- Trinity Health (Livonia, MI)
- …within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional ... directly responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. Ensures that defined goals are… 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 ... program. Develops/utilizes educational programs to keep the Clinical Documentation Specialist /physicians/service lines/advisor up to date on regulatory changes and/or… more
- Baylor Scott & White Health (Dallas, TX)
- …handling Responsibility for the preparation of summaries and files for denials , appeals, medical opinions, subrogation and litigation.1. Collection of documents and ... possible recovery from third parties Maintains communication with doctors, attorneys, safety specialist , and nurse specialist and outside vendors to provide… 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 ... Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and/or Certified Coding Specialist -Physician-Based (CCS-P)… more
- Prime Healthcare (Mesquite, TX)
- …seeking a Medical Biller , sometimes referred to as a Hospital Billing Specialist , Patient Accounts Representative or Insurance Billing Specialist . As our ... + Submit insurance claims and ensure timely reimbursement + Follow up on insurance denials or unpaid insurance claims and correct errors or insurance codes + Prepare… more
- University of Washington (Seattle, WA)
- …with Compliance on external audit education + Review DRG and CPT claim denials for commercial payers and maintain written documentation of actions, activities or ... Technician): RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist ), CCS-P (Certified Coding Specialist - Physician Based),… more
- TEKsystems (Annapolis, MD)
- …5. Maintain a high level of accuracy in code assignment to prevent claim denials , billing errors, and potential legal issues. 6. Stay updated with coding changes, ... Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or… more
- City of New York (New York, NY)
- …Billing by working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and support functions ... CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch...or "2" above. Certification as a Certified Employee Benefits Specialist from the International Foundation of Employee Benefit Programs… more
- UnityPoint Health (Cedar Rapids, IA)
- …S + Shift: 0900-1700 + Job ID: 174223 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in ... care, optimal clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for patients admitted to BH… 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