- Grady Health System (Atlanta, GA)
- SUMMARY The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure ... modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including… more
- NYC Health Hospitals (New York, NY)
- …clarify Diagnoses. Reconcile DRG with the Coders to avoid mismatches daily. Review Denials as assign. SUMMARY OF DUTIES AND RESPONSIBILITIES: 1. Apply knowledge of ... working and final DRG. 6. Collaborate with physician champions to promote clinical documentation improvement among peers. 7. Track and Monitor Initial reviews,… more
- WMC Health (Valhalla, NY)
- …with established rules, procedures, specified time frames, and regulatory requirements. The Specialist processes clinical information in a timely manner to ... Job Details: Job Summary: The Authorization Specialist is responsible for performing complex clerical procedures...prevent treatment delays and to avoid denials from third party payers and maintains confidentiality of… more
- Sentara Healthcare (Norfolk, VA)
- …II works closely with various internal teams, including billing, coding, and clinical departments, to resolve discrepancies, address denials , and ensure ... City/State Norfolk, VA Work Shift First (Days) Overview: Overview The AR Specialist II is responsible for managing the accounts receivable (AR) process within the… more
- BayCare Health System (Clearwater, FL)
- …of two 8 hour shifts weekly) Days: Monday through Friday This Central Authorization Specialist II opportunity is a PRN ( non-benefit eligible ) remote position after ... the team member will work PRN). Responsibilities: The Central Authorization Specialist II is responsible for verifying health insurance information and obtaining… more
- Biodesix, Inc. (Louisville, CO)
- …US: Biodesix is a leading diagnostic solutions company, driven to improve clinical care and outcomes for patients. Biodesix Diagnostic Tests support clinical ... outcomes through personalized diagnostics that are timely, accessible, and address immediate clinical needs. Our Vision: A world where patient diseases are conquered… more
- NavitsPartners (Worcester, MA)
- …and apply clinical pathways to streamline care Mitigate risks of denials by proactively reviewing case progress Comply with safety, regulatory, and quality ... Job Title: Travel RN - Case Management Specialist Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to Friday | 8:00 AM - 4:30… more
- NewVista Behavioral Health (Cincinnati, OH)
- Job Address: 10123 Alliance Road, Suite 340Blue Ash, OH 45242 Accounts Receivable Specialist In conjunction with some of the areas most advanced physicians and ... clinical teams, Lynx EMS offers high quality medical transport...join an outstanding team! The Role The Accounts Receivable Specialist is responsible for overseeing the billing of all… more
- Experity (Atlanta, GA)
- …experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team ... (CSM) and Supervisor Contact insurance companies regarding claim status, follow-up on denials or partial payments Analyze denied claims to find the root cause… more
- UTMB Health (Galveston, TX)
- …a directly related field of specialty JOB DESCRIPTION The Pharmacy Technician Specialist assists pharmacists in providing drug distribution, technical services, and ... clinical services associated with the preparation, storage, and dispensing...preparation, storage, and dispensing of pharmaceuticals. The Pharmacy Technologist Specialist has advanced skills in a specialty area and… more
- Cardiovascular Institute of Central Florida (Ocala, FL)
- …procedures Explain to patients what their financial responsibilities will be Inform relevant clinical staff about denials Answer questions related to billing and ... to join our growing cardiology practice in Ocala, FL. Insurance Verification Specialist Job Summary Our healthcare facility is currently seeking an Insurance… more
- Balance Within - Integrative Physical Therapy (Delafield, WI)
- …Primary Care Musculoskeletal Provider, free from the frustrations of insurance headaches, denials , and restrictive treatment limitations. Are you looking to join a ... Flexible Scheduling: Flexibility in determining your hours, with no weekend clinical shifts required. Medical Insurance + Full Benefits Plan: Comprehensive coverage… more
- HCA Healthcare (Dallas, TX)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ... do. We want you to apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist , who is responsible for applying correct… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... validation denials . This role involves validating the coding and clinical accuracy, ensuring proper documentation, and collaborating with other departments to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries....of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to ... have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our team. **Job Summary… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Coding Denials Specialist . This position is remote but does require the associate to live / work in OR, WA, AK or TX to ... be eligible for consideration. **Job Summary** Coding Denials Specialist analyzes, processes, and resolves claim...correspondence work queues for new correspondence related to DRG denials . + Routes clinical denials … more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- University of Michigan (Ann Arbor, MI)
- Denials Prevention/Appeals Specialist Apply Now **Job Summary** The Denials Prevention and Appeals Specialist is responsible for ensuring the accuracy ... three years of inpatient coding experience or equivalent experience as a clinical documentation specialist . **Desired Qualifications + Proven experience in… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement ... documentation improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient… more
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