- Rochester Regional Health (Rochester, NY)
- …in various system committees and work groups, including billing, revenue cycle, denials , and others as assigned. + Ensure effective staffing levels by evaluating ... duties as assigned. REQUIRED QUALIFICATIONS + Must obtain Certified Clinical Documentation Specialist (CCDS) within two years of hire. + Minimum five years acute… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …when appropriate * Collaborates with department director and professional development specialist to develop standard work and expectations for the utilization review ... manage and respond to all concurrent and post-discharge third party payer denials of outpatient and inpatient cases alleged to be medically inappropriate. Including,… more
- Hartford HealthCare (Farmington, CT)
- …*_Position Summary:_* The Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy, compliance, compliance and efficiency ... trains staff and vendors to prepare and improve colleague's skills for working denials and navigating the billing system (Epic) while assessing training needs and… more
- Mount Sinai Health System (New York, NY)
- …Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be beneficial. ... with payers to ensure timely handling of audit requests, review technical payer denials , determine if an appeal is warranted, and write and track appeal letters.… more
- University of Rochester (Rochester, NY)
- …accordance with universally recognized coding guidelines. + Reviews and resolves coding denials . + Resolves problems with claims having errors related to improper ... (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). Preferred + Or Certified Professional Coder (CPC) from American… more
- Ascension Health (Milwaukee, WI)
- …Faculty members ensure that patients receive the level of care expected from a specialist in the field. They recognize and respond to the needs of the patients, ... + Provides appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. + Participates in inpatient and outpatient… more