- University of Southern California (Alhambra, CA)
- …& state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ... 'claims denials ' and 'claims rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS,...appeal. Performs all 1st and 2nd level coding-related denial appeals . All tasks & duties to be perform in… more
- Fairview Health Services (St. Paul, MN)
- …and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment and mitigation of denials ; + ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt...records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …in managing appeals related to payer contract variances and fatal denials . This role is responsible for assisting with appeal documentation, tracking, and ... seeking a *PFS Contract Variance Analyst** *to join our Denials Analysis team. This full-time role will work remotely...process by assisting with intake, documentation, and tracking of appeals submitted to third-party payers * Prepares and submits… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …the end-to-end appeals process related to contract variances and fatal denials . This role serves as a subject matter expert, managing complex appeal cases, ... We are currently seeking a *PFS Contract Variance Analyst Senior** *to join our Denials Analysis team. This full-time role will work remotly (Days, M- F). *Purpose… more
- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials ... + Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial ServicesLocation: Massena HospitalHours Per Week: 40Schedule: Monday - Friday 8AM-4PM ... SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process,...fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing: Submits and follows up on insurance claims;… more
- HCA Healthcare (Orem, UT)
- …and analysis of managed care issues. Offers clinical support for appeals and denials process, discharge planning, case management, ... case managers and hospital staff in the reduction of payer denials and in the denial and appeals process, as requested by the Case Management Department and… more
- St. Peters Health (Helena, MT)
- …improvement and observance of quality indicators to support admission status. 16. Evaluate denials for appropriateness for appeals versus billing at an alternate ... peer calls for both hospital admissions and for specific outpatient service denials as assigned, and participation in the organizations Utilization Review Committee.… more
- Mount Sinai Health System (New York, NY)
- …data entry of codes. + Posts all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts denials in IDX on a timely ... financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations. + Develop and manages fee… more
- Rochester Regional Health (Rochester, NY)
- JOB TITLE: Collections and Denials Management Representative LOCATION: SLH DEPARTMENT: Patient Financial Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM ... SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process,...accurate account resolution in line with payer requirements. + Appeals & Reimbursement Review: Conduct detailed reviews of denied… more