- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the ... DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information… more
- University of Southern California (Alhambra, CA)
- …federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve ... this position will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated issues. Essential Duties:… more
- SERV Behavioral Health System (Hamilton, NJ)
- …a wide range of services. JOB SUMMARY: Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing and submitting ... claims and handling escalated billing and collection issues. The Senior Accounts receivable specialist serves as a subject matter expert in complex accounts… more
- Guidehouse (Washington, DC)
- **Job Family** **:** Management Consulting **Travel Required** **:** None **Clearance Required** **:** Active Top Secret SCI (TS/SCI) **What You Will Do** **:** + ... to potential exception requests, including but not limited to license denials , interpretive guidance, or return without action letters. + Research, analyze,… more
- University of Utah (Salt Lake City, UT)
- …PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** S3 - Skilled **FLSA ... May include contact with patients, families, doctors, or insurance companies. Senior -level support role. Completes assignments with little supervision. May assist… more
- Masonicare (Wallingford, CT)
- …40hrs/wk **THIS POSITION IS ON-SITE** Under general supervision from Patient Accounts Management , The Billing Specialist performs a variety of complex operations ... Billing Specialist Job Location: Wallingford Center, Connecticut Billing ...- and generate- claims for re-processing. - - Reviews denials and zero pay claims from payor remittance advices,… more
- WMCHealth (Valhalla, NY)
- Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/31159) Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to… more
- Henry Ford Health System (Troy, MI)
- … senior Revenue Integrity leaders, the Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple clinical ... involving all appropriate personnel. Prepares reports and recommendations for management and coordinates implementation. The Revenue Integrity Specialist … more
- Louisiana Department of State Civil Service (Jackson, LA)
- …experience in any field. Designation as a Society for Human Resource Management Certified Professional (SHRM-CP) or Senior Certified Professional (SHRM-SCP), ... Human Resources Specialist (ADA) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5172212) Apply Human Resources...Professional in Human Resources (PHR), or a Senior Professional in Human Resources (SPHR) will substitute for… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, ... on staff and providing thorough education and feedback, projects assigned by management , and special requests to review coding for external departments such as… more
- Ventura County (Ventura, CA)
- …need and certification of skill. DEPARTMENT/AGENCY: Health Care Agency - Administration Senior Program Administrator is a Management classification and is not ... Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding Supervisor… more
- St. Luke's Health System (Boise, ID)
- …treatment plan and service authorizations referring the more complex cases to the Senior Specialist . + Possess a working knowledge of oncology treatments, ... You Can Expect:** Under general supervision, the Specialty Financial Clearance Specialist will be responsible for securing prior authorizations for less complex… more
- Mount Sinai Health System (New York, NY)
- …experience are highly desirable. + Excellent interpersonal skills and experience working with senior management and other leaders, along with the ability to ... clinical care and medical billing and reimbursement. This position will report to the Senior Director. This role will serve as a crucial link in the revenue cycle,… more
- Texas Health Resources (Arlington, TX)
- …& Presentation - Prepare detailed audit reports and present findings to senior leadership, Texas Health management , and relevant committees, ensuring ... auditees, providers, and leadership to guide rebuttals, and establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager… more
- Catholic Health Initiatives (Lufkin, TX)
- …**_License / Certification:_** Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) ... with limited oversight and may require direction from supervisor or more senior co-workers on complex cases. Accurately abstracts information from the service… more
- BayCare Health System (Tampa, FL)
- …trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior /RN responsibilities include:** + Functions as the ... assigned by the supervisor including but not limited to processing concurrent denials . + Preferred experience includes Critical Care or Emergency Nursing RN.… more
- Ascension Health (Wauwatosa, WI)
- …is 24 hours in-house at St. Joseph Hospital with full support staff and specialist backup. + **Practice Detail:** Join a Premier OB/GYN Practice with 7 experienced ... by our outstanding achievements in FY 2025: Utilized care management to break down barriers to obtain: + -50%...appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. + Participates in inpatient… more