- HCA Healthcare (Dallas, TX)
- …worth of each individual is recognized. Submit your application for the opportunity below: Clinical Denials Coding Review SpecialistParallon. **Benefits** ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure… more
- Hartford HealthCare (Farmington, CT)
- …. Conduct a thorough review of medical records, coding , and clinical documentation to validate or appeal payer denials . . Prepare, document, and submit ... Related Group) validation denials . This role involves validating the coding and clinical accuracy, ensuring proper documentation, and collaborating with… more
- Houston Methodist (Houston, TX)
- … staff; and functions as clinical subject matter expert related to coding denials and appeals. **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a ... At Houston Methodist, the Coding Charges & Denials Specialist is...payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries.… more
- PeaceHealth (Vancouver, WA)
- …for new correspondence related to DRG denials . + Routes clinical denials and rebuttals to different departments for review /appeal. + Compiles and sends ... **Description** PeaceHealth is seeking a Coding Denials Specialist. This position is remote but does require the associate to live / work in OR, WA, AK or TX to… more
- R1 RCM (Salt Lake City, UT)
- …Skills:** + High School Diploma or GED required CCS-P, CPC + Three (3) years of denials coding experience + Three (3) years of claims experience + Professional ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Denials ** **Coder III** you will be responsible for reviewing clinical… more
- Cardinal Health (Fresno, CA)
- …payers to ensure efficient claims resolution **_Responsibilities_** + Review payer denials and rejections related to coding issues and take corrective ... Denial Specialist is responsible for reviewing, analyzing, and resolving medical claim denials and rejections related to coding discrepancies. This role ensures… more
- Kaleida Health (Buffalo, NY)
- **Director Clinical and DRG Denials ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director, Clinical & DRG Denials provides ...managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and DRG… more
- Guidehouse (Huntsville, AL)
- …Required** **:** None **What You Will Do** **:** The **R** **emote** ** Clinical Denials RN** is responsible for review , analysis and appeal of clinical ... expected outcomes daily + Familiarity with medical records assembly & clinical terminology, coding terminology additionally beneficial + Personal responsibility,… more
- St. Luke's University Health Network (Allentown, PA)
- …and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require ... clinically appropriate. + Investigates managed care and commercial insurance rejections, denials for possible experimental services and coding issues, providing… more
- University of Michigan (Ann Arbor, MI)
- …as an RN is also acceptable. + Minimum of three years of inpatient coding experience or equivalent experience as a clinical documentation specialist. **Desired ... Denials Prevention/Appeals Specialist Apply Now **Job Summary** The...educational program development preferred. + Extensive knowledge of ICD-10 coding guidelines and clinical criteria for disease… more
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