- HCA Healthcare (Plano, TX)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? ... are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive… more
- Hartford HealthCare (Farmington, CT)
- …**Key Areas of Responsibility** * Denial Resolution* . Conduct a thorough review of medical records, coding and clinical documentation to ... to DRG (Diagnostic Related Group) downgrades. This role involves validating the coding and clinical accuracy, ensuring proper documentation and collaborating… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Authorization and Denial Supervisor - Hybrid - Must be local to Albany,NY** **Summary** This ... reporting and resolution of any issues stemming from or with authorization and denial processes. Using data, system reports, and analytics, supports the needs of the… more
- Hartford HealthCare (Farmington, CT)
- …system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate coding assignment for ICD-10, ... 3 years' work experience with CPT, HCPCS and ICD-10 coding conventions required. o Chart review of...**Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Accts Rec & Denial Spec 2 / Rev Cycle Prof Svcs Adm*… more
- Hartford HealthCare (Farmington, CT)
- … reasons, and determine the appropriateness of the initial coding and clinical documentation. . Conduct a thorough review of medical records, coding ... outline the rationale for overturning the denial , referencing official coding guidelines (ICD-10-CM/PCS), payer policies, and clinical standards. . Work… more
- University of Miami (Medley, FL)
- …-Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient ... Coding Review Specialist (H) under the general direction of the...Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality… more
- University of Southern California (Alhambra, CA)
- …both IP & OP healthcare services provided to covered patients. Manages the denial management process for coding -related denials, triage denied claims to ... distinguish coding -related denials versus clinical -related denials, evaluating claims deemed inappropriately paid by the...need for appeal. Performs all 1st and 2nd level coding -related denial appeals. All tasks & duties… more
- Fairview Health Services (St. Paul, MN)
- …Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the coding components of said claims. ... denials. + Compiles training material and educational sessions associated with coding denial -related topics and presents such educational materials.… more
- Trinity Health (Fort Lauderdale, FL)
- …regulations. a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing ... complex service lines, advanced proficiencies in surgical or specialty coding practice. Review chart, including nursing notes,...experience preferred + Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT,… more
- Carle Health (Champaign, IL)
- …providers, clinical staff and coders. + Serves a point of contact for clinical coding inquiries. + Demonstrate the attention to detail to minimize coding ... team, the Manager over Coding Education and Quality collaborates with coding managers and clinical documentation integrity manager to ensure excellence in… more