- Tufts Medicine (Burlington, MA)
- …or a role that focuses on support of daily business activities (eg, technical, clinical , non- clinical ) operating in a "hands on" environment. The majority of ... the detailed physician chart abstraction, related coding education, evaluation of denials , and ensuring regulatory compliance. The coder will share feedback to… more
- Houston Methodist (Houston, TX)
- …teams and ensures standards are met. Implements action plan to reduce clinical denials and coordinates department training. **FINANCE ESSENTIAL FUNCTIONS** + ... partially paid claims by third-party payors related to coding or clinical denials . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Implements change, demonstrating… more
- Carle Health (Champaign, IL)
- …over Coding Education and Quality collaborates with coding managers and clinical documentation integrity manager to ensure excellence in hospital and ambulatory ... responsible for tracking coding trends and assists with mitigation of coding-based denials through education of coding team members. The role will update providers… more
- Avera (Sioux Falls, SD)
- …strategic decision-making, operational efficiency, and compliance. The analyst collaborates with clinical , billing, coding, IT, and payer relations teams to identify ... will do** + Design, maintain, and enhance dashboards and scorecards for denials , write-offs, payer performance, and charge activity. Analyze trends and translate… more
- BrightSpring Health Services (Valdosta, GA)
- …the month for assigned Operations. + Timely follow up on insurance claim denials , exceptions, or exclusions. + Maintain open communication with Billing Specialist ... patients, and providers. + Works in Waystar to identify denials and timely resolution. + Timely follow up of...health, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 450,000… more
- Huron Consulting Group (Chicago, IL)
- …Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new ... partnerships, clinical services and technology is not enough to create...code and MS-DRG, APR DRG assignments to potentially decrease denials . * Works Inpatient claim edits and may code… more
- Spokane County (Spokane, WA)
- …Coordinator areas of assignment within CSD: Behavioral Health Agency Clinical Integrated Care, the Behavioral Health Administrative Service Organization Integrated ... upon each employee's enrollment choices. Examples of Duties Behavioral Health Agency Clinical Integrated Care Coordinator: + Follows the laws of the State of… more
- UnityPoint Health (Cedar Rapids, IA)
- …S + Shift: 0900-1700 + Job ID: 174223 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in ... utilization of health care resources, provision of high-quality health care, optimal clinical outcomes and patient and provider satisfaction. The UM Specialist … more
- Texas Health Resources (Arlington, TX)
- …PCP and attempts to schedule follow up appointments with either a PCP, specialist , clinic, visiting physician or other transitional care visit prior to discharge. ... discharge disposition, barriers to discharge, avoidable days, and potential denials . Coordinates/facilitates patient care progression throughout the continuum with… more
- Mohawk Valley Health System (Utica, NY)
- …+ Provide guidance and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. ... potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals… more