- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Act as consultant and subject matter expert to support leadership and clinical departments on physician documentation, CMS regulations, workflows and related coding ... direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 42720BR **Travel Required:** Up to 25%… more
- Sharp HealthCare (San Diego, CA)
- …with appropriate clinical staff the status of ongoing payer requests, denials and/or potential denials for non-covered services and other problems; initiate ... communication with appropriate agencies and clinical staff for appeal of denials ; Conduct required follow-up on all initiated prior authorizations in an effort… more
- Ventura County (Ventura, CA)
- …team of Coders (Inpatient & Outpatient), coding productivity and collaborate with Clinical Documentation Specialist team; + Provides coding guidance to staff ... the Health Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The ideal candidate will have a Bachelor's Degree… more
- Ochsner Health (New Orleans, LA)
- …a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and ... decisions. The position requires strong analytical skills and collaboration with clinical and revenue cycle teams to optimize financial outcomes. **Education**… more
- HCA Healthcare (Manchester, NH)
- …staff services, and play a key role in the integration of HCA Clinical Strategies and HCA systems. 1. Medical Staff Administration Develop facility credentialing ... (in partnership with other key stakeholders to include Director of Advanced Clinical and IT&S personnel). Facilitate orientation for new officers, committee members… more
- HCA Healthcare (Aventura, FL)
- …to join an organization that invests in you as an Inpatient Authorization Review Specialist ? At Parallon you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Inpatient Authorization Review Specialist like you to be a part of our...denied by the payor that do not require a clinical review. Communicate with third party payors to resolve… more
- AdventHealth (Tampa, FL)
- …Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, ... **The val** **ue you'll bring to the team:** Review and analyze claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with… more
- Rush University Medical Center (Chicago, IL)
- …accuracy and documentation adequacy. The professional will work collaboratively with clinical providers to improve revenue cycle integrity while seeking and ... and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies the Rush… more
- UPMC (Pittsburgh, PA)
- …prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. + ... to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + Incorporate into...to claim edit/charge review queues, as well as reimbursement denials . + Complete work assignments in a timely manner… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; ... ICD-10-CM/PCS coding, DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate… more