- UnityPoint Health (Des Moines, IA)
- …who are within two years of experiencing the onset of psychosis. The Peer Specialist on the team would help train clients experiencing early psychosis and serve as ... four-legged family members. + Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow… more
- R1 RCM (Chicago, IL)
- …workflow orchestration. As our Revenue Cycle Associate ( Follow up & Appeals Specialist ), you will help the Appeals team investigate and examine denial accounts, so ... in pursuit of resolving unpaid claims. To thrive in this role, Appeals Specialist incumbents must be assessed as being resourceful and having extensive knowledge in… more
- Cleveland Clinic (Cleveland, OH)
- …Practitioner (CDIP), Certified Coding Associate (CCA), Certified Coding Specialist /Physician (CCS/P) from American Health Information Management Association OR ... American Academy of Professional Coders OR Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist -Outpatient (CCDS-O)… more
- University of Michigan (Ann Arbor, MI)
- …and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis ... diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related… more
- WellSpan Health (York, PA)
- …and researching third party payer policies and coding guidelines to optimize reimbursement for the system while ensuring compliance with applicable laws and ... courses of action. + Prepares detailed appeals and attends Medicare Administrative Law Judge (ALJ) hearings as necessary for...Professional Coder Upon Hire Required or + Certified Coding Specialist - Physician Based Upon Hire Required or +… more
- Trinity Health (Livonia, MI)
- …code(s) by utilizing coding guidelines established by: + The Centers for Medicare /Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ... codes, modifiers, internal edits and claim edits that could impact hospital reimbursement . Interprets bundling and unbundling guidelines (NCCI edits) as well as… more
- Banner Health (WA)
- …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
- Banner Health (KY)
- …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
- National Health Care Associates (Bath, ME)
- …+ Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge ... personalized resident care plans and ensures the capture of clinical reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven… more
- Sanford Health (SD)
- …relative value units as appropriate for the role. Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review ... to reflect healthcare coding and to substantiate appropriate service reimbursement . Conveying coding guidelines to physicians and other healthcare providers… more