- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor /Educator. Demonstrate the ability to formulate an appeal rationale...for single or low volume errors. Report high volume coding denial trends to the coordinator +… more
- Rush University Medical Center (Chicago, IL)
- …origin, disability, veteran status, and other legally protected characteristics. **Position** Coding Auditor and Educator **Location** US:IL:Chicago **Req ID** ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
- UNC Health Care (Chapel Hill, NC)
- …other applicable codes. Analyzes information for optimal and proper reimbursement, including coding denial resolution. Ensures compliance with all appropriate ... to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and...of the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test. **Licensure/Certification Requirements:** * Must have: -… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... for the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities:… more
- Mohawk Valley Health System (Utica, NY)
- … processes and responses, maintaining compliance with regulatory guidelines and coding conventions. This role emphasizes denial management, educational program ... CDI III Educator Auditor - Full Time - Days Department: CLINICAL...education within the CDI department, providing comprehensive oversight of denial processes and educational initiatives. This position combines clinical… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …and special focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance ... review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality control reviews, internal and… more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and interpret medical ... and underpaid claims. Every day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes. Then you will draft… more
- Covenant Health Inc. (Knoxville, TN)
- …denials management workflow including quality and reporting. Provides departmental and auditor education regarding payer policies, coding , and charging ... cycle and compliance audit projects as they relate to charging, coding , documentation, and billing. Provides consulting services to the organization's management… more
- Live Nation (Houston, TX)
- …and Guest relations + Foundation Membership processes + Manage and supervise lead auditor , cashiers, and purchasing managers + Responsible for cash room, safe, and ... lock boxes + Oversee accounts payable, including approvals, coding , input and review for accuracy and correctness. Match...grooming practices), family and medical care leave or the denial of family and medical care leave, mental or… more