- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. ... and you have the opportunity to make a difference. We are looking for a dedicated Denial Coding Review Specialist like you to be a part of our team.… more
- Beth Israel Lahey Health (Burlington, MA)
- …not just taking a job, you're making a difference in people's lives.** The PFS Denial Specialist II role is vital to ensure that hospital denied accounts are ... unresolved denial issues and escalates to a denial analyst for further review as well...needed. 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Denial Specialist role is vital to ensure that hospital denied accounts ... 7. Initiates corrected claims and appeals according to payer guidelines. 8. Initiates denial write off when appropriate after thorough review . 9. Keeps abreast… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied accounts ... unresolved denial issues and escalates to a denial analyst for further review as well...needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior… more
- Houston Methodist (Houston, TX)
- …Charges & Denials Specialist is responsible for coordinating and monitoring the coding specific clinical charges and denial management and appeals process in ... - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding … more
- Essentia Health (Fargo, ND)
- …Health Information Administrator), RHIT (Registered Health Information technician), CCS (Certified Coding Specialist ), CPC -H (Certified Professional Coder - ... Job Description: Responsible to resolve denials that are coding related which could include research and analysis of the denials. Works with ambulatory coding … more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... initiate corrected claims and appeals. Duties include hands on coding , documentation review and other coding...experience in billing, coding , denial management environment related field. Skills,… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... submission and timely review and resolution of coding related claim...for single or low volume errors. Report high volume coding denial trends to the coordinator +… more
- Corewell Health (Caledonia, MI)
- …AHIMA American Health Information Management Association Upon Hire required Or + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management ... or unclear patient record documentation. Reviews and evaluates the work of Coding Quality Analyst(s) and Training and Development Specialist (s), and; reviews… more
- University of Michigan (Ann Arbor, MI)
- …+ Continuing education + Flexible Schedule + 100% remote work **Responsibilities ** Denial /Audit Analysis** : Review and analyze denied inpatient claims and ... coding experience and/or 3 or more years experience as a clinical documentation specialist . + Strong knowledge of ICD-10 coding guidelines. + Strong knowledge… more
- Rush University Medical Center (Chicago, IL)
- …* Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist - Physician Based (CCS-P) * Registered Health Information ... and focused educational programs on the results of auditing, review claim denials pertaining to coding , and... education and documentation adequacy. 9. Assists with claim denial reports to ensure optimal reimbursement 10. Analyzes billing… more
- UT Health (Houston, TX)
- …as assigned. **Certification/Skills:** 1. Certified Professional Coder (CPC) or Certified Coding Specialist Physician-based (CCS-P). 2. Effective analytical and ... Remote Senior Compliance Coding Analyst - Emergency Medicine **Location:** Texas Medical...Attends meetings. Manages EPIC PB Edits and Requests for denial appeals. Reports review results to the… more
- Catholic Health Services (Smithtown, NY)
- …named Long Island's Top Workplace! Job Details The Clinical Documentation Improvement Specialist is responsible for improving the overall quality and completeness of ... and risk of mortality through extensive interaction with physicians, coding and other health care professionals; serves as a...order to avoid missing data. Knowledge of current insurance denial trends and CDI's role in denial … more
- Trinity Health (Syracuse, NY)
- …payer regulations. Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review Responsible for proofing ... Works closely with Providers to educate on improved documentation to support coding . As a mission-driven innovative health organization, we will become the national… more
- Universal Health Services (Tredyffrin, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites… more
- Virtua Health (Marlton, NJ)
- …analysis of CDI Specialist and HIM APR-DRG severity level assignment and denial management.* The CDI Specialist is the primary source to verify diagnoses ... and analyzes medical records concurrently for proper documentation. This review includes new admissions to the facility, as well...in the medical record for proper DRG coding . When symptoms in the medical record require further… more
- Abbott (Plano, TX)
- …114,000 colleagues serve people in more than 160 countries. **Sr. Appeals Specialist , Patient Therapy Access Team** **Position Location: 6600 Pinecrest Drive Plano, ... TX** currently has an opportunity for a **Sr. Appeals Specialist ** . This role is responsible for facilitating and...levels of appeal in the event of initial coverage denial . Manage complex appeals cases for assigned region including… more
- Beth Israel Lahey Health (Burlington, MA)
- …and billing. The Billing Specialist will be responsible for charge and claim review to ensure correct information is on file for charge to post and bill ... **Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …their life. Under the supervision of Revenue Cycles Manager, the Accounts Receivable Specialist is responsible for filing insurance claims, denial management and ... adjudication according to LBJI contracts. Essential Functions: + Review accounts receivable reports daily. + Manage patient account(s) to ensure accurate and timely… more
- Palmer College of Chiropractic (Davenport, IA)
- …primarily follows the claim process from origin to completion ensuring proper coding procedures. He/She will be responsible for accounts receivable goals, by ... and/or training required. Preferred experience specific to Chiropractic billing and coding . Experience in healthcare billing field to include, knowledge and… more