- University of Utah (Salt Lake City, UT)
- …Number** PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** ... processes and outbound communication with insurance companies. + Compose coding appeal letters and may collaborate with...or AAPC Certification required + Minimum 3 years of coding experience or medical billing + Ability… more
- Hartford HealthCare (Farmington, CT)
- …Responsibility** *Denial Resolution* . Conduct a thorough review of medical records, coding and clinical documentation to validate or appeal payer denials. . ... coding guidelines. *_Working Relationships:_* *This Job Reports To:* Medical Director *_Requirements and Specifications:_* **Education** . Minimum: Associate of… more
- Hartford HealthCare (Farmington, CT)
- …and clinical documentation. . Conduct a thorough review of medical records, coding , and clinical documentation to validate or appeal payer denials. . ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS),and/or Certified Clinical Documentation … more
- Fairview Health Services (St. Paul, MN)
- …Info Admin or Registered Health Info Tech or Certified Inpatient Coder (CIC)or Certified Coding Specialist **Preferred Qualifications** + BS/BA in HIM + 1 year ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts...for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate… more
- Fairview Health Services (St. Paul, MN)
- …appealing denials + 1 year expertise in reading and interpreting commercial payer medical policies + Certified Coding Specialist -Professional (CCS-P) or + ... **Job Overview** The Physician Coding Denials Specialist performs appropriate efforts...for services provided by the Physician. Reviews and analyzes medical records and coding guidelines to formulate… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and ... Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding... necessity issues as needed. + Develop and apply appeal arguments to defend the coding of… more
- University of Southern California (Alhambra, CA)
- …cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure ... by the payer/external auditors, and determining the need for appeal . Performs all 1st and 2nd level coding...years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …your professional journey. We invite you to apply today. SUMMARY OF JOB The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and ... system specific coding policies and procedures. The Coding Specialist will assist the assigned HRPAS...Medical Terminology. . A graduate of an accredited coding program with certification of completion or successful completion… more
- Highmark Health (Harrisburg, PA)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Tufts Medicine (Burlington, MA)
- …1. Associates degree in medical record technology. 2. Completion of Certified Medical Coding Program or two years of professional coding certification ... One of the following Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and assists in formulating Appeal letters MINIMUM QUALIFICATIONS: + Certified Coding Specialist (CCS) certification. + RHIA/RHIT preferred. + Minimum five ... programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the accuracy of… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeal Specialist II reviews, analyzes, and resolves insurance denials to ensure accurate reimbursement and regulatory compliance. This role ... feedback to facilities, and communicates payer updates to relevant stakeholders. The Appeal Specialist II collaborates with internal teams to ensure timely… more
- McLaren Health Care (Mount Pleasant, MI)
- …+ Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist certifications ... to write appeals demonstrating accuracy/proficiency in referencing support from the medical recorddocumentation and coding guidelineswith timely and successful… more
- St. Luke's University Health Network (Allentown, PA)
- …health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding...auditors in retrospective reviews for DRG and documentation or coding -related issues. + Develop and apply appeal … more
- Globus Medical, Inc. (Collegeville, PA)
- …of the HFX Access team and build cross-functional relationships. + Working knowledge of medical terminology + Knowledge of HCPCS Coding + Knowledge of ICD-10 ... At Globus Medical , we move with a sense of urgency...Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to… more
- Guthrie (Sayre, PA)
- …up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams ... Management department is seeking a detail-oriented and motivated Insurance Specialist I to join our team. In this full-time...school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree… more
- Datavant (Nashville, TN)
- …Care Guidelines and or Interqual + Select appropriate letter language to author appeal letter Identification of referrals to the medical director for review ... realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of… more
- Guthrie (Towanda, PA)
- …up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams ... school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree...submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to… more
- Guthrie (Sayre, PA)
- …High school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding … more
- Beth Israel Lahey Health (Newburyport, MA)
- …, to ensure timely and complete submission of required documentation to support the appeal process. . Ensures that all patient medical information is complete ... Director of Health Information Management, the Health Information Management Audit Specialist handles various audit requests for the release of confidential patient… more