- Accounting Now (Tampa, FL)
- …charges).Understanding of medical terminology, bill review, general coding , and appeals resolution.Ability to read, analyze, and interpret hospital medical ... Medicare Appeals Specialist Do you like challenging payers? Enjoy that feeling of satisfaction when your appeal is overturned? Then, this position may is right… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit… more
- Glens Falls Hospital (Glens Falls, NY)
- …and Emergency coding Licenses, Certifications, Registrations CCS, RHIT, RHIA, Certified Coding Specialist is Required CDIP is a plus *Salary Range* The ... be foundhere. **Job:** **Allied Health - Health Information Management* **Title:** * Coding Reimbursement Appeals Supervisor - Health Information Management (HIM)… more
- Trinity Health (Farmington Hills, MI)
- …and appealing them based upon clinical expertise and clinical judgment within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business ... 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)
- …Range: $18.4663-$27.6994) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) for an assigned ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves… more
- Trinity Health (Farmington Hills, MI)
- …Maintains knowledge of state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues ... Range: $20.6822-$31.0233) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of an assigned… more
- Universal Health Services (Reno, NV)
- …Job Summary: Under the direction of the Manager of Operations, the Appeals Specialist is responsible for ensuring the appropriate review, research, ... company policies and procedures, and NCQA/HEDIS standards applicable to complaints and appeals process. + Knowledge of CPT/ICD-10 coding with an understanding… more
- Universal Health Services (Bonham, TX)
- …day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare ... Responsibilities TMC Bonham Hospital is a 25-bed critical access hospital...with Managed Care contracts and government fee schedules. The Appeals Specialist will obtain, manipulate, and analyze… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials/ appeals experience (Medical A/R) + Hospital /facility collections experience Description: Responsible for ... Responsible for managing CBO Aging Report properly to insure appeals are followed up timely to prevent past filing...a team player, as well as supporting staff, and hospital /clinic staff. * Work minimum 18 collection accounts daily.… 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...pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has ... have the opportunity to make a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our team. **Job… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... you have the opportunity to make a difference. We are looking for a dedicated Denial Coding Review Specialist like you to be a part of our team. **Job Summary… more
- Tidelands Health (Murrells Inlet, SC)
- …Information Technician (RHIT(R)) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) + Certified Outpatient Coder (COC) ... industry standard clean claim rate. May assistant with writing appeals letters. Assist with training to include team members...**:** + Minimum of two years of progressive on-the-job coding experience in an acute care hospital … more
- PeaceHealth (Springfield, OR)
- …Health Information Administrator or Registered Health Information Technician or Certified Coding Specialist or Certified Professional Coder or Certified ... as directed. + Reviewing records for payor, RAC, regulatory denials/ appeals , and downgrades by providing in depth coding...a computer terminal; extensive reading. PeaceHealth is seeking a Coding Auditor Educator - Hospital Coding… 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 - Emergency Medicine **Location:** Texas Medical...meetings. Manages EPIC PB Edits and Requests for denial appeals . Reports review results to the Revenue Cycle Manager,… more
- Covenant Health Inc. (Knoxville, TN)
- …Registration and Business Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals , and verifies that appropriate chargemaster ... Overview Health Information Management Outpatient Coder Specialist Full Time, 80 Hours Per Pay Period,...This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- …and Compliance Specialist to handle accurate and timely resolution of coding -related claim edits and appeals . * Runs billing, Accounts Receivable, denials, ... Position Information Posting NumberSRGV7443 Working TitleBILLING SPECIALIST I Number of Vacancies1 LocationRio Grande Valley DepartmentSchool of Medicine/ Revenue… more
- Beth Israel Lahey Health (Burlington, MA)
- …review. 9. Keeps abreast of all government, managed care and third party hospital coding , billing and reimbursement rules, regulations and guidelines. 10. ... **Work Shift:** Day (United States of America) The Denial Specialist role is vital to ensure that hospital...hospital related billing, claims follow up environment or hospital coding . Licensure, Certification & Registration: None… more
- Trinity Health (Syracuse, NY)
- …of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding ... Works closely with Providers to educate on improved documentation to support coding . As a mission-driven innovative health organization, we will become the national… more
- Indian Health Service (Phoenix, AZ)
- …Health System Specialist over the Third Party Billing, Accounts Receivable, Claims Denials/ Appeals and Coding Sections. This position reports to the Chief of ... over the Third Party Billing, Accounts Receivable, Claims Denials/ Appeals , Provider Enrollment and/or Coding Sections; supervisory/managerial responsibility… more
