- HCA Healthcare (Nashville, TN)
- …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
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Outpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... to billing, coding , and documentation. The Outpatient Coding Denials Specialist will also handle audit-related...denial reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in… 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
- 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
- BAYADA Home Health Care (Orlando, FL)
- …BAYADA Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. ... match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, congruency, and...MCM. + Prevent or decrease the occasion of Medicare denials by assuring proper coding on the… more
- BAYADA Home Health Care (Orlando, FL)
- …a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices ... about BAYADA Benefits, click here (https://www.bayada.com/benefits/) . **Responsibilities:** + Review clinical information for appropriateness, congruency, and… more
- Children's Hospital Boston (Boston, MA)
- …compliance and Share Service Center - Coding and billing to manage clinical validation denials . + Collaborating on appeal processes and assessing trends to ... preferred. + 2 years of clinical chart review experience applying ICD coding knowledge to medical record review Office/Site Location:BostonRegular,… more
- 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
- Western Washington University (Bellingham, WA)
- …for compliance and any legal updates or other considerations. + Reviews claims denials and rejections pertaining to coding and medical necessity issues, and ... revenue. + Analyzes and resolves complex billing related claim denials in a manner that ensures accurate and optimal...in response to newly implemented workflows or laws/regulations. + Review spreadsheets for coding compliance to ensure… more
- Omaha Children's Hospital (Omaha, NE)
- …and assigning valid CPT, ICD10, and HCPCS codes for complex surgical cases, and/or coding verification and review to ensure coding accuracy and appropriate ... to regulation (eg, ICD10CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines) and/or abstract accurate clinical information...accuracy of billing. * Trends identified from documentation and denials . * Provide input timely responses to coding… more