- 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
- Billings Clinic (Billings, MT)
- …and coding. Analyzes and reports coding distribution and trends in clinical denials to providers and management . Analyzes payer bulletins and regulations ... proper revenue cycle practices regarding clinical documentation, coding, reimbursement, denials and appeals. Strives to maximize reimbursement by educating providers… more
- Trinity Health (Livonia, MI)
- …reimbursement and compliance management as it relates to CDI. Assists with denials management , complex case resolution and may perform CDI reviews as ... as outlined in the CDI quality plan, such as by Clinical Documentation Specialist (CDS), service line, focus area and as otherwise necessary to ensure quality,… more
- Rush University Medical Center (Chicago, IL)
- …and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies the Rush ... Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist - Physician Based (CCS-P) * Registered Health Information Administrator (RHIA)… more
- Fairview Health Services (St. Paul, MN)
- …Line/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials , and other key stakeholders to improve the quality of ... Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) + **Outpatient or Professional Fee Coding** : Registered… more
- Trinity Health (Livonia, MI)
- … Specialist and Clinical Documentation Integrity Coordinator positions, facilitating management of personal time off and schedule change requests, assuring ... within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible for facilitating...but not limited to, throughput, utilization review and utilization management to align with the visions and goals of… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- Summary This position is located in the Health Information Management Section of the Medical Administration Service at VAMC West Palm Beach, Florida. The West Palm ... the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding. Also applies… more
- LogixHealth (Dania Beach, FL)
- …and enforce the existing polices within the department 6. Perform duties of Billing Specialist as needed including working on denials and work the A/R reports ... any trends found from write off requests back to management as discovered 3. Assist with training of new...claims 7. Correct any time clock errors for Billing Specialist staff 8. Help out with other departments on… more
- AdventHealth (Tampa, FL)
- …**ue you'll bring to the team:** Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides action ... as needed, to enhance staff development; leads hiring, training and performance management processes for all site-based CDI employees; coaches, mentors and empowers… more