- 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
- Henry Ford Health System (Detroit, MI)
- …Campus, Centralized Pharmacy Services Center - Detroit Schedule: Full Time The Pharmacy Specialist is a pharmacist who, by virtue of knowledge gained through special ... expert in a major area of pharmacy practice. The Pharmacy Specialist assumes overall leadership responsibility in directing the pharmacy-related activities in… more
- WestCare Foundation (Fresno, CA)
- …Care Plans (MCPs) in accordance with all DHCS, payer, and organizational guidelines. The specialist works closely with fiscal, clinical , and data teams to ensure ... service documentation meets billing standards, resolve denials , and maintain the integrity of client and program data across systems. Essential Job Functions include… more
- Hartford HealthCare (Farmington, CT)
- …Business Office in Newington. *_Position Summary:_* The Revenue Integrity Specialist determines the appropriateness of patient charges, and Charge Description ... and completeness, following regulatory requirements, in order to resolve edits, denials or exceptions detected during system processing of the claim. *_Position… more
- Trinity Health (Syracuse, NY)
- …the clinical utilization reviews with the facilitiesPer Diem- Insurance Specialist to assist with authorizations for Substance abuse and Mental Health Service ... **Employment Type:** Full time **Shift:** Day Shift **Description:** + **Insurance Specialist - St. Josephs Health Syracuse NY** **Position Summary:** The Insurance … more
- Dana-Farber Cancer Institute (Boston, MA)
- …and 1 week onsite at Longwood Medical Center.** The Inpatient Authorization Specialist reports to and receives direction from the Access & Financial Engagement ... inpatient admissions, and denial management. In addition, the Inpatient Authorization Specialist is responsible for the timely and accurate completion of assigned… more
- Spectrum Billing Solutions (Skokie, IL)
- …efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or ... her knowledge and skills to review clinical information and obtain initial and continuing authorizations for...and continuing authorization for treatment services. + Manage authorization denials including referral for peer review. + Document and… more
- Ventura County (Ventura, CA)
- Alcohol and Drug Treatment Specialist I/II/III Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5063248) Apply Alcohol and Drug Treatment ... Specialist I/II/III Salary $43,680.00 - $81,071.60 Annually Location various...Provides case management and data/record management. + Participates in clinical staff meetings and program related trainings. + Assists… more