• Physician Coding Denials Specialist…

    Fairview Health Services (St. Paul, MN)
    …with the development of denial reports and other statistical reports. + Reviews insurance coding -related denials , including but not limited to: Diagnosis ... **Overview** The Physician Coding Denials Specialist performs appropriate efforts...assignment of all documented diagnoses and procedures. + Contacts insurance carriers as appropriate to resolve claim issues +… more
    Fairview Health Services (01/22/25)
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  • Outpatient Coding Denials Specialist…

    Fairview Health Services (St. Paul, MN)
    …with the development of denial reports and other statistical reports. + Reviews insurance coding -related denials , including but not limited to: Diagnosis ... **Overview** The Outpatient Coding Denials Specialist performs appropriate efforts...assignment of all documented diagnoses and procedures. + Contacts insurance carriers as appropriate to resolve claim issues +… more
    Fairview Health Services (01/15/25)
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  • Clinical Denials Coding Review…

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist? At Work from Home, you come first. HCA Healthcare ... a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to...two years related experience preferred, such as accounts receivable follow -up, insurance follow -up and appeals,… more
    HCA Healthcare (01/18/25)
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  • Medical Billing & Denials Representative

    TEKsystems (Newport News, VA)
    …Resume support and pre-interview questions A day in the role + Investigate insurance denials and make necessary corrections to bring claim resolution. + ... Work with the coding team to resolve coding related denials + Respond to correspondences...EMR/EHR Systems | Claims Processing | CPT/ICD-10 Codes | Rejections/ Denials | Insurance Payer Knowledge | EOB… more
    TEKsystems (01/15/25)
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  • Denials Manager

    WMCHealth (Hawthorne, NY)
    …Responsible for filing appeals where necessary and follow up with the insurance carriers. Monitor and report on Denials . Coordinates with Billing Vendor, ... code in the appropriate field, NDC updates, and correct insurance . + Oversee and Monitor workflow and measure the...and monitor for improvement. + Attend meetings with billing vendor/Cerner/APS/ Coding to discuss all issues related to denials more
    WMCHealth (01/17/25)
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  • Remote Medical Denials Manager

    Community Health Systems (Fort Smith, AR)
    …Experience:** + 5+ years of supervisory experience in a medical revenue cycle, including coding and denials . **Preferred License:** + Coding or Denial ... team members enjoy a robust benefits package including health insurance , flexible scheduling, 401k and student loan repayment programs....Denial Liaison to discuss at minimum top 5 trending denials and develop and ensure each Facility has an… more
    Community Health Systems (01/19/25)
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  • Certified Coding Specialist-Des Moines /FT,…

    Omaha Children's Hospital (Des Moines, IA)
    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
    Omaha Children's Hospital (12/31/24)
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  • Claims and Denial Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …dealing with third party insurance companies relative to claim processing and coding denials follow up. Epic Resolute experience helpful Please complete ... ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical...and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal.… more
    St. Luke's University Health Network (01/15/25)
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  • Claims Coding Specialist

    Whitney Young Health Center (Albany, NY)
    Claims Coding Specialist (Req 100825) Albany, NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES: ... following up on more complex or problem claims or insurance types as designated by the Director. Reviews payer... types as designated by the Director. Reviews payer coding policies and procedures to ensure that the department… more
    Whitney Young Health Center (11/09/24)
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  • Coding Specialist

    Cuyuna Regional Medical Center (Crosby, MN)
    Inpatient Experienced Facility Coder Full-Time POSITION SUMMARY + The Coding Specialist position utilizes the acquired skill of assigning codes to medical diagnoses ... in the medical record, transforming it into categorized meaningful data. The coding specialist reviews patient information at all levels of care and assigns… more
    Cuyuna Regional Medical Center (01/19/25)
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  • Coding Auditor Educator - Hospital…

    PeaceHealth (Vancouver, WA)
    …training and standards as directed. + Reviews records for payor, RAC, regulatory denials /appeals, and downgrades by providing in depth coding review, audit ... **Description** **PeaceHealth is seeking a full time Coding Auditor Educator - Hospital Coding ....metrics. Participates in development of action plans to include follow up education on identified issues with subsequent audit… more
    PeaceHealth (01/15/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …necessary follow -up to help ensure that clinical documentation and coding services meet government and organizational policies and procedures. + Performs ... Assistance Program (EAP) for you and your family Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness,… more
    Catholic Health Initiatives (12/23/24)
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  • Coding Specialist, Senior

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …when necessary to ensure patient care + Complete all assigned charge entry, coding , billing, & follow up in timely manner. + HOLD Bucket/worklist-assist ... The Senior Coding Specialist is responsible for performing coding...refunds, eligibility, reconsiderations, referrals, authorizations, payer websites, filing limitations, denials , and attachment requirements to work all claims to… more
    Chesapeake Regional Healthcare (12/13/24)
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  • Insurance Follow Up Rep

    Catholic Health Initiatives (Omaha, NE)
    …and government health insurance payers to address and resolve outstanding insurance balances and non- coding denials in accordance with established ... 100 convenient locations; with some clinics offering extended hours. **Responsibilities** The Insurance Follow Up Rep is responsible for corresponding with both… more
    Catholic Health Initiatives (01/08/25)
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  • Medical Insurance Billing & Reimbursement…

    Keystone Lab (Asheville, NC)
    …contacting insurance carriers and/or 3rd parties daily to collect outstanding insurance balances due, resolve disputes, denials , and general non- payment ... and experience working with a clearinghouse. + Experience with medical terminology, insurance reimbursement, ICD-10, and CPT coding preferred. + Significant… more
    Keystone Lab (11/23/24)
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  • AR Insurance Follow -up Collector

    Insight Global (Nashville, TN)
    …. Skills and Requirements Minimum 2 years experience in Insurance follow -up Understanding of managed care contracts and ... Job Description erification of insurance benefits if missed by front office Able...inhibit timely payment Work average of 50 to 100 denials per day based on supervisor requirements and accounts… more
    Insight Global (01/02/25)
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  • Insurance Follow Up Rep

    Catholic Health Initiatives (Chattanooga, TN)
    …**Minimum Qualifications:** *High School Diploma or GED equivalent *Knowledge of insurance follow up process, clinic operations, general office principles, ... Assistance Program (EAP) for you and your family Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness,… more
    Catholic Health Initiatives (12/31/24)
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  • CDI Specialist II

    Covenant Health Inc. (Knoxville, TN)
    …to assign initial DRGs and GLMOS for physician and case management to follow . + Collaborates extensively with individual physicians and other medical and clinical ... and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any...Monitors activities and findings with regards to audits and denials and subsequently adjusts to potential trends when reported.… more
    Covenant Health Inc. (12/27/24)
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  • Account Representative - (Museum District)

    Houston Methodist (Houston, TX)
    …claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow -up team for any medical necessity or coding related ... This position performs collections activities on simple and complex denials and on outstanding insurance balances in... as they appear. Documents clear, concise and complete follow -up notes in system for each account worked. Assures… more
    Houston Methodist (01/21/25)
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  • Revenue Cycle Specialist-Revenue Integrity…

    Weill Cornell Medical College (New York, NY)
    …(WCM). Apply your knowledge as a Certified Professional Coder to investigate and resolve coding related insurance payment denials . The CBO partners with WCM ... thereby driving efficiencies, to include clinical documentation improvement and coding denials prevention. **Job Responsibilities** + Performs retrospective… more
    Weill Cornell Medical College (12/19/24)
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