- UPMC (Pittsburgh, PA)
- …department requirements. + Refer problem accounts to appropriate coding or management personnel for resolution. + Maintain daily productivity statistics and submits ... a weekly productivity sheet to management clearly indicating the number of hours worked, the...to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + Incorporate into… more
- Houston Methodist (Houston, TX)
- …in performance improvement activities, as well as providing support for department management to achieve operational goals. This position may also perform staff ... responsibilities as needed. **PEOPLE ESSENTIAL FUNCTIONS** + Participates in management responsibilities of selection, scheduling, supervision, retention, and evaluation… more
- HCA Healthcare (Manchester, NH)
- …and Cactus experience preferred. **CERTIFICATION** Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist ... actions on a practitioner's RFC, R-RFC, including resignations, terminations, LOAs, denials , terminations, or withdrawals in accordance with CPC-28 and MSS013.… more
- Hackensack Meridian Health (Neptune City, NJ)
- …the areas of scheduling, registration, referrals, and Inpatient and Outpatient authorization/ denials management in their assigned area/hospital(s) at Hackensack ... Meridian Health (HMH). Responsible for researching and analyzing denials . Identifies root cause, trends and patterns and provides...root cause, trends and patterns and provides feedback to management for future education to the end users. Performs… more
- Avera (Sioux Falls, SD)
- …Finance Management Association (HFMA) Upon Hire or + Certified Specialist Payment & Reimbursement (CSPR) - Healthcare Finance Management Association ... will do** + Design, maintain, and enhance dashboards and scorecards for denials , write-offs, payer performance, and charge activity. Analyze trends and translate… more
- Carle Health (Champaign, IL)
- …with recommended coding quality levels. As part of the Health Information Management team, the Manager over Coding Education and Quality collaborates with coding ... 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
- WMCHealth (Valhalla, NY)
- …related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. + Interprets and applies ... necessary information. + Compiles and updates the appeal log detailing denials , hospital's reply, and follow-up responses. + Provides information and responds… more
- Tufts Medicine (Burlington, MA)
- …this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality ... the detailed physician chart abstraction, related coding education, evaluation of denials , and ensuring regulatory compliance. The coder will share feedback to… more
- Akumin (Murfreesboro, TN)
- The **Medical Reimburse Specialist ** is responsible for the timely and accurate posting of EOB and other forms received through the lockbox to the Medical Billing ... but are not limited to:** + Posts payments, adjustments, denials received through the lockbox daily with high accuracy....adjustments that need to be done and passed to Management . If there are credit balances all the EOB's… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care ... DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate -PREFERRED + Certified Health… more