- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist , Clinical Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... the appropriate assignment of a final DRG. The CDI Specialist functions as a resource for clinical ...Monitors activities and findings with regard to audits and denials and subsequently adjusts to potential trends when reported.… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... the appropriate assignment of a final DRG. The CDI Specialist functions as a resource for clinical ...Monitors activities and findings with regards to audits and denials and subsequently adjusts to potential trends when reported.… more
- Carle Health (Urbana, IL)
- …prior authorizations for swing bed patients, maintain the work ques, and address denials . RMH: make follow up appointments with primary care provider before patient ... discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. About Us **Find it here.** Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive.… more
- McLaren Health Care (Mount Pleasant, MI)
- …outcomes and fulfills the obligation and responsibilities of the role to support the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer ... education sessions to maintain competency and knowledge of regulations in denials , utilization management, care management, clinical documentation, and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively or concurrently determines the… more
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... Are you living your life's work? **Job Title:** Accounts Resolution Specialist I **Department:** RAD-O-BRO Data Acct Receivable **Location:** Fully Remote **Hours:**… more
- University of Utah (Salt Lake City, UT)
- …PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** S3 - Skilled **FLSA ... candidate will exemplify. **Job Summary:** Analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... and collaborates with Appeals Management Department in managing retrospective denials . **Qualifications** + Associates degree or equivalent combination of experience… more
- UPMC (Pittsburgh, PA)
- UPMC is seeking to hire a Certified Coding Specialist I to join our Coding Department. This is a work-from-home position, working Monday through Friday during ... five years of coding experience. As a Certified Coding Specialist I, you will have the same responsibilities as...and existing staff. Specifically, you will be working on denials , special projects in targeted specialties to assist in… more