- Trinity Health (Farmington Hills, MI)
- …Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). CPMA will also ... for identifying and determining root causes of denials. Responsible for leveraging coding knowledge and standard procedures to track appeals through first,… more
- Trinity Health (Farmington Hills, MI)
- **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all ... Responsible for leveraging clinical knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing… more
- Trinity Health (Farmington Hills, MI)
- **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18.4663-$27.6994) Performs day-to- day payment ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves… more
- Molina Healthcare (Columbia, SC)
- …be licensed in the state you reside. We are looking for a Clinical Nurse Appeals RN to support our SC Health plan (Medicaid and Marketplace). Strong experience with ... appeals reviews and/or utilization management working on the manage...do weekend coverage in the future) This is a Remote position, home office with internet connectivity of high… more
- CVS Health (Hartford, CT)
- …residence. Position OverviewAdministers review and resolution of clinical complaints and appeals . Interprets data obtained from clinical records to apply appropriate ... What you will do + Acts as a top-level specialist to implement best in class policies, plans, and...class policies, plans, and procedures in support of the Appeals area objectives. + Executes review of all clinical… more
- UT Health (Houston, TX)
- …as assigned. **Certification/Skills:** 1. Certified Professional Coder (CPC) or Certified Coding Specialist Physician-based (CCS-P). 2. Effective analytical and ... Remote Senior Compliance Coding Analyst -...meetings. Manages EPIC PB Edits and Requests for denial appeals . Reports review results to the Revenue Cycle Manager,… more
- PeaceHealth (Springfield, OR)
- …Health Information Administrator or Registered Health Information Technician or Certified Coding Specialist or Certified Professional Coder or Certified ... CPT industry standards and PeaceHealth guidelines. This is a remote position however the incumbent must reside in OR,...as directed. + Reviewing records for payor, RAC, regulatory denials/ appeals , and downgrades by providing in depth coding… more
- Weill Cornell Medical College (New York, NY)
- …+ Certified Professional Coder Certificate (CPC) or Certified Coding Specialist (CCS) **Working Conditions/Physical Demands** Remote based work with rare ... Title: Revenue Cycle Specialist -Revenue Integrity ( Remote ) Location: Midtown Org...Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). + Should be certified… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing… more
- Omaha Children's Hospital (Omaha, NE)
- **FT, Mon - Fri, 8 - 4:30 , remote after training** At Children's, the region's only full-service pediatric healthcare center, our people make us the very best for ... the accuracy of all insurance and government payor payments, rebills underpayments, appeals denials and turns them into payments, and ensures accurate payor and… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more
- Universal Health Services (Tredyffrin, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... established performance targets (productivity and quality). Initiates and follows-up on appeals . Exercises good judgement in escalating identified denial trends or… more
- Fairview Health Services (St. Paul, MN)
- **Overview** This is a remote position under Revenue Cycle Management that is responsible for obtaining all medical necessity approvals for a patient's service ... physician order(s) to determine likely ICD and CPT codes and/or utilize available coding resources. + Screen payer medical policies to determine if the service meets… more
- Johns Hopkins University (Middle River, MD)
- …who will be responsible for the collection of unpaid third-party claims and appeals , using various applications of JHM and JHU/ PBS billing applications. Works with ... to the claim's submission process, either electronically or by paper. The Specialist will be assigned payor groups of outstanding patient accounts. Various methods… more
- University of Michigan (Ann Arbor, MI)
- Pre-Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... authorizations for services based on our level of care decisions, preliminary coding and payer requirements. The Precertification staff work closely with a variety… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Billing/Follow-up Specialist - Government Billing for a Full Time, 1.00 FTE, Day position. The general salary range for this ... seniority, work performance, etc. This position is an on-site position, non remote Responsible for all phases of billing/account follow-up using accepted billing… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for an Authoriazation Specialist II. This is a remote position under Revenue Cycle Management that is ... Fairview, click here: Fairview Benefits! (https://www.fairview.org/benefits) This is a remote role. Standard day shift work hours. **Responsibilities Job… more
- Billings Clinic (Billings, MT)
- …related audit activity in the organization's tracking tool. Works in conjunction with the Clinical Coding Specialist and Coding Advisors to review of all ... Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or other AHIMA or AAPC recognized… more
- Sanford Health (MN)
- …(RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding ... of health and healing across our broad footprint.** **Facility:** Remote MN **Location:** City - Remote MN,...the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management,… more
- SSM Health (Jefferson City, MO)
- … Associate (CCA) - American Health Information Management Assoc (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Assoc ... detail, and the ability to work independently in a remote setting. . Department: Coding . Patient...and Requirements:** Job Description PRIMARY RESPONSIBILITIES + Composes DRG/APC appeals based on medical record documentation, coding … more