- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics. **Position** Coder - Denials Specialist **Location** US:IL:Chicago **Req ID** 22744 ... to coding and billing. 3. Review physician documentation of evaluation and management coding within a patient's medical record for accuracy and compliance in… more
- UNC Health Care (Kinston, NC)
- …, or compliance experience preferred. + Minimum 1 year clinical denials management preferred. + **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice ... the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first...and works collaboratively with the Physician Advisor and Case management Assistants. 4. Reviews and documents findings on all… 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...taking corrective actions. RESPONSIBILITIES: + Medical Billing & Claims Management : Submit and track insurance claims, resolve denials… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education to… more
- Texas Health Resources (Arlington, TX)
- Inpatient Coding Denials Analyst _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ Inpatient Coding Analyst _like ... in an acute care setting REQUIRED 2 Years Performing billing and coding denials resolution preferred Licenses and Certifications CCS - Certified Coding Specialist… more
- Texas Health Resources (Arlington, TX)
- …assigned (eg, Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges) Additional perks of being a ... care company? We're looking for a qualified_ Coder II ( Denials ) _like you to join our Texas Health family._...Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The C & D specialist is responsible for reviewing accounts which have been denied or underpaid by third party payers and to resolve the issues resulting in ... denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to determine if an appeal is warranted.… more
- Stanford Health Care (Palo Alto, CA)
- …Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to ... health of the organization. There are three (3) career banded levels within the Denials Management family. Positions are flexibly staffed at any of the three… more
- Houston Methodist (Houston, TX)
- …utilization review functions through point of entry, observation progression of care management , concurrent review and denials reviews. Additionally, the URSN ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered...denials , and pre-bill team members, as well as management . The URSN position helps drive change by identifying… 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 ... - MSH, Mount Sinai Hospital **Responsibilities** 1. **Admission: Payer Authorization & Denials Management .** Communicate with payer to obtain request for… more