• Clinical Denials Coding…

    HCA Healthcare (Brentwood, TN)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals.… more
    HCA Healthcare (09/05/25)
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  • Denials Specialist 2 / HIM Coding

    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
    Hartford HealthCare (09/30/25)
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  • Coding Charges & Denials Specialist…

    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
    Houston Methodist (10/23/25)
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  • Inpatient Coding Denials Specialist

    Fairview Health Services (St. Paul, MN)
    …DRG Validation, Clinical Validation, diagnosis codes not supported, and/or general coding error denials . + Responsible for reviewing assigned diagnostic and ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts...denial reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in… more
    Fairview Health Services (10/15/25)
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  • Director Clinical and DRG Denials

    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
    Kaleida Health (09/17/25)
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  • Denials Management Specialist (RN…

    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
    St. Luke's University Health Network (08/13/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends ... periodic quality monitoring and evaluation of work products by the Coordinator and/or Director, Coding Denials and Appeals. + Partners with peers and Director to… more
    Community Health Systems (09/09/25)
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  • Infusion Billing and Denials Specialist

    Robert Half Accountemps (Fort Worth, TX)
    …billing systems used in infusion or specialty pharmacy settings. Key Responsibilities + Review , prioritize, and resolve claim denials based on type, urgency, and ... billing discrepancies, including coordination with clinical staff for complex or clinical -related denials . + Track, document, and report denial trends to… more
    Robert Half Accountemps (10/18/25)
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  • Rev Cycle Business Analyst Sr.- PB Denials

    University of Michigan (Ann Arbor, MI)
    …claims for accuracy, completeness, and compliance with payer requirements. + Collaborate with coding , clinical departments, RQLs and billing teams to address and ... Rev Cycle Business Analyst Sr.- PB Denials Apply Now **Job Summary** We are seeking...be self-directed and work independently. + Knowledge of CPT/ICD-10 coding conventions is necessary **Modes of Work** Positions that… more
    University of Michigan (10/25/25)
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  • Inpatient Clinical & Coding…

    Independent Health (Buffalo, NY)
    …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing ... coding and clinical decisions on cases involving complex clinical ...guidelines and financial policies/contracts. + Responsible for all reconsideration clinical appeals to include review of records,… more
    Independent Health (10/04/25)
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