- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials ... knowledge, skills and abilities and professional behaviors. Clinical Government Audit Analyst and Appeal Specialist II is the full proficiency or journey level… more
- RVO Health (Charlotte, NC)
- **AT A GLANCE** We are seeking a precision-focused Senior Procurement Specialist to execute sourcing operations under strategic leadership. As procurement's ... professional services). + Financial Acumen: + Proven understanding of PO coding , GL alignment, budget variance tracking, and category management. + Experience… more
- RVO Health (Minneapolis, MN)
- …and mentor a team of revenue cycle specialists to optimize billing, coding , and collections processes. + Collaborate with cross-functional teams to ensure alignment ... in a healthcare setting. + Strong understanding of healthcare billing, coding , payer rules, and reimbursement methodologies (eg, commercial payers). Familiarity with… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** ... processes and outbound communication with insurance companies. + Compose coding appeal letters and may collaborate with...or AAPC Certification required + Minimum 3 years of coding experience or medical billing + Ability… more
- Hartford HealthCare (Farmington, CT)
- …and clinical documentation. . Conduct a thorough review of medical records, coding , and clinical documentation to validate or appeal payer denials. . ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS),and/or Certified Clinical Documentation … 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...for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate… more
- 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 ... Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding... necessity issues as needed. + Develop and apply appeal arguments to defend the coding of… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …your professional journey. We invite you to apply today. SUMMARY OF JOB The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and ... system specific coding policies and procedures. The Coding Specialist will assist the assigned HRPAS...Medical Terminology. . A graduate of an accredited coding program with certification of completion or successful completion… more
- Highmark Health (Harrisburg, PA)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Carle Health (Urbana, IL)
- …Coder (CIC) or + Licensed Registered Professional Nurse (RN) or + Certified Coding Specialist - Physician-Based (CCS-P) or + Registered Health Information ... Technician (RHIT) or + Certified Coding Specialist (CCS) or + Registered Health...follows up on all PRO/Insurance review correspondence related to medical record documentation and coding . + Reviews… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and assists in formulating Appeal letters MINIMUM QUALIFICATIONS: + Certified Coding Specialist (CCS) certification. + RHIA/RHIT preferred. + Minimum five ... programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the accuracy of… more
- St. Luke's University Health Network (Allentown, PA)
- …health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding...auditors in retrospective reviews for DRG and documentation or coding -related issues. + Develop and apply appeal … more
- Globus Medical, Inc. (Collegeville, PA)
- …of the HFX Access team and build cross-functional relationships. + Working knowledge of medical terminology + Knowledge of HCPCS Coding + Knowledge of ICD-10 ... At Globus Medical , we move with a sense of urgency...Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to… more
- Guthrie (Sayre, PA)
- …up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams ... Management department is seeking a detail-oriented and motivated Insurance Specialist I to join our team. In this full-time...school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree… more
- Guthrie (Sayre, PA)
- …school diploma or equivalency required. + CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 ... Management department is seeking a skilled and motivated Insurance Specialist II to lead and support complex billing processes,...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding … more
- Guthrie (Sayre, PA)
- …up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams ... school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree...submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to… more
- Intermountain Health (North Salt Lake, UT)
- **Job Description:** The Medical Billing Specialist is responsible for the timely follow-up of claims billed and the resolution of accounts. Oversees the account ... payor issues and/or denial trends to Lead/Supervisor and may appeal and/or rebill underpaid claims and assist with payments...time frame given upon completion of training **Skills** + Medical Billing and Coding + Reimbursement +… more
- Guthrie (Towanda, PA)
- …High school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding … more
- Syracuse Community Health Center (Syracuse, NY)
- …of experience with Epic's billing modules and reporting tools, advanced training in Medical Billing or Coding , including CPC certification required or an ... POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied...training and certification will be considered. Advanced training in Medical Billing or Coding , including CPC certification… more
- Mount Sinai Health System (New York, NY)
- …7. Posts all payments in IDX using approved methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding ... **Job Description** The Billing Specialist is responsible for multiple components of the...is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits and… more
