- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures...provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical… more
- University of Michigan (Ann Arbor, MI)
- …Integrity (CDI) & Coding , the Clinical Denials Prevention & Appeals Specialist collaborates with CDI specialists, coders, quality analysts, providers, ... Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary**...issues by leveraging comprehensive knowledge of clinical documentation, medical coding (with special emphasis on ICD-10), payer policies, and… more
- McLaren Health Care (Mount Clemens, MI)
- …ACDIS memberships + Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist ... . Provides support to both internal and external customers for denial/ appeals activities and audits. Assists with monitoring and auditing activities, reviews… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for ... SSC and ancillary departments all payor updates regarding billing and coding updates/changes, completes timely and consistently reports project status SSC leadership… more
- Northwell Health (Melville, NY)
- …as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient ... current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness… more
- Hartford HealthCare (Farmington, CT)
- …Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS),and/or Certified Clinical Documentation ... . Prepare, document, and submit appeals for DRG denials, ensuring appeals are well-supported with clinical evidence, coding guidelines, and regulatory… more
- Houston Methodist (Houston, TX)
- …& Denials Specialist is responsible for coordinating and monitoring the coding -specific clinical charges and denial management and appeals process in a ... and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS**...one of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC -… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in… more
- Fairview Health Services (St. Paul, MN)
- …or Registered Health Info Tech (RHIT) or Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) **Preferred Qualifications** + BS/BA in HIM + 7+ ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts...medical records and coding guidelines to formulate coding arguments for appeals and/or coding… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... services. Reviews provider documentation in order to determine appropriate coding and initiate corrected claims and appeals ....appropriate coding and initiate corrected claims and appeals . Duties include hands on coding , documentation… more
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