- Catholic Health Initiatives (Lufkin, TX)
- …**_License / Certification:_** Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) ... compliance with established guidelines. Communicates professionally with providers, practice management , and other stake holders either verbally or in writing.… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary This position is located in the Health Information Management (HIM) section at the Edward Hines Jr. VA Hospital. MRTs (Coder) are skilled in classifying ... the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding. Monitors… more
- AdventHealth (Hinsdale, IL)
- …The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital ... patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- AdventHealth (Shawnee, KS)
- …The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital ... patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, financial, and ... utilization goals through effective management , communication, and role modeling. Functions as the internal resource on issues related to the appropriate utilization… more
- Baylor Scott & White Health (Dallas, TX)
- …of the claim through contact with witnesses. Provide status reports to management as needed. Resolve complex, severe exposure claims, using high service oriented ... handling Responsibility for the preparation of summaries and files for denials , appeals, medical opinions, subrogation and litigation.1. Collection of documents and… more
- Essentia Health (Duluth, MN)
- …that support medical necessity for services provided + Works with the coding denials team for education and assists with denial prevention solutions + Ensures ... Certification/Licensure Requirements: + Current certification with American Health Information Management Association (AHIMA) or AAPC and credentialed as Registered… more
- UnityPoint Health (Ankeny, IA)
- …Full Time/Days + Job ID: 174197 Overview Insurance Billing and Follow Up Specialist II Location: On-site in Ankeny, IA Days, Full-time The Insurance Billing and ... Follow Up Specialist II will be responsible for performing all billing...and claims status on unpaid claims + Review payment denials and discrepancies and take appropriate action to correct… more
- WMCHealth (Valhalla, NY)
- …+ Conducts focused audits on specific services/specialties to identify root causes of coding/ denials and provide feedback. Keeps a log of findings and re-reviews to ... diploma, required. An Associate's degree or Bachelor's degree in health information management may be substituted for one year of the required experience. Licenses… more
- Rochester Regional Health (Rochester, NY)
- …and performance standards. + Provides direct managerial oversight to CDI Team in management of CDI processes CDI projects, barriers and education work processes, to ... high levels of customer service. + Responsible for the development and management of strategy, specific goals, objectives, budgets and performance standards for the… more