- University of Virginia (Charlottesville, VA)
- …and payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries. The ... Health that the Central Billing Office has assigned AR responsibility. + Performs inpatient /outpatient follow up and working insurance denials , appeals claims as… more
- Logan Health (Kalispell, MT)
- …about helping people navigate the world of healthcare insurance? As a Financial Clearance Specialist at Logan Health, you'll play a key role in ensuring our patients ... Do: + Verify insurance eligibility, benefits, and patient liability to prevent denials or penalties. + Accurately document insurance and payment information to… more
- UPMC (Pittsburgh, PA)
- …Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's Hospital of ... to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …shift to follow up to admit patients with admit to Observation or Inpatient order. Complete appropriate forms before patient leaves the ED when possible. Updating ... queues and claim edit errors, Assists with audits & analysis of denials . Assists with development of training materials. Appropriately relays issues identified as… more
- Carle Health (Champaign, IL)
- … of medical charts for billing. This position also reviews and response to coding -based denials for inpatient , hospital outpatient and professional fee ... (CCA) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information...them timely to HIM leadership Review and respond to coding denials and coding questions… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- …for outstanding services, rejects, or uncoded episodes of care for inpatients Ensures claim denials related to coding errors are resolved, and/or daily coding ... health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and abstract patients' health records, and assign… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …episodes of care for inpatients and/or outpatients. The supervisory coder ensures claim denials related to coding errors are resolved, and/or daily coding ... offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records, and assign… more
- Albany Medical Center (Albany, NY)
- …morning huddle one week each quarter in a 12-month calendar year. + Communicates to Coding Support Specialist on topics for monthly meetings. + Research new ... The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and...Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These… more
- University of Michigan (Ann Arbor, MI)
- …to UMHS contracting and/or legal offices. + Utilize knowledge of CMS regulations, OPPS coding for surgical procedures and the Medicare inpatient only list to ... Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and...of medical appeal and audit practices for both the inpatient and outpatient populations. They are knowledgeable about insurance… more
- Ellis Medicine (Schenectady, NY)
- …School Diploma or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or ... and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding … more
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