• Denial Coordinator - Hybrid

    Community Health Systems (Antioch, TN)
    **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... departments, and revenue cycle teams to identify and address denial trends. This role plays a critical part in...compliance with payer guidelines. **Essential Functions** + Monitors assigned denial pools and work queues in Artiva, HMS, Hyland,… more
    Community Health Systems (11/11/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …with access to the 3M encoder. + Captures detailed data on reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in… more
    Community Health Systems (09/09/25)
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  • Program Manager II- Director of Training, Court…

    State of Colorado (CO)
    …from residents and non-residents of Colorado. Primary Physical Work Address This is a Hybrid position with two days in office at: 1600 W 24th Street, Pueblo, CO ... in the Colorado Statute, 16-8.5. Description of Job The current schedule will be a hybrid work arrangement (remote work and report on-site 2 days per week) but may… more
    State of Colorado (10/15/25)
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  • Insurance Receivables Specialist I

    University of Utah Health (Salt Lake City, UT)
    …and overall patient outcomes. **Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims. + Performs contract compliance on ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More… more
    University of Utah Health (11/12/25)
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  • Home Modification Specialist

    AmeriHealth Caritas (Philadelphia, PA)
    …platform systems in a real time manner (as events occur). + Provides verbal denial notification to the requesting Service Coordinator and Participant as per ... **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and… more
    AmeriHealth Caritas (10/29/25)
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  • Code Edit Disputes Medical Coder

    Humana (Charleston, WV)
    …is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced ... apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and… more
    Humana (11/14/25)
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  • Clinical Documentation Integrity Manager- Remote

    Garnet Health (Middletown, NY)
    …will evaluate denials and work closely with the outcomes manager and coding denial coordinator to oversee and write compelling, factual arguments when warranted ... May be subject to irregular hours including evenings or potentially weekends to participate in operational and community events as necessary. Workplace type Hybrid more
    Garnet Health (10/23/25)
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  • Managed Care Contract Manager

    AdventHealth (Maitland, FL)
    …while understanding that **together** we are even better. **Shift** : Monday-Friday Hybrid , 8:00am-5:00pm **Job Location** : Maitland, FL **The role you will ... correspondence and contract language, including rate updates, to the Information Systems Coordinator for scanning with appropriate filing form for the purpose of… more
    AdventHealth (09/12/25)
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