- Intermountain Health (Denver, CO)
- **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical Appeals and Audits for Intermountain Health. The Audit/Appeals ... RN Consultant will execute clinical audits of medical records on...records on behalf of Intermountain hospitals and clinics for denials review, defense audits, disallowed charges, and retrospective reviews,… more
- Huron Consulting Group (Van Buren, AR)
- …Services Group (HTSG) works with healthcare organizations to solve their most complex EHR challenges, so we are constantly searching for skilled technical ... patient outcomes and profitability. As an Epic Hospital Billing Consultant , you will: + Partner with healthcare consultants, IT...workflow design and Work Queues (follow-up, billing claim edit, denials , etc.) + Experience with Billing Edits - DNB,… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …department chairs as necessary * Provide consultation to Care Coordination staff regarding complex clinical issues and advises on next steps * Documents patient care ... and champion successful relationships with Care Coordination (Utilization Management, Denials Management, and Progression/Transition of Care) * Establish partnership… more
- HCA Healthcare (Port St. Lucie, FL)
- …the medical staff and medical staff affairs. + Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization, and quality ... technologies and programs to HCA hospitals. + Serves as a resource and consultant to the Vice President Physician Services Group and/or Vice President Business… more
- HCA Healthcare (Live Oak, TX)
- …staff and medical staff affairs + You will serve as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization, and quality ... and programs to HCA hospitals + You will serve as a resource and consultant to the Vice President Physician Services Group and/or Vice President Business Development… more
- UTMB Health (Galveston, TX)
- …from AHIMA or AAPC -required (RHIT, RHIA, CCS, CPC-H). . Three years of complex DRG and ICD10 coding experience, and three years of previous management experience. ... with governmental guidelines and QA/Coding Team billing processes. * Oversee trending of denials and coding patterns to determine the need for education or process… more