- Henry Ford Health System (Troy, MI)
- …related coding certification required. Additional Information + Organization: Corporate Services + Department: Payor Audit + Shift: Day Job + Union Code: Not ... exercises clinical judgment in the review and assessment of audit related denials for outpatient, procedural, and inpatient cases....across Michigan and around the world. We offer a full continuum of services - from primary and preventative… more
- UNC Health Care (Goldsboro, NC)
- …Summary: Coordinates and leads all clinical denial processes and clinical audit activities. Supervises and collaborates with teammates involved in the denial ... to draft the first and second levels of an audit appeal. Works collaboratively with the Physician Advisors and...all ongoing information, rules and regulations, Medicare and other payor regulations. 3. Reviews all denials and is key… more
- ChenMed (Miami, FL)
- …alerts including ensuring successful data capture from our Health Information Exchanges and payor census files + Responsible for quarterly audit of authorization ... The incumbent is responsible for training new Post Acute Coordinator (PHC) and quality assurance of their work of...to face or virtual) + Actively involved in the full employment cycle of direct reports, including but not… more