• Coding Appeals Specialist

    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 University Health Network (05/19/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Wilmington, DE)
    …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
    Elevance Health (06/05/25)
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  • Denials Management Specialist (RN…

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing… more
    St. Luke's University Health Network (05/14/25)
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  • Accounts Receivable Specialist - Physician…

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more
    St. Luke's University Health Network (05/29/25)
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  • Manager Revenue Cycle Operations

    Hunterdon Health Care System (Flemington, NJ)
    …trends in order to correct "root cause" issues; d) Reviews diagnosis and CPT coding with coder and interfaces with Charge Master (CDM) specialist to ensure ... for within the master charge master file. + Tracks AR days, denials, appeals , and recommends policy and procedure changes to reduce and prevent denials, maximize… more
    Hunterdon Health Care System (05/30/25)
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