- R1 RCM (Salt Lake City, UT)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Supervisor ** , you ... well as reimbursement guidelines. **Here's what you will experience working as a Clinical Coding Appeals Supervisor :** + Track daily inventory of cases… more
- Intermountain Health (Columbus, OH)
- **Job Description:** The Manager, RN Revenue Integrity Audit, Recovery and Appeals organizes and manages the daily operations of the Audit and Recovery teams in the ... recoupment efforts. Additionally, the Manager will support coordinating efforts on clinical denials for medical necessity when needed and collaborate with external… more
- Ventura County (Ventura, CA)
- Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified ... Coding Supervisor - Health Information Management Salary...for the Health Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The… more
- Covenant Health Inc. (Knoxville, TN)
- …procedures relative to coding . + Educates and assists physicians and clarifies coding versus clinical issues. + Works closely with Registration and Business ... Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used. + Reviews… more
- South Central Regional Medical Center (Laurel, MS)
- … Staff Position: Coding Staff Department: Clinic Management Reports to: Department Supervisor Created: April 16, 2025 Job Summary We are seeking a skilled and ... reimbursement methodologies, and healthcare regulations. + Assist in resolving coding -related denials and appeals by providing additional documentation… more
- Covenant Health Inc. (Knoxville, TN)
- …by Forbes as a Best Employer. Position Summary: Responsible for supervision of clinical audit and appeals processes conducted by Revenue Integrity Department ... Overview Supervisor Revenue Integrity-Operations Full time, 80 Hours Per...reporting. Provides departmental and auditor education regarding payer policies, coding , and charging practices. Maintains organizational and professional ethical… more
- Houston Methodist (Houston, TX)
- …appropriate billing functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any ... medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Stays current on collection procedures of various payors and industry… more
- Peak Vista (Colorado Springs, CO)
- …and certifications that are essential to the position. + Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding ... clinical documentation and how it relates to medical coding , coding guidelines and payer rules. Essential...+ Provides expertise to Accounts Receivable Staff in addressing appeals for denials due to potential coding … more
- e CancerCare (Nashville, TN)
- …Work an average of 40 to 80 denials per day based on supervisor requirements and accounts assigned. Works closely with insurance carriers for reimbursement ... Recognizing their importance and relationship to patient care. Consults with appeals department for disputed medical necessity denied claims. Works and Understands… more
- TEKsystems (Philadelphia, PA)
- …Management, Medical Records, Credit Resolution, Billing, Abstraction, Clinical Teams, Coding etc.) to address denials. + Advise supervisor of contractual ... or underpaid claims and resolving the denial and filing appeals , as necessary. + Ensuring all information pertaining to...(2-5 years) + EPIC + Working Denials + Claims Appeals + Home Health Claims *huge plus* Pay and… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …denied claims + On rotating schedule, collect billing documents from various hospital and/or clinical locations + Print and mail Ceequence appeals saved on MPIP ... SharePoint + Other duties as assigned by Supervisor and/or Manager + Process Radiology accounts through the...stressful situations **Campus:** HSC - El Paso **Department:** Medical Coding SOM ELP **Required Attachments:** Resume / CV **Job… more
- TEKsystems (Philadelphia, PA)
- …Management, Medical Records, Credit Resolution, Billing, Abstraction, Clinical Teams, Coding etc.) to address denials. -Advise supervisor of contractual ... denied claims or underpaid claims and resolving the denial and filing appeals , as necessary. Ensuring all information pertaining to collection activity is fully… more
- Cardinal Health (Columbus, OH)
- …can get life-changing therapies to patients who need them-faster.** **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical ... standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The… more
- BrightSpring Health Services (Valdosta, GA)
- …assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.* Provide any additional research for ... educational sessions as requested.* Perform additional duties as requested by Supervisor or Management team. Measurement: DSO, accounts worked per month, AR>90… more
- Elderwood (Waverly, NY)
- …our Pay in Lieu of Benefits Program + Increased Tuition Reimbursement Program for Clinical Tracks + Shift Differentials + Full Benefits Package + 401k PLUS Employer ... for pre and post-pay record reviews, ADR requests and appeals processes. + Manages NYS RUGs III case mix...reference them. + Performs other duties as assigned by supervisor , management staff or Administrator. Qualifications RN - MDS… more