- Monte Nido (Miami, FL)
- …level of care, discharge, retrospective, facilitating peer to peer reviews, and written appeals . + Engage in clinical rounds as an active treatment team member ... leadership, clinicians, and admissions regarding status of client authorization, potential denials , and potential for private payment. + Follow workflow and medical… more
- Intermountain Health (Tallahassee, FL)
- …levels, providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides ... in-depth coding review, audit findings, and appeal strategies. + Develops and implements training plans for all internal stakeholders including coders at all levels, providers, clinical staff, compliance and the CDI team. + Audits clinical documentation and… more
- Growth Ortho (Tampa, FL)
- …Partner with Revenue Cycle, Finance, and Legal teams to address underpayments, denials , and contract compliance issues. Lead the resolution of payer disputes and ... oversee appeals or escalations as necessary. Cross-Functional Collaboration Work closely with the Revenue Cycle, Finance, Operations, and Clinical teams to ensure… more