM Health (MO)
- …E/M and Interventional Radiology or Vascular Surgery coding Come join us as a remote Coder II Professional at SSM Health! You will play a crucial role in accurately ... evaluation and management services. Responsible for resolving coding related denials . **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Manages… more
- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- …and supported. Such efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and to optimize the medical center's ... recruit qualified citizens in accordance with VA Policy. English Language Proficiency. MRTs ( Coder ) must be proficient in spoken and written English as required by… more
- UPMC (Pittsburgh, PA)
- Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 ... diagnoses as reviewed by the designated trainer and/or the DRG Specialist. Coder should meet appropriate coding productivity standards within the time frame… more
- SSM Health (Madison, WI)
- …Bay **Worker Type:** Regular **Job Highlights:** This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen ... Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder ), have knowledge of ICD10 and CPT. Experience with...fail charge review edits, claim edits, and follow up denials . Works to improve billing based on findings/resolution of… more
