- Saratoga Hospital (Saratoga Springs, NY)
- HIS Denials Specialist ( Inpatient ) Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: ... About the Role We're looking for a dedicated HIS Denials Specialist to join our team and...and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by ... payer requirements pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance… more
- University of Southern California (Alhambra, CA)
- …federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all ... will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with...Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient … more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials … more
- Houston Methodist (Sugar Land, TX)
- …for data gathering on medical resource utilization, and, as appropriate, resolution of inpatient denials , as well as other tasks related to reimbursement or ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical… more
- Texas Health Resources (Arlington, TX)
- Inpatient Coding Denials Analyst _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ Inpatient Coding ... in an acute care setting REQUIRED 2 Years Performing billing and coding denials resolution preferred Licenses and Certifications CCS - Certified Coding Specialist… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH - Regional Administrative Campus Hours Per Week: 40 ... Schedule: 8am-4pm SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...+ Medical Billing Expertise: Proficient in billing, claims processing ( Inpatient , Outpatient, Critical Access, Rural Health), denials … more
- Nuvance Health (Danbury, CT)
- …delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ... internal leadership for assistance in resolution. *Responsibilities* * Review all inpatient admission and observation cases using InterQual, or Milliman Care… more
- Datavant (Nashville, TN)
- …a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with clinical criteria ... vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health...Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission.… more
- CommonSpirit Health (Centennial, CO)
- …to help you flourish and leaders who care about your success. The RN Clinical Denials Appeals Specialist functions as a revenue management liaison for all care ... and collaborates with other departments and maintains active presence in inpatient and outpatient settings. **Job Requirements** In addition to bringing… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics. **Position** Coder - Denials Specialist **Location** US:IL:Chicago **Req ID** 22744 ... *Associate or Bachelor's Degree. **Responsibilities:** 1. Coordinate outpatient and inpatient physician and/or facility charge capture. 2. Responsible for… more
- Northwell Health (Melville, NY)
- …in New York State required, plus specialized certifications as needed. + Inpatient clinical experience; 4+ years preferred. + Prior Acute Case Management and/or ... Utilization Review experience, preferred. + Must have experience with Milliman Care Guidelines and/or InterQual. Hours/Shift + Fully remote role + Days: Sunday - Thursday + Hours: 8:00am - 4:00pm *Additional Salary Detail The salary range and/or hourly rate… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy ... to improve coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing appropriate… more
- HCA Healthcare (Nashville, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Authorization Review Services Specialist for our team to ensure that ... you find this opportunity compelling, we encourage you to apply for our Inpatient Authorization Review Services Specialist opening. We promptly review all… more
- Bon Secours Mercy Health (Springfield, OH)
- …with assessing patient insurance and financial information to determine liability. The Specialist in Inpatient Collections will utilize face to face ... **Job Description** Performs liability collection activities across Mercy Health. The Specialist in Financial Counseling performs the task of collecting inpatient… more
- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- …and supported. Such efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and to optimize the medical center's ... bodies. However, current mastery level certifications include: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P),… more
- WMCHealth (Valhalla, NY)
- Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC ... Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... to be named a Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as a liaison between the physicians and hospital departments to promote… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... Forbes as a Best Employer. Position Summary: The CDI Specialist serves as liaison between the physicians and hospital...departments to facilitate complete and accurate documentation of the inpatient record. + Monitors inpatient admissions for… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... Patient Accounting Department resolving hospital Managed Care payment variances and/or denials . **Job Responsibilities may include the following, but are not limited… more