- 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
- 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
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. Our ** Denials Coding Associate III** will be responsible for ... apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing, review and correct billing edits, internal and external reporting,...and Reporting. **Here's what you can expect as our Denials Coding Associate III:** + Assigns codes… more
- R1 RCM (Chicago, IL)
- …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
- UNC Health Care (Goldsboro, NC)
- …regulations. 3. Reviews all denials and is key point person for assigning team review . ie denials to Coding Supervisor. 4. Reviews and documents findings ... leads the team in the strategy to appeal all clinical denials . Provides the clinical ...all audit and appeals work activities. Assists with documentation review to support the clinical documentation specialists.… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital ... you will focus on the prevention and resolution of clinical claim denials by analyzing denial patterns,...with physician and hospital coders to ensure accurate CPT coding for emergency Medicare admissions and support correct hospitalization… 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
- 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