- 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
- St. Luke's Health System (Twin Falls, ID)
- …place to work. **What You Can Expect:** Under limited supervision, the Clinical Appeals Specialist , is responsible for managing client medical denials by ... as necessary. + Acts as a resource to the verifiers on documentation, coding & clinical account review. + Maintains knowledge of state and federal guidelines,… more
- St. Mary's Healthcare (Amsterdam, NY)
- …experience and other factors permitted by law. Responsibilities: * Uses clinical and coding knowledge to ensure accurate and compliant charge items and to recognize ... and audit requests and coordinates attempts to overturn denials by drafting appeals , negotiating with payers, or following up with payer utilization review… more
- Hartford HealthCare (Farmington, CT)
- …Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS),and/or Certified Clinical Documentation ... . Prepare, document, and submit appeals for DRG denials, ensuring appeals are well-supported with clinical evidence, coding guidelines, and regulatory… 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
- Fairview Health Services (St. Paul, MN)
- …in reading and interpreting commercial payer medical policies + Certified Coding Specialist -Professional (CCS-P) + Certified Professional Coder (CPC) **Preferred ... **Job Overview** The Physician Coding Denials Specialist performs appropriate efforts...medical records and coding guidelines to formulate coding arguments for appeals and/or coding… more
- HCA Healthcare (Salem, VA)
- …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
- 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
- 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
- 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
- CVS Health (Hartford, CT)
- …support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals , claim review, reimbursement issues, and ... environment. In addition, be a subject matter expert in coding guidelines for CPT, HCPCS, and ICD-10 codes. This...quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct… 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
- 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
- Elevance Health (Richmond, VA)
- …RHIT certification as a Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical ... appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make...Documentation Specialist (CCDS). + Requires minimum of 10 years experience… more
- Cardinal Health (Fresno, CA)
- …and ends when the patient's account balance is zero. **_Job Summary_** The Coding Denial Specialist is responsible for reviewing, analyzing, and resolving ... coding to support appropriate reimbursement and reduce denial rates. The specialist collaborates closely with billing, coding , clinical teams, and payers to… 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
- Kelly Services (St. Louis, MO)
- …Billing Specialist ? You'll be:** **Summary/Overview:** + **Medical Billing & Coding ** + ** Appeals Writing** + **Medical Records Management** + **Insurance ... How about this one? We're seeking a Medical Billing Specialist to work at a premier healthcare provider in...and uploading medical records from ordering providers and supporting appeals + Reviewing and analyzing denied claims for potential… more
- Johns Hopkins University (Middle River, MD)
- The Department of Pathology is seeking an **_AR Revenue Cycle Specialist III_** to be **r** esponsible for the collection of unpaid third-party claims and ... independent resolution of complex appeals , using various JHM applications and JHU/ PBS billing...+ Knowledge of medical terminology, CPT codes and diagnosis coding . + Ability to perform on-line research and analyze… more
- Houston Methodist (Houston, TX)
- …in resolution. Engages the coding follow up team for any medical necessity or coding related appeals . + Assures accounts are completed and worked at a high ... At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect...perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the professional fee… more