- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures...provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical… more
- McLaren Health Care (Mount Clemens, MI)
- …ACDIS memberships + Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist ... . Provides support to both internal and external customers for denial/ appeals activities and audits. Assists with monitoring and auditing activities, reviews… more
- Hartford HealthCare (Farmington, CT)
- …Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS),and/or Certified Clinical Documentation ... . Prepare, document, and submit appeals for DRG denials, ensuring appeals are well-supported with clinical evidence, coding guidelines, and regulatory… 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 ... and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS**...Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in… more
- Fairview Health Services (St. Paul, MN)
- …or Registered Health Info Tech (RHIT) or Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) **Preferred Qualifications** + BS/BA in HIM + 7+ ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts...medical records and coding guidelines to formulate coding arguments for appeals and/or 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 ... services. Reviews provider documentation in order to determine appropriate coding and initiate corrected claims and appeals ....appropriate coding and initiate corrected claims and appeals . Duties include hands on coding , documentation… more
- HCA Healthcare (Brentwood, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of an ... to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your potential!… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …+ Education + High school graduate is required. Completion of medical terminology and coding classes in ICD-9-CM. + Experience + Requires minimum of two years in ... ICD-9-CM coding experience. Previous healthcare billing and follow-up experience preferred....Calling insurances to follow up on payment status or appeals due to denials or incorrect payments. Calling patients… more
- Billings Clinic (Billings, MT)
- …Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or other recognized AAPC or AHIMA ... the full circle of proper revenue cycle practices regarding clinical documentation, coding , reimbursement, denials and appeals . Strives to maximize reimbursement… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Specialist , Centralized Coding Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... Business Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals , and verifies...related to claims, coding , pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used.… more
- Ventura County (Ventura, CA)
- …a Bachelor's Degree in Health Information Management, strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification ... and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders based on...skill with Excel + Must have a current Certified Coding Specialist (CCS) certification + Possession and… more
- Johns Hopkins University (Middle River, MD)
- …edits reports, file or pull EOB batches. + Identifies and escalates non-standard appeals to a higher-level specialist . + Informs the supervisor / Production ... for the basic collection of unpaid third-party claims and standard appeals , using various JHM applications and JHU/ PBS billing applications. Communicates… more
- Robert Half Accountemps (Stony Brook, NY)
- …a full cycle Revenue Specialist involved in all aspects of medical billing, coding , appeals , denials, and claims. Willing to train but prefer a certification ... Description We are looking for a dedicated Medical Billing Specialist to join our team! This position offers an...in medical billing/ coding and ideally 1-2 years' experience. Great organization with… more
- Marshfield Clinic (Marshfield, WI)
- …Auditing Specialist (Remote in Wisconsin) **Cost Center:** 101651059 Coding -Audit Appeals Educ **Scheduled Weekly Hours:** 40 **Employee Type:** ... residents only eligible to apply**_** **JOB SUMMARY** The Reimbursement Auditing Specialist assists personnel in various areas of Revenue Integrity/Revenue Cycle as… more
- Johns Hopkins University (Middle River, MD)
- …edits reports, file or pull EOB batches. + Identifies and escalates non-standard appeals to a higher-level specialist . + Informs the supervisor / Production ... for the basic collection of unpaid third-party claims and standard appeals , using various JHM applications and JHU/ PBS billing applications. Communicates… more
- Globus Medical, Inc. (Collegeville, PA)
- …Summary** **:** Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the ... initial processing of received documentation through prior authorization, appeals support, detailed claims review, and hotline support. The Patient Access … more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...the following: + Ensures accuracy and compliance with billing, coding , and follow-up requirements and identifies overpayments and lack… more
- Robert Half Accountemps (Santa Barbara, CA)
- Description We are looking for a meticulous Medical Billing Specialist to join our team in Santa Barbara, California. This long-term contract position offers an ... authorizations or pre-certifications for radiology procedures, maintaining accuracy in coding and documentation. * Follow up proactively with insurance providers… more