- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in ... applied knowledge, skills and abilities and professional behaviors. Clinical Government Audit Analyst and Appeal Specialist II is the full proficiency or… more
- UCLA Health (Los Angeles, CA)
- …support UCLA Health's commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you will: + Facilitate responses to regulatory ... relevant systems, distributing requests to necessary teams + Monitor audit response and appeal statuses, tracking cases...necessary teams + Monitor audit response and appeal statuses, tracking cases and maintaining updated records in… more
- McLaren Health Care (Mount Clemens, MI)
- …resolution. 6. Provides support in response, tracking and completion of all payer audit /denial/ appeal activity to ensure that timelines in the process are met, ... **Position Summary:** Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors .… more
- Beth Israel Lahey Health (Newburyport, MA)
- …direction of the Director of Health Information Management, the Health Information Management Audit Specialist handles various audit requests for the release ... all the logging and tracking of requests and the audit process from initiation through mailing, in collaboration with...and complete submission of required documentation to support the appeal process. . Ensures that all patient medical information… more
- Intermountain Health (Broomfield, CO)
- …all payer and regulatory denials and downgrades and provides in-depth coding review, audit findings, and appeal strategies. + Develops and implements training ... **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to...conventions, regulatory, and reimbursement guidelines for the system. They audit and monitor all areas of hospital coding. The… more
- State of Colorado (Grand Junction, CO)
- Social Worker / Counselor I (Behavioral Health Specialist ) - Grand Mesa Youth Services Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5109843) ... Apply Social Worker / Counselor I (Behavioral Health Specialist ) - Grand Mesa Youth Services Salary $2,614.62 Biweekly Location Grand Junction, CO Job Type Full… more
- HCA Healthcare (Brentwood, TN)
- …Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate + Compose technical denial arguments for reconsideration, including both ... in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of...do in this role: + Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies… more
- Fairview Health Services (St. Paul, MN)
- …pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit -related and compliance responsibilities. ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report suspected or… more
- Guthrie (Towanda, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...trends and provides appropriate follow‐up for claims that require correction/ appeal . 3. Demonstrates skills and proficiency in analyzing complex… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work related to clinical denial management. The ... a comprehensive review of relevant clinical documentation. The Clinical Appeals Specialist will write compelling arguments based on clinical documentation and payer… more