- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require… more
- Scottish Rite for Children (Dallas, TX)
- …We're committed to giving children back their childhood! Job Posting Title: Denials Specialist Location: Dallas - Hospital Additional Posting Details: Monday ... a hospital business environment in billing, insurance follow-up with at least 2 years experience in dispute resolution. + Intermediate understanding of Explanation… more
- University of Utah (Salt Lake City, UT)
- …collection. 20% 1. Maintain work queue expectations. 2 . Evaluate and resolve coding claim rejections and denials through application of coding concepts, ... Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals & Coding Specialist III **Job Grade** E **FLSA... and develops corrective action plans for resolution of denials working directly with the payers. 2 .… more
- Omaha Children's Hospital (Omaha, NE)
- … coding , and accuracy of billing. * Trends identified from documentation and denials . * Provide input timely responses to coding related questions from the ... disabilities. **A Brief Overview** Performs a variety of tasks related to coding professional services including abstraction and assigning valid CPT, ICD10, and… more
- Saint Francis Health System (OK)
- …**to login and apply.** Full Time Job Summary: The Pro Fee Coding Specialist performs diagnosis and/or procedural coding as ... review for charge corrections and rebilling as required for resolution of coding denials . Develops preventative measures in response to patterns identified… 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 ... and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in...Associates degree required. Bachelor's degree preferred. An additional two ( 2 ) years of experience will be considered in lieu… more
- Novant Health (NC)
- …the appropriate education based on reviewing trending reports to include medical necessity denials , coding charge review changes and CPT distribution compared to ... group settings as well as electronically. The physician documentation specialist (PDS) utilizes extensive knowledge of coding ...Qualifications + Education: High School Diploma or GED, required. 2 Year / associate's degree, preferred. 4 Year /… more
- Hartford HealthCare (Farmington, CT)
- …the claim. *_Position Responsibilities:_* 1. Analyze and resolve specific billing edits and denials that require coding and billing expertise with some clinical ... the application of modifiers, diagnosis codes as appropriate including charge corrections 2 . Identify charging, coding , or clinical documentation issues and work… more
- Tidelands Health (Myrtle Beach, SC)
- …Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) ... Emergency Department environments if appropriate. **QUALIFICATIONS** **Experience** : Minimum of 2 years of coding /abstracting experience in hospital inpatient … more
- ProMedica Health System (Toledo, OH)
- … or billing changes to ensure appropriate reimbursement. 7. Conducts reviews of coding denials or other payer requests; performs appropriate follow up including ... coding , and billing procedures to obtain appropriate reimbursement. 2 . Provide regularly scheduled education for providers and staff...in a health care system or medical office setting. 1- 2 years of experience in professional coding … more
- Community Health Systems (Franklin, TN)
- …as documented in health records. + Provides training, mentoring and direction to medical coding staff in the department. + Works with clinics to resolve denials ... or inadequate medical record information required to complete the coding assessment and adhere to documentation and billing requirements....a PC or similar, and should possess visual acuity. 2 . The Employee may be required to occasionally climb,… more
- Kaleida Health (Buffalo, NY)
- …audit/review findings, and identify opportunities and develop a training plan for the coding specialist . Participates in a variety of other departmental quality ... Info Tech (RHIT) and Reg Health Info Admin (RHIA)required upon hire. Certified Coding Specialist (CCS) through AHIMA is preferred. **Candidates must take and… more
- Rush University Medical Center (Chicago, IL)
- …* Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist - Physician Based (CCS-P) * Registered Health Information ... and focused educational programs on the results of auditing, review claim denials pertaining to coding , and implement corrective action plans. Exemplifies… more
- PeaceHealth (Vancouver, WA)
- …experience **Required Credentials** + Registered Health Information Administrator or Certified Coding Specialist or + Registered Health Information Technician ... and policies/procedures related to the use of 3M computer-assisted coding product. + May manage the denials /appeals...experience **Required Experience** + Minimum of 5 years Medical coding experience + Minimum of 2 years… more
- Rush University Medical Center (Chicago, IL)
- …forms and insurance correspondence when reviewing governmental and non-governmental clinical denials to determine if coding , billing, claim follow-up, payment ... each case. **Summary:** This position reviews initial clinical facility and physician denials , documents appeals for clinical inpatient denials , conducts appeals… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Part Time, 48 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... to be named a Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as a liaison between the physicians and hospital departments to promote… more
- CaroMont Health (Gastonia, NC)
- …work collaboratively with Health Information Management, Utilization Review and Clinical Documentation Specialist to mitigate coding denials . This position ... recoup revenue. This position also facilitates collaboration between the Utilization Review Specialist 's, Coding staff, HIM staff, CDI staff, Medical Staff,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, ... charges are entered/processed in accordance with policies and procedures. 2 . Extract CPT codes form operative reports and reconcile...the providers bill, to make sure the providers a coding optimally. 3. Collaborate with other coders and provide… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Integrity Charge Specialist ** If you are looking for a full time 100% Remote position, ... Works closely with Providers to educate on improved documentation to support coding . As a mission-driven innovative health organization, we will become the national… more
- Stony Brook University (East Setauket, NY)
- …following, but are not limited to:** + Prepare and submit hospital claims. Review denials . Investigate coding issue. Audits. + Follow-up on rejected or denied ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...claims, improper payments and coding issues. + Process appeals. + Liaise with third… more