- Memorial Healthcare System (Hollywood, FL)
- …foundation of The Memorial Experience. Summary: Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews ... and query compliance audits to management. Works closely with inpatient and outpatient coding managers to analyze and resolve...and outpatient coding managers to analyze and resolve claim denials that are rejected by edits from the Revenue… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working with ... Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement… more
- HCA Healthcare (San Antonio, TX)
- …**Introduction** Do you want to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA ... you 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… more
- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party ... geography after orientation. JOB DUTIES AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical… 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
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on ... share knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in accomplishing all aspects of… more
- Banner Health (OH)
- …of current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified ... lot different teams with different focuses (Facility vs Profee)._ In this ** Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5… more
- Trinity Health (Silver Spring, MD)
- …to support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials . 5. Works Inpatient claim edits and may code consecutive/combined ... competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary… more
- Veterans Affairs, Veterans Health Administration (New Orleans, LA)
- …Grade Determinations: Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS-Outpatient and Inpatient )), GS-9 (a) Experience. ... Healthcare System VA Medical Center. The Medical Records Technician (CDIS- Outpatient/ Inpatient ) is responsible for abstracting medical record data and assigning… more
- WMCHealth (Valhalla, NY)
- Senior Inpatient Coder (REMOTE) Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info ... Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies… more
- University of Miami (Miami, FL)
- …interim accounts and Cardiovascular Special Procedures and working with claim and payor denials . Knowledge, Skills, and Aptitudes for Inpatient Coders 1, 2 and ... diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes. Inpatient Coder 1 + Minimum 2 years of current ICD-10 acute care… more
- Insight Global (Jacksonville, FL)
- Job Description Our client is in need of an Inpatient Rehabilitation Medical Coder. As an IRF Coder you will be responsible for coding and applying ICD-10-CM and PCS ... accurately assessing and correcting issues regarding medical necessity, claims denials , bundling issues and charge capture. - Efficiently uses...Skills and Requirements - Minimum of 3 Years in Inpatient Rehab Coding or Inpatient Acute Coding… more
- Ochsner Health (Jefferson, LA)
- …coding experience **Certifications** Required - Certification as a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health ... analytical and quality management skills. + Proven ability to code complicated inpatient cases. **Job Duties** + Accurately assigns ICD-10 codes within the… 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 a key role of...of clinical information and supporting documentation for acute care inpatient services and other account classes as assigned to… 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 ... be named a Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as liaison between the physicians and hospital departments to promote… 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
- St. Mary's Healthcare (Amsterdam, NY)
- …monitor coder productivity to optimize revenue cycle efficiency and minimize avoidable denials . + Identify areas for improvement in HIM processes and implement ... Credential(s): One or more of the following: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA)… more
- Corewell Health (Watervliet, MI)
- …for obtaining necessary prior authorizations, submitting documentation to appeal denials , and educating clinicians regarding proper documentation for all ... Inpatient Rehabilitation locations. Essential Functions + Acute Rehabilitation setting: Responsible for all aspects of IRF-PAI tool including transmission of records… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively or concurrently determines the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, ... to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager/Revenue… more
