- University of Utah (Salt Lake City, UT)
- …06/19/2024 **Requisition Number** PRN38907B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job ... coding knowledge to abstract and record data from medical records and provides support to areas related to...CPC -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified … more
- Trinity Health (Farmington Hills, MI)
- …Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). CPMA will also ... appealing them based upon coding expertise and coding judgment within the Hospital and/or Medical ...and determining root causes of denials. Responsible for leveraging coding knowledge and standard procedures to track appeals… more
- Trinity Health (Farmington Hills, MI)
- …managed care contracts and coordination of benefits is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, ... Responsible for reviewing all post-billed denials (inclusive of clinical denials) for medical necessity and appealing them based upon clinical expertise and clinical… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Nurse Specialist LVN II...the direct supervision and management of the A&G Nurse Specialist , RN and/or Medical Director. This position… more
- Trinity Health (Farmington Hills, MI)
- …Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) for an assigned Patient Business ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials/ appeals experience ( Medical A/R) + Hospital/facility collections experience Description: Responsible for ... web sites available to increase efficiency of collections. * Responsible for timely medical records requests and submission of appeals * Maintain adequately… more
- Trinity Health (Farmington Hills, MI)
- …Maintains knowledge of state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues ... Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of an assigned Patient Business… more
- Northwell Health (Melville, NY)
- …as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient ... and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor, payor representative and… more
- University of Virginia (Charlottesville, VA)
- This position analyzes accounts receivable and takes appropriate action to resolve coding and global denials. + Posts denials/rejects into EPIC billing system. + ... time specified by the contract using their knowledge of coding and utilizing various tools of CPT and ICD-10...in insurance field preferred. Experience utilizing EPIC or other medical billing system required. Licensure: CPC required or two… 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 ... and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS**...Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and audit ... processing of all episodes of care. Reviews documentation for appeals processes across the Home Health enterprise for all...minimize lost revenue. Conducts analysis on timely submission of coding reviews and supports branches to prevent edit lock… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs. Required Skills ... all messages in a timely manner. + Maintains communication between medical providers, administrative staff, and/or patient/families. Business Services: + Performs… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... all professional services. Reviews provider documentation in order to determine appropriate coding and initiate corrected claims and appeals . Duties include… 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 ... committed, caring group of colleagues. Do you want to work as a(an) Denial Coding Review Specialist where your passion for creating positive patient interactions… more
- Seattle Children's (WA)
- …ensure coding and documentation compliance. Required Credentials: + Certified Coding Specialist (CCS) certification by the American Health Information ... creation of educational materials. + Experience in revenue cycle functions, including coding denial management and appeals process. + Experience in research… more
- Seattle Children's (Seattle, WA)
- …ensure coding and documentation compliance. Required Credentials: + Certified Coding Specialist -Physician Based (CCS-P) certification by the American Health ... including creation of educational materials.Experience in revenue cycle functions, including coding denial management and appeals process.Experience in research… more
- Robert Half Accountemps (Durham, NC)
- …its Fortune 500 healthcare clients that is remote. The Coding Specialist will: + Analyzes necessary documentation including medical records/charts and ... Description Robert Half is seeking out candidates in with outstanding customer service and coding skills for a Coding Specialist position with one of… more
- Beth Israel Lahey Health (Charlestown, MA)
- …or Certificate 1 Registered Health Info Tech required., or Certificate 2 Certified Coding Specialist required. 3. 3-5 years related work experience required. 4. ... abstracting and/or other account problems 6. Works on special projects 7. Writes appeals for coding audits **Required Qualifications:** 1. High School diploma or… more
- ProMedica Health System (Toledo, OH)
- …SUMMARY Provides training, audit, and billing education services to providers. Ensures medical service documentation and coding conforms to guidelines and ... regulations. Responsible for handling high level assignments such as auditing of coding , compliance and provides education to physicians and other qualified health… more
- UT Health (Houston, TX)
- …as assigned. **Certification/Skills:** 1. Certified Professional Coder (CPC) or Certified Coding Specialist Physician-based (CCS-P). 2. Effective analytical and ... Senior Compliance Coding Analyst - Emergency Medicine **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Legal McGovern Medical School… more