- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Denial Coding Review Specialist you want with your current employer? We have ... a committed, caring group of colleagues. Do you want to work as a(an) Denial Coding Review Specialist where your passion for creating positive patient… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied accounts ... unresolved denial issues and escalates to a denial analyst for further review as well...needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior… more
- Cleveland Clinic (Cleveland, OH)
- …quality improvements and revenue enhancements. + Participates in the development of clinical denial policies and review of existing policies. + Educates groups ... of the most respected healthcare organizations in the world. As a Clinical Denial Education and Quality Coordinator, you will: + Provide one-on-one clinical … more
- Houston Methodist (Houston, TX)
- …& Denials Specialist is responsible for coordinating and monitoring the coding -specific clinical charges and denial management and appeals process in a ... - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding … more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... initiate corrected claims and appeals. Duties include hands on coding , documentation review and other coding...experience in billing, coding , denial management environment related field. Skills,… more
- University of Utah (Salt Lake City, UT)
- …resolution. 5. Quality Review of team for appropriate coding and documentation ( review coding denial letters, review for content, and accuracy.) ... Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA...and provides support to areas related to documentation and coding . This position analyzes codes, charges and denial… more
- University of Washington (Seattle, WA)
- …Practice Plane Services (FPPS) has an outstanding opportunity for an **Insurance Follow-Up Coding Denials Specialist .** **WORK SCHEDULE** + 40 hours per week + ... Shift + This position is Remote **POSITION HIGHLIGHTS** The Insurance Follow-Up Coding Denials Specialist (Patient Account Representative 2) is responsible for… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- SUMMARY: We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for ... and Coder, your daily duties will include entering and coding patient services and charges into our EMR system...all procedures. Follow Up on accepted or denied claims. Review denied claims for denial reasons and… more
- Sutter Health (San Francisco, CA)
- … Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) **SKILLS ... dot phrases, documentation drop-down menus, and CDS query templates based on coding changes, regulatory modifications and quality review findings. + Support… more
- 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 ... submission and timely review and resolution of coding related claim...for single or low volume errors. Report high volume coding denial trends to the coordinator +… more
- UT Health (Houston, TX)
- …as assigned. **Certification/Skills:** 1. Certified Professional Coder (CPC) or Certified Coding Specialist Physician-based (CCS-P). 2. Effective analytical and ... Remote Senior Compliance Coding Analyst - Emergency Medicine **Location:** Texas Medical...Attends meetings. Manages EPIC PB Edits and Requests for denial appeals. Reports review results to the… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review . Serve as a resource to Payment Resolution ... The position will report directly to the Supervisor Clinical / Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates… more
- Weill Cornell Medical College (New York, NY)
- …field **Experience** + Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). + Should be certified from AHIMA or from ... and Certifications** + Certified Professional Coder Certificate (CPC) or Certified Coding Specialist (CCS) **Working Conditions/Physical Demands** Remote based… more
- Universal Health Services (Wayne, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites… more
- Dignity Health (Sacramento, CA)
- …on form *Ensure HEDIS Quality inquiries are being completed by assigned physician * Denial letters: Review encounter for errors and correct them. *Ensures that ... sources. Has knowledge in the current ICD and CPT coding in a clinic setting. The incumbent is responsible...List to capture all encounters *Cerner PCA Charge Viewer: Review each Encounter to make sure there is a… more
- Beth Israel Lahey Health (Burlington, MA)
- …and billing. The Billing Specialist will be responsible for charge and claim review to ensure correct information is on file for charge to post and bill ... **Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …their life. Under the supervision of Revenue Cycles Manager, the Accounts Receivable Specialist is responsible for filing insurance claims, denial management and ... adjudication according to LBJI contracts. Essential Functions: + Review accounts receivable reports daily. + Manage patient account(s) to ensure accurate and timely… more
- Palmer College of Chiropractic (Davenport, IA)
- …primarily follows the claim process from origin to completion ensuring proper coding procedures. He/She will be responsible for accounts receivable goals, by ... and/or training required. Preferred experience specific to Chiropractic billing and coding . Experience in healthcare billing field to include, knowledge and… more
- Guthrie (Towanda, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 years… more
- MD Anderson Cancer Center (Houston, TX)
- …employees and the public. **Summary** The primary purpose of the PBS Specialist position is to follow-up on claims within regulatory guidelines. The PBS ... Specialist must ensure that all claims have a follow-up...patient account inquires received from customer service 6. Identifies denial trends and notifies Supervisor and/or Manager to prevent… more