- R1 RCM (Salt Lake City, UT)
- …Skills:** + High School Diploma or GED required CCS-P, CPC + Three (3) years of denials coding experience + Three (3) years of claims experience + Professional ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Denials ** **Coder III ** you will be responsible for reviewing… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as an Inpatient Coding Denials Specialist? At Parallon, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be...+ As needed, may periodically be asked to perform Coding Integrity Specialist III (CIS- III )… more
- University of Rochester (Rochester, NY)
- …accordance with universally recognized coding guidelines. - Reviews and resolves coding denials . Resolves problems with claims having errors related to ... Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 107… more
- University of Rochester (Rochester, NY)
- …accordance with universally recognized coding guidelines. + Reviews and resolves coding denials . Resolves problems with claims having errors related to ... Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of...years of experience as a medical coder required + Associate 's degree preferred + Or equivalent combination of education… more
- University of Rochester (Albany, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the professional fee ... routine action to resolve unpaid claims. The Claims Resolution Representative III reports to Accounts Receivable Management. **ESSENTIAL FUNCTIONS** With general… more
- University of Rochester (Rochester, NY)
- …rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution. **ESSENTIAL FUNCTIONS** + Uses knowledge of ... Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of...or equivalent and 1-year Medical Coder experience required + Associate 's degree preferred + Or equivalent combination of education… more
- MedKoder (Mandeville, LA)
- …full-time, remote position that offers a flexible schedule. Description: Physician Coder III is responsible for reviewing and accurately coding all professional ... Physician Coder III is expected to adhere to MedKoder's internal coding policies and expectations set forth by department management. Physician Coder III… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …third-party payer criteria for reimbursement and appeal of clinical denials . Provides feedback as appropriate, for performance improvement, utilization management, ... Connection (SC)/Special Authority (SA) relatedness for revenue cases. Manages clinical denials for revenue. Performs legal case relatedness review for revenue… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …use of the electronic health record and encoder software. Ensure audit findings and claim denials related to coding errors are resolved and/or daily coding ... section at the Fayetteville NC VA Coastal Health Care System. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …staff documentation of outpatient encounters through retrospective, ideally prior to coding and billing, review of outpatient encounters and extensive provider ... health record to include the impact of documentation on coding , workload, quality measures, reimbursement, and funding. Adheres to...efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and to… more
- Whidbey General Hospital (Coupeville, WA)
- …+ Prepares insurance appeals and follows up as required. + Processes technical denials . + Maintains the Itemized Statement Request Line. + Reviews First Choice ... on file. A PFS Representative II is eligible to move to a PFS Representative III after the completion of three (3) consecutive years as a PFS Representative I-II in… more