• Inpatient Coding Denial

    HCA Healthcare (Salem, VA)
    …denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to all rules and ... an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon,...part of our team. **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is… more
    HCA Healthcare (06/21/25)
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  • Specialist - Denial II RN

    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...of clinical information and supporting documentation for acute care inpatient services and other account classes as assigned to… more
    Baptist Memorial (04/12/25)
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  • Specialist - Denial II RN

    Baptist Memorial (Memphis, TN)
    Overview Job Summary * The position may be filled in Memphis, TN; Jackson, MS The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC ... of clinical information and supporting documentation for acute care inpatient services and other account classes as assigned to... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the… more
    Baptist Memorial (06/14/25)
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  • Denials Specialist 2 / HIM Coding

    Hartford HealthCare (Farmington, CT)
    …programs and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS),and/or Certified Clinical Documentation … more
    Hartford HealthCare (07/01/25)
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  • Coding Audit Response Specialist

    Novant Health (NC)
    …unbilled claims management, claim edits and denial management. + The Corporate Coding Audit Response Specialist will be involved in strategic initiatives and ... training Preferred Experience: Five or more years of strong INPATIENT coding skills Employment Type: Full time...Full time with benefits What You'll Do: + The Coding Audit Response Specialist position responds to… more
    Novant Health (06/16/25)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments...in current Performance Improvement Plan. Maintains 95% accuracy of coding and DRG denial decision to appeal… more
    St. Luke's University Health Network (05/19/25)
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  • Coding Specialist - Supervisor

    University of Washington (Seattle, WA)
    …**Faculty Practice Plan Services** has an outstanding opportunity for a ** CODING SPECIALIST - SUPERVISOR.** The position reports to the ... coding charge review WQs, claim edit WQs, and denial WQs when coverage is needed or volumes require...Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding more
    University of Washington (07/03/25)
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  • HIS Denials Specialist ( Inpatient )

    Saratoga Hospital (Saratoga Springs, NY)
    … services from payers. This position provides a vital link between inpatient coding , clinical documentation improvement, Patient Access (PA) and Patient ... Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS ...Researches denied accounts to determine appropriate appeal/response to the denial notification to resolve claim. + Tracks denied and… more
    Saratoga Hospital (06/11/25)
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  • Coder IV, Inpatient (Remote)

    Trinity Health (Livonia, MI)
    …the 72-hour rule and other account combine scenarios. 6. Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. ... as required by credentialing associations. 11. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as… more
    Trinity Health (06/24/25)
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  • Procedural Billing Specialist I - Critical…

    Mount Sinai Health System (New York, NY)
    …but CPC strongly preferred (required in Oncology) **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. ... in continuing education programs to effectively apply ICD-10-CM/PCS, CPT and HCPCS coding guidelines to inpatient and outpatient diagnoses and procedures. +… more
    Mount Sinai Health System (06/26/25)
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  • CBO Insurance Resolution Specialist

    University of Virginia (Charlottesville, VA)
    The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... as well as the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries....knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal… more
    University of Virginia (05/15/25)
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  • Authorization Specialist - Northern…

    UPMC (Wexford, PA)
    UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Northern Gastroenterology Associates located at 5500 Brooktree Road ... to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and… more
    UPMC (04/09/25)
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  • Senior Hospital Coder

    Albany Medical Center (Albany, NY)
    …of America) Salary Range: $60,367.47 - $90,551.20 The Outpatient Senior Medical Coding Specialist (Emergency Department) will be responsible for performing ... person will also be responsible for assisting in onboarding new staff.The Senior Medical Coding Specialist will be responsible for performing coding quality… more
    Albany Medical Center (04/30/25)
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  • REMOTE Coder III - Complex Outpatient, Ambulatory…

    Trinity Health (Livonia, MI)
    …ones to appropriate owners eg, Revenue Integrity, Billing, etc. Adheres to Inpatient coding quality and productivity standards established by Revenue ... Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. Three (3) years of current… more
    Trinity Health (05/23/25)
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  • Utilization Review RN

    Catholic Health Initiatives (Omaha, NE)
    **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to impact patient care and optimize hospital ... offers the flexibility to work remotely with proven Utilization Review experience.** Medical Coding experience is a plus! As our Utilization Review RN, you will be… more
    Catholic Health Initiatives (06/21/25)
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