- HonorHealth (AZ)
- …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... Learn more at HonorHealth.com. Responsibilities Job Summary Performs post payment clinical auditing in defense of hospital charges. This position audits patient… more
- Ventura County (Ventura, CA)
- Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified ... Coding Supervisor - Health Information Management Salary...for the Health Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The… more
- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. Our ** Coding Supervisor ** will be responsible for reviewing clinical documentation and ... Reporting. **Here is what you can expect as our Coding Supervisor :** + Assigns codes for diagnoses,...medical necessity. + Communication with other departments to recommend coding guidance for charge corrections, appeals processes,… more
- UNC Health Care (Chapel Hill, NC)
- … coding denials and appeals on both inpatient and outpatient cases. Reviews coding insurance denials and refers clinical coding denials to the CDI ... into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training.... and send for rebilling if required. 5. Generate coding appeals for insurance denials with sound… more
- Covenant Health Inc. (Knoxville, TN)
- …procedures relative to coding . + Educates and assists physicians and clarifies coding versus clinical issues. + Works closely with Registration and Business ... Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used. + Reviews… more
- HCA Healthcare (El Paso, TX)
- …payer websites + Escalates problem accounts/processes/trends and report opportunities to supervisor for denial prevention and coding education opportunities + ... III (CARS-III) duties + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources… more
- UNC Health Care (Goldsboro, NC)
- …all denials and is key point person for assigning team review. ie denials to Coding Supervisor . 4. Reviews and documents findings on all medical necessity and ... denials for validity and probability to overturn, proactively gathers required clinical documentation and formulates appropriate appeals . Coordinates the denial… more
- Houston Methodist (Houston, TX)
- …in resolution. Engages the coding follow up team for any medical necessity or coding related appeals . + Assures accounts are completed and worked at a high ... required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the professional fee environment. This… more
- Houston Methodist (Houston, TX)
- …appropriate billing functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any ... medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Stays current on collection procedures of various payors and industry… more
- Peak Vista (Colorado Springs, CO)
- …and certifications that are essential to the position. + Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding ... clinical documentation and how it relates to medical coding , coding guidelines and payer rules. Essential...+ Provides expertise to Accounts Receivable Staff in addressing appeals for denials due to potential coding … more