- HCA Healthcare (Plano, TX)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? ... are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive… more
- Hartford HealthCare (Farmington, CT)
- …**Key Areas of Responsibility** * Denial Resolution* . Conduct a thorough review of medical records, coding and clinical documentation to ... to DRG (Diagnostic Related Group) downgrades. This role involves validating the coding and clinical accuracy, ensuring proper documentation and collaborating… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Authorization and Denial Supervisor - Hybrid - Must be local to Albany,NY** **Summary** This ... reporting and resolution of any issues stemming from or with authorization and denial processes. Using data, system reports, and analytics, supports the needs of the… more
- Hartford HealthCare (Farmington, CT)
- …system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate coding assignment for ICD-10, ... 3 years' work experience with CPT, HCPCS and ICD-10 coding conventions required. o Chart review of...**Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Accts Rec & Denial Spec 2 / Rev Cycle Prof Svcs Adm*… more
- Hartford HealthCare (Farmington, CT)
- … reasons, and determine the appropriateness of the initial coding and clinical documentation. . Conduct a thorough review of medical records, coding ... outline the rationale for overturning the denial , referencing official coding guidelines (ICD-10-CM/PCS), payer policies, and clinical standards. . Work… more
- University of Miami (Medley, FL)
- …-Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient ... Coding Review Specialist (H) under the general direction of the...Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality… more
- University of Southern California (Alhambra, CA)
- …both IP & OP healthcare services provided to covered patients. Manages the denial management process for coding -related denials, triage denied claims to ... distinguish coding -related denials versus clinical -related denials, evaluating claims deemed inappropriately paid by the...need for appeal. Performs all 1st and 2nd level coding -related denial appeals. All tasks & duties… more
- Fairview Health Services (St. Paul, MN)
- …Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the coding components of said claims. ... denials. + Compiles training material and educational sessions associated with coding denial -related topics and presents such educational materials.… more
- Trinity Health (Fort Lauderdale, FL)
- …regulations. a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing ... complex service lines, advanced proficiencies in surgical or specialty coding practice. Review chart, including nursing notes,...experience preferred + Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT,… more
- Carle Health (Champaign, IL)
- …providers, clinical staff and coders. + Serves a point of contact for clinical coding inquiries. + Demonstrate the attention to detail to minimize coding ... team, the Manager over Coding Education and Quality collaborates with coding managers and clinical documentation integrity manager to ensure excellence in… more
- Hartford HealthCare (Farmington, CT)
- …as needed. This position is responsible for assisting Revenue Cycle Services, Coding , Clinical Documentation Improvement (CDI), and other departments with ... of Responsibility* 1) This position is responsible for assisting Revenue Cycle Services, Coding , and other clinical departments with resolution of billing issues… more
- Saint Francis Health System (OK)
- …Monitors coding and billing performance and resolves denials related to coding errors. Performs review for charge corrections and rebilling as required ... and apply.** Full Time Job Summary: The Pro Fee Coding Specialist performs diagnosis and/or procedural coding ...in response to patterns identified through analysis of claims denial data; prepares periodic reports for clinical … more
- Catholic Health Initiatives (Omaha, NE)
- …capture, clinical documentation including Electronic Health Record (EHR) requirements, coding accuracy and denial management to clinicians and clinic staff. ... coding improvement, and revenue capture. Developes and presents Coding and ducmentation training to clinicians, clinical ...is needed. Essential Function + Acts as documentation and coding liaison to clinicians to include review ,… more
- Rush University Medical Center (Chicago, IL)
- …EMR charge capture support. 7. Serves as a liaison point of contact for clinical coding inquiries and communication for professional billing revenue cycle 8. ... Provide feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding , and implement corrective action… more
- Hartford HealthCare (Farmington, CT)
- …departments and processes corrections for clean claim submission or posts claim denial review for appeal. *Communication* 1. Seeks clarification from physicians ... * Coding * *Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine… more
- University of Virginia (Charlottesville, VA)
- …record systems, or based on paper documentation. + Monitors, analyzes, and resolves charge review , claim edit, and coding -related denial trends and shares ... based on findings/resolution of errors. + Manages assigned charge review and coding -related claim edit work queues...High School Diploma or GED Experience: Five years of coding / clinical experience with training in 1-3 specialties… more
- Texas Health Resources (Arlington, TX)
- …coding education, training, and best practices for areas vulnerable to compliance errors. Denial Support & Case Review - Conduct additional reviews to assist ... organizational policies. Evaluate the effectiveness of internal controls and compliance procedures. Coding & Documentation Review - Assist the audit team with… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …coding inventories. Coordinates with vendor quires and questions related to assigned multi-specialty coding inventories. + Review ETM coding denials for ... coding training programs, educational handouts/materials, FAQs, etc. for physicians/providers, coding staff and clinical department administrators. + Assist… 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
- Centene Corporation (Helena, MT)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Perform clinical / coding medical claim review to ensure compliance with ... coding practices through a comprehensive review and analysis of medical claims, medical records, claims...to flag potential cases which may warrant a prepayment review (versus an automatic system denial or… more