- St. Luke's University Health Network (Allentown, PA)
- … coding errors and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal. Claim corrections will be made ... appeals process may include collaboration with the Claim Editing Manager , Physician , Specialty Coder, AR specialist or...third party insurance companies relative to claim processing and coding denials follow up. Epic Resolute experience… more
- Covenant Health Inc. (Knoxville, TN)
- …Position Summary: This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate ... Registration and Business Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals, and verifies that appropriate chargemaster… more
- Beth Israel Lahey Health (Burlington, MA)
- …for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and ... Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews...the coding supervisor for education within the coding department and/or physician education. 5. Confers… more
- Pacific Medical Centers (Seattle, WA)
- …guidelines regarding correct coding initiatives in cooperation with Supervisor and/or Coding Manager . + Perform other duties or special projects as needed ... must empower them. The Coding Analyst requires coding and auditing of E&M services, provider/ physician ...procedure coding . + Research and resolve coding related insurance denials and pre-billing edits… more
- Banner Health (AZ)
- …a difference in the lives of others." Looking for a motivated, experienced **Associate Manager , ** **Physi** **cian Practice Coding ** to join our talented team ... reviews; RAC denials ; first time submission acceptance for the state; coding accuracy; % clean claims; staff stats; etc. Participates in the improvement of… more
- Tidelands Health (Murrells Inlet, SC)
- …guidelines to ensure coding compliance and accuracy. Responsible for resolving coding edits, account checks, rejections, and denials to ensure proper ... progressive on-the-job coding experience in an acute care hospital or physician 's office or successful completion of Tidelands Health coding cross-training… more
- Covenant Health Inc. (Knoxville, TN)
- …with significant latitude for initiative and independent judgment. Reports to the Corporate Coding Manager . Recruiter: Kathleen Rice || ###@covhlth.com || ### ... CDI staff, Quality and Case Managers, Decision Support and physician office personnel regarding coding questions. Maintains...proper compliance stance. + Under the direction of Corporate Coding Manager , works with the Chief Compliance… more
- Tidelands Health (Murrells Inlet, SC)
- …Solid understanding of and ability to apply Coding Clinic and other coding guidelines. + Proficient at writing AHIMA-compliant physician queries + Adept at ... moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations.… more
- Columbus Regional Hospital (Columbus, IN)
- …improve coding quality based on audit feedback, coder questions, physician escalations, denial meetings, and other platforms and plans coder education ... auditing experience with additional experience performing training and providing feedback to coding and physician audiences preferred. + Previous experience in… more
- Fairview Health Services (St. Paul, MN)
- …Liaisons work collaboratively with Service Line/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials , ... Conducts formal meetings and/or team meetings in lieu of Manager as designated. + Successfully develops and strategizes project...findings. + Assists in reviewing and makes recommendations for physician template updates based on yearly coding … more
- Sharp HealthCare (San Diego, CA)
- …the appropriateness of queries with the overall goal of improving physician documentation and achieve accurate coding .Maintain professional relationship with ... position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's)… more
- Houston Methodist (Houston, TX)
- …verbal and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. ... services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment.… more
- Houston Methodist (Houston, TX)
- …and written communication. (EF) 2. Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. ... This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional...support to other team members as advised by the manager and/or supervisor. (EF) SERVICE - 10)% 1. Completes… more
- AdventHealth (Altamonte Springs, FL)
- …on current coding guidelines for charges needing edits, reviews, and denials needing recoding. **The value you'll bring to the team:** **PRINCIPAL DUTIES AND ... needed. . Assist coding supervisor with escalated coding questions from team members and physician ...Assurance reviews. . Complete assigned work in a timely manager and maintain departmental production standards. . Maintain open… more
- Insight Global (Houston, TX)
- Job Description A healthcare employer in Houston, TX is seeking a Professional Billing Manager to join their team. This position will be responsible for overseeing a ... however knowledge of the backend such as collections, claims denials and A/R follow up is helpful. In this...A/R follow up is helpful. In this role the manager will manage the teams work ques, productivity and… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …+ Conduct regular coding audits and coordinate the monitoring of coding and documentation accuracy, reviewing claim denials and rejections pertaining to ... OCB is currently seeking a Healthcare Compliance Manager . They will be based out of our...with significant experience and exposure to compliance, billing, and coding practices. Understands, practices, and maintains superior diplomacy, conflict… more
- Beth Israel Lahey Health (Burlington, MA)
- …operations as they relate to Epic build decisions, in-depth analysis of denials , complex appeals, audits, credits, cash, coding , workflows, data collection, ... Day (United States of America) Under the managerial oversight of the Senior Manager , the Revenue Performance Analyst serves as a primary point of contact for… more
- Covenant Health Inc. (Knoxville, TN)
- …state, and federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager . Implements corrective ... state, and private rules and regulations on data collection, coding , and reimbursement. CDI is responsible for provider education...as indicated to minimize financial risk. + Works with Denials Elimination Group and deals with physician … more
- HCA Healthcare (Denver, CO)
- … denials or other payer/regulatory opportunities. The Denial Prevention Manager fosters effective communications among the division, hospitals, and all ... or limits? Our HealthOne team is looking for a Division Denial Prevention Manager . HCA Healthcare is an advanced healthcare network that has committed up to… more
- Houston Methodist (Houston, TX)
- …Manager and/or Supervisor. + Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. ... services. This Specialist is required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the… more