- Northwest Specialty Hospital (Post Falls, ID)
- Northwest Specialty Hospital is seeking a detail-oriented AR Resolution Specialist to join our Billing Team! We need someone with a professional demeanor, can work ... will provide great customer service, and can multitask! The AR Resolution Specialist will resolve aging accounts receivable in accordance with payer regulations and… more
- HCA Healthcare (Nashville, TN)
- …denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to all rules and ... join an organization that invests in you as an Inpatient Coding Denials Specialist ? At...Escalates problem accounts/processes/trends and report opportunities to supervisor for denial prevention and coding education opportunities +… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in...of clinical information and supporting documentation for acute care inpatient services and other account classes as assigned to… more
- Tufts Medicine (Burlington, MA)
- …Description** **Minimum Qualifications:** 1. High school diploma or equivalent. 2. Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), ... Qualifications:** 1. Associates degree. 2. Five (5) years of Inpatient ICD-10-CM and PCS coding experience within...leadership to identify discrepancies. 5. Reviews audit lists regarding coding /billing changes, as well as denial reports.… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS),and/or Certified Clinical Documentation … more
- Novant Health (NC)
- …unbilled claims management, claim edits and denial management. + The Corporate Coding Audit Response Specialist will be involved in strategic initiatives and ... training Preferred Experience: Five or more years of strong INPATIENT coding skills Employment Type: Full time...Full time with benefits What You'll Do: + The Coding Audit Response Specialist position responds to… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments...in current Performance Improvement Plan. Maintains 95% accuracy of coding and DRG denial decision to appeal… more
- University of Washington (Seattle, WA)
- …**Faculty Practice Plan Services** has an outstanding opportunity for a ** CODING SPECIALIST - SUPERVISOR.** The position reports to the ... coding charge review WQs, claim edit WQs, and denial WQs when coverage is needed or volumes require...Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding … more
- Trinity Health (Fort Lauderdale, FL)
- …Integrity staff and providers to educate on improved documentation to support coding . Neurosurgery experience is highly preferred. CPC license is REQUIRED. **What ... you will do:** Responsible for coding and/or validation of charges for more complex service...functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing daily charges for… more
- Saratoga Hospital (Saratoga Springs, NY)
- … services from payers. This position provides a vital link between inpatient coding , clinical documentation improvement, Patient Access (PA) and Patient ... Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS ...Researches denied accounts to determine appropriate appeal/response to the denial notification to resolve claim. + Tracks denied and… more
- Trinity Health (Silver Spring, MD)
- …the 72-hour rule and other account combine scenarios. 6. Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. ... as required by credentialing associations. 11. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as… more
- University of Washington (Seattle, WA)
- …(RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Inpatient Coder ... (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Inpatient Coder… more
- Houston Methodist (Houston, TX)
- …Supervisor/Manager/Director role **LICENSES AND CERTIFICATIONS - REQUIRED** + CCS - Certified Coding Specialist (AHIMA) **OR** + RHIA - Registered Health ... Department across all Houston Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding , DRG and APC… more
- University of Michigan (Ann Arbor, MI)
- …certification as an RN is also acceptable. + Minimum of three years of inpatient coding experience or equivalent experience as a clinical documentation ... Denials Prevention/Appeals Specialist Apply Now **Job Summary** The Denials Prevention...society. **Responsibilities Characteristic Duties and Responsibilities: + Audit and Denial Analysis: + Training and Development: + Coding… more
- Mount Sinai Health System (New York, NY)
- …Roosevelt - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. Reviews ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...education programs to effectively apply ICD-10-CM/PCS, CPT and HCPCS coding guidelines to inpatient and outpatient diagnoses… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... as well as the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries....knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal… more
- UPMC (Pittsburgh, PA)
- …Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's Hospital of ... to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and… more
- Hartford HealthCare (Farmington, CT)
- …and other HHC initiatives related to CDI education. . Presents regular updates on denial prevention to providers, CDI and coding professionals. . Presents on ... progress.* * *_Position Responsibilities:_* *Key Areas of Responsibility* *Management, Auditing, Denial Prevention and Management* . Manages a team of Clinical… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $60,367.47 - $90,551.20 The Outpatient Senior Medical Coding Specialist (Emergency Department) will be responsible for performing ... person will also be responsible for assisting in onboarding new staff.The Senior Medical Coding Specialist will be responsible for performing coding quality… more
- Catholic Health Initiatives (Omaha, NE)
- …Commonspirit Health Facility Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to impact patient care and optimize ... offers the flexibility to work remotely with proven Utilization Review experience.** Medical Coding experience is a plus! As our Utilization Review RN, you will be… more
