- Northern Light Health (Presque Isle, ME)
- …timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to assure that every patient receives the definitive care ... that they need. A major role of the Referral Specialist is to communicate progress of referrals to patients, families, and referring providers. Key characteristics… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Referral Specialist , Centralized Referrals Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group Overview: Covenant Medical ... up on referrals and authorizations to ensure timely patient care. The specialist collaborates with patients, providers, and nursing staff to ensure a team-based… more
- UPMC (Steubenville, OH)
- …or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, ... invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we...patient's illness, injury, or disease. + 3. Ensures accurate coding of the diagnosis, procedure, and services being rendered… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries. The representative… more
- Saratoga Hospital (Ballston Lake, NY)
- Patient Access Specialist Salary Range: $17.75 - $26.65 About Saratoga Hospital At Saratoga Hospital, we've built a reputation for high-quality, compassionate care ... with exceptional people. About the Role We're looking for a dedicated Patient Access Specialist to join our team and help us continue delivering the level of care… more
- Bon Secours Mercy Health (Greenville, SC)
- …operational excellence. **Primary Function/General Purpose of Position** The Surgery Scheduling Specialist is responsible for accurately scheduling all inpatient ... scheduled procedures and any changes to the schedule. The surgery scheduling specialist would be responsible for verifying patient benefits and precertification from… more
- Carle Health (Champaign, IL)
- Overview Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care ... (IDFPR), Education: Associate's Degree: Related Field, Work Experience: CDI; Clinical bedside Responsibilities Conducts the initial concurrent review process for… more
- Elevance Health (Chicago, IL)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records… more
- Scripps Health (San Diego, CA)
- …Administrator) o RHIT (Registered Health Information Technician) o CCS (Certified Coding Specialist ) o CPC (Certified Professional Coder) * Comprehensive ... Documentation Integrity*provides strategic leadership and operational oversight for systemwide Coding , Clinical Documentation Integrity (CDI), and Health… more
- Hartford HealthCare (Farmington, CT)
- …**Licensure, Certification, Registration** . Minimum: RN and/or Certified Coding Specialist (CCS) . Preferred: o Certified Clinical Documentation ... programs and other common practices across the system. *_Position Summary:_* The Clinical Documentation Specialist (CDS) 1 is responsible for extensive record… more