- Beth Israel Lahey Health (Beverly, MA)
- …opportunity to reach their full potential. **Job Description:** **Position Summary:** The Clinical Denials Specialist assesses, plans, coordinates, and ... that data to the Manager of Case Management for review. The Clinical Denials Specialist utilizes nursing knowledge, information science, and interpersonal… more
- TEKsystems (Annapolis, MD)
- The Clinical Denials Appeals Specialist plays a critical role in identifying, mitigating, and preventing clinical denials . This is a Direct Placement ... opportunity and not a contract. This individual will review initial clinical denials , determine appropriate next steps, and lead appeals efforts by analyzing… more
- Houston Methodist (Sugar Land, TX)
- …DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information ... opportunities to both operational and clinical stakeholders. The Senior Denials Management Specialist position collaborates with physicians, case managers,… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... validation denials . This role involves validating the coding and clinical accuracy, ensuring proper documentation, and collaborating with other departments to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries....of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… more
- HCA Healthcare (San Antonio, TX)
- …you want to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to ... have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our team. **Job Summary… more
- WMCHealth (Hawthorne, NY)
- Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30011) Internal Applicant link Job Details: Job Summary: The Denials Specialist is responsible for providing analysis… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- UNC Health Care (Goldsboro, NC)
- …Reviews all denial requests and leads the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first and ... to reimbursement, denials , status, etc. 6. Evaluates clinical denials for validity and probability to...win rates. 12. Assists in documentation review in the clinical documentation specialist role when needed. Working… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... peace of mind. You'll collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where your… more
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