- UNC Health Care (Chapel Hill, NC)
- …surgery, and ancillary cases). 3. Faxes, tracks, and monitors coding denials and appeals on both inpatient and outpatient cases. Reviews coding insurance denials ... Summary: This position trains and audits medical coders, either inpatient or outpatient across all HCS entities that are...and attends IP and OP huddles to respond to coder questions and provide training and education. This position… more
- Medical Mutual of Ohio (OH)
- … inpatient and professional claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes ... bill auditing experience._** **Responsibilities** **Clinical Auditor** + **Audits outpatient, inpatient and professional claims from a clinical and coding… more
- Houston Methodist (Katy, TX)
- …not limited to: insurance billing, collections, patient account resolution, appeals /denials, customer service, cash applications, revenue integrity, etc. The manager ... within a large HealthCare System. + AHIMA or AAPC certified Coder . **PEOPLE ESSENTIAL FUNCTIONS** + Performs management responsibilities of selection, scheduling,… more
- Billings Clinic (Billings, MT)
- …cycle practices regarding clinical documentation, coding, reimbursement, denials and appeals . Strives to maximize reimbursement by educating providers in appropriate ... information. Such reviews may be part of the annual audit work plan or as assigned throughout the year....payer policies and updates for coding and reimbursement content. Appeals for changes in these policies when appropriate. *… more
- Molina Healthcare (Bowling Green, KY)
- …and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager ... DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment...to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the… more
- Penn Medicine (Philadelphia, PA)
- …potential coding quality issues. The Coordinator oversees coding denials and appeals in collaboration with the compliance and revenue cycle departments. Incumbent ... and organization's point of view. Stay abreast of all audit activity including government audits (TPE, RAC, etc.) and...and refinement of technologies. **Credentials** : + Certified Professional Coder (CPC) preferred + RHIA or RHIT or CCS… more