- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Sign-On Bonus Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your ... a committed, caring group of colleagues. Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating positive patient… more
- Tufts Medicine (Burlington, MA)
- …Description** **Minimum Qualifications:** 1. High school diploma or equivalent. 2. Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), ... Qualifications:** 1. Associates degree. 2. Five (5) years of Inpatient ICD-10-CM and PCS coding experience within...leadership to identify discrepancies. 5. Reviews audit lists regarding coding /billing changes, as well as denial reports.… more
- Crouse Hospital (Syracuse, NY)
- The DRG Denial Specialist works under the Inpatient Coding Manager and oversees compliance with coding standards and regulations. Advises and assists ... in improvement plans for coding and DRG assignment issues. Validates assignment of codes...assignment of codes and provides trending and analysis of coding and DRG issues. Works using the mission, vision,… more
- Trinity Health (Livonia, MI)
- …with the 72-hour rule and other account combine scenarios. Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. ... as required by credentialing associations. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as… more
- Trinity Health (Livonia, MI)
- …the 72-hour rule and other account combine scenarios. 6. Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. ... as required by credentialing associations. 11. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as… more
- Columbus Regional Hospital (Columbus, IN)
- …required. Certifications, Licenses, Registrations + One of the following is required: + Certified Coding Specialist (CCS) + Certified Coding Specialist - ... about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses… more
- University of Miami (Hialeah, FL)
- …Information Management is highly preferred. Certification and Licensing: + Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), ... compatible with orders. + Communicates professionally identified discrepancies, documentation issues, denial management issues and coding concerns in the medical… more
- Mount Sinai Health System (New York, NY)
- …MSH FPA - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for complex or more specialized inpatient and outpatient ... **Job Description** The Procedural Billing Specialist III is a senior level individual, responsible...for specialized or complex pre and post-surgical procedures, including coding , Accounts Receivable, Charge Entry, Edits and Payment Posting.… more
- UPMC (Pittsburgh, PA)
- …(other duties as assigned) **Purpose:** To perform authorization activities of inpatient , outpatient and emergency department patients, denial management and ... UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Three Rivers Orthopedics located at 200 Delafield Rd, Suite 1040,… more
- UPMC (Pittsburgh, PA)
- The hire for this position will perform authorization activities of inpatient , outpatient and emergency department patients, denial management and all revenue ... to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities… more
- Granville Health System (Oxford, NC)
- …any insurance denial or DRG downgrade based on documentation and coding issues. #Responsible to detect, observe, and report compliance variances to the Director ... Summary:#The CDI Specialist is responsible for improving the overall quality...intensity of service to ensure medical necessity.# #Collaborates with Coding Team to ensure proper documentation.# #Registers and attends… more
- UPMC (Pittsburgh, PA)
- **UPP Neurosurgery is hiring a full-time Authorization Specialist . This is a Monday-Friday, daylight position with no nights, weekends, or holidays!** The UPMC ... to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and… more
- Fairview Health Services (St. Paul, MN)
- …supervisory and/or management experience. + At least 3 years of inpatient coding or clinical documentation integrity (CDI) experience. ... License/Certification/Registration + One of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding … more
- University of Florida (Gainesville, FL)
- …Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required. Preferred Qualifications: + Knowledge of ... Clinical Coder III Job Description: -Performs highly specialized diagnosis and procedural coding for all operative procedures and inpatient consulting services… more
- University of Washington (Seattle, WA)
- …the patient accounting functions for UWMC and HMC, including billing for inpatient and outpatient services provided at the Medical Centers. **PRIMARY JOB ... appeals process + Conduct medical necessity reviews, based on denial root cause, and prepares any required clinical documentation...initiatives + Assess the quality of charge capture and coding as they relate to clinical denials; assist revenue… more
- Trinity Health (Livonia, MI)
- …ones to appropriate owners eg, Revenue Integrity, Billing, etc. Adheres to Inpatient coding quality and productivity standards established by Revenue ... Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. Three (3) years of current… more