- Billings Clinic (Billings, MT)
- …and/or procedures, formulates recommendations for review and consideration by the management team. Able to proactively identify reimbursement issues * Independent ... coding quality. Presents recommendations for review and consideration by the management team for problem scenarios outside of established procedures * Interpersonal… more
- HonorHealth (AZ)
- …Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the ... Performs medical record reviews, as required by payer. Interfaces with Care Management team to provide information regarding quality outcome measurements (such as… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …Billing Supervisor is responsible for providing leadership to the Spine Insurance Specialist team to ensure optimal management filing insurance claims, denial ... submission + Initiate appeals and/or refile claims for all denials + Request refunds according to LBJI policies and...+ Excellent verbal and written communication skills + Time management , prioritization, and sense of urgency + Maintain patient… more
- Trinity Health (Livonia, MI)
- …for CPT codes and CPT Assistant + The American Health Information Management Association (AHIMA) Standards of Ethical Coding + Revenue Excellence/Health Ministry ... office staff regarding documentation issues or needs. Communicates with case management concerning Outpatient Observation documentation issues. Works with HIM and… more
- Bozeman Health (Bozeman, MT)
- …and all related entities, including claims submission, follow-up, and denial management . The supervisor supports staff in maintaining accuracy and timeliness in ... Prior experience in healthcare administration, revenue cycle, or accounts receivable management . + Regulatory knowledge required for PPS and CAH Hospital,… more
- Ellis Medicine (Schenectady, NY)
- …position requires interacting with EMG leadership, healthcare practitioners, practice management and staff; (6) Establish relationships with medical/dental staff, ... or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health… more
- Trinity Health (Livonia, MI)
- …support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials . 5. Works Inpatient claim edits and may code consecutive/combined accounts to ... Completion of an AHIMA-approved coding program or Associate's degree in Health Information Management or a related field or an equivalent combination of years of… more
- University of Rochester (Albany, NY)
- …with universally recognized coding guidelines. + Reviews and resolves coding denials . Resolves problems with claims having errors related to improper coding ... AND CERTIFICATIONS** + Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information… more
- BrightSpring Health Services (Valdosta, GA)
- …and minimizing expenses? Finance and Accounting focuses on the organization's financial management strategies and execution. If this piques your interest, read more ... Complete revenue balancing and reporting.* Maintain open communication with Billing Specialist , Cash Application Analyst and Operations.* Send cash transfer & check… more
- University of Rochester (Rochester, NY)
- …Responsible for system edit reviews and follows up on insurance coding denials for resolution. **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and ... anatomy required **LICENSES AND CERTIFICATIONS** + American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information… more