- Community Health Systems (Franklin, TN)
- **Job Summary** The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely ... trends that can improve claim outcomes. As a Denial Appeals Coordinator at Community Health Systems (CHS)...to ensure all follow-up dates are current. + Analyzes denials to determine appropriate actions, completes appeals ,… more
- Community Health Systems (Franklin, TN)
- …denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education ... of work products by the Coordinator and/or Director, Coding Denials and Appeals . + Partners with peers and Director to develop coder education based… more
- Community Health Systems (Franklin, TN)
- …in Artiva, HMS, Hyland, BARRT, and other host systems, ensuring timely follow-up on denials and appeals . + Conducts follow-up calls and payer portal research to ... **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving...reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal… more
- Highmark Health (Nashville, TN)
- …workflow within the department. + Prioritize requests for drug authorizations or denials . + Review of prior authorization criteria for drug products. + Recommend ... for guidance and assistance as necessary. + Document all authorizations and denials completely, accurately, and in accordance with timelines as defined by state… more
- Cardinal Health (Nashville, TN)
- …identifies trend that inhibit timely payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with ... recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. + Works / Understands electronic… more
- Intermountain Health (Nashville, TN)
- …levels, providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides ... **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff,...coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all… more