- Molina Healthcare (San Antonio, TX)
- JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals ... Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist … more
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have ... are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient… more
- Baylor Scott & White Health (Dallas, TX)
- …The Appeal Support Specialist also serves as an appeal writer for non- clinical appeals that meet specific criteria. **ESSENTIAL FUNCTIONS OF THE ROLE** ... details of previous submissions and resubmits the appeal to the payer. Performs non- clinical appeals on low dollar, outpatient, pre-auth denials. Reviews the… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43332BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... residents and staff. + Assist in the preparation and submission of appeals for denied authorizations, including but not limited to providing additional information… more
- Integrative Emergency Services (Dallas, TX)
- …and Allscripts. + Certification in one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Clinical Documentation ... but not limited to change capture, coding, billing, collections, denials, and appeals . + Serve as a liaison between specialty services and other departments,… more
- Evolent (Austin, TX)
- …guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
- Elevance Health (Houston, TX)
- …Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 years experience ... may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding...Clinics, and the ICD-10 Alphabetic and Tabular Indices), complex clinical guidelines and maintaining objectivity in the performance of… more