- 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 retrospectively reviews patient medical records, claims ... or AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support… more
- Community Health Systems (Fort Smith, AR)
- **Job Summary** The Remote Medical Appeals Specialist is responsible for reviewing patient accounts denied for insurance reimbursement or paid incorrectly and ... Functions** + Reviews denied claims and incorrect payments, initiating the appeals process to secure appropriate reimbursement from insurance carriers. +… more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting._ **Referral Specialist III/Patient Access (Pre & Prior Authorizations, Appeals , Insurance) ... weeks/30 days at the Plano, TX office. The **Referral Specialist III** is responsible for providing support to a...of Referral Specialists, assisting in the review of audit appeals and documenting audit statistics. + Acts as a… more
- Houston Methodist (Houston, TX)
- …& Denials Specialist is responsible for coordinating and monitoring the coding -specific clinical charges and denial management and appeals process in a ... and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS**...Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals… more
- HCA Healthcare (Nashville, TN)
- …and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts ... want to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300… more
- Catholic Health (Buffalo, NY)
- …potential Summary: This position is accountable for carrying out and documenting the appeals process for denied claims denied due to reasons including, but not ... front-end clinical areas and third party payers in scenarios related to denials and appeals . This position educates all members of the patient care team on an… more
- Baystate Health (Springfield, MA)
- …_First Shift_ ; Monday-Friday; 40hrs per week **Certification Required** : Certified Coding Specialist - American Health Information Management Association This ... DIVERSE LOCATIONS. **Education:** GED or HiSET (Required) **Certifications:** Certified Coding Specialist - American Health Information Management… more
- Seattle Children's (Seattle, WA)
- …ensure coding and documentation compliance. **Required Credentials** Certified Coding Specialist -Physician Based (CCS-P) certification by the American Health ... have three openings - at the Springbrook location in Seattle._ The Professional Coding Education Specialist will support activities related to educating billing… more
- Mohawk Valley Health System (New Hartford, NY)
- Compliance Coding Specialist - Hybrid - Full time - Days Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal ... and compile statistical analysis. + Serves as the primary RAC and appeals liaison for the hospital, including preparation of quarterly statistical summaries on… more
- ProMedica Health System (Toledo, OH)
- …RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES This position reports to the Director, Professional Coding , Audit & Education has no direct reports. POSITION SUMMARY ... Conducts audits of physician/provider documentation and coding for office and surgical procedure encounters. Develops and delivers education to physicians,… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake ... + Report all payments on collection claims to the Collections Specialist (s) + Attend required hospital-wide orientations, meetings, and in-services + Demonstrate… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs. Required Skills ... and denials from insurance companies and re-files the claim. + Files appeals to carriers according to prescribed guidelines, documents all information related to… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Specialist , Centralized Coding Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... Business Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals , and verifies...related to claims, coding , pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used.… more
- Saint Francis Health System (Tulsa, OK)
- …Information or related field, preferred. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) certification from the American Health ... apply.** Full Time Job Summary: The Supervisor, Health Information Coding supervises the daily operations of coding ...appeals for payment. Acts as a mentor to coding staff and provides ongoing education and training to… more
- Ventura County (Ventura, CA)
- …a Bachelor's Degree in Health Information Management, strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification ... and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders based on...skill with Excel + Must have a current Certified Coding Specialist (CCS) certification + Possession and… more
- State of Colorado (Denver, CO)
- Medical Coding and Fiscal System Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4941083) Apply Medical Coding and Fiscal ... for overtime compensation. Department Contact Information Kelli Dauleh, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online… more
- PeaceHealth (Vancouver, WA)
- …experience **Required Credentials** + Registered Health Information Administrator or Certified Coding Specialist or + Registered Health Information Technician ... and policies/procedures related to the use of 3M computer-assisted coding product. + May manage the denials/ appeals ...computer-assisted coding product. + May manage the denials/ appeals process for coding and clinical validation… more
- Rush University Medical Center (Chicago, IL)
- …This position reviews initial clinical facility and physician denials, documents appeals for clinical inpatient denials, conducts appeals as appropriate. ... in clinical setting. * Knowledge/experience in utilization management, denials or appeals management in hospital or physician denials desired. * Knowledge of… more