- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims ... or AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support… more
- Community Health Systems (Fort Smith, AR)
- **Job Summary** The Remote Medical Appeals Specialist is responsible for reviewing patient accounts denied for insurance reimbursement or paid incorrectly and ... Functions** + Reviews denied claims and incorrect payments, initiating the appeals process to secure appropriate reimbursement from insurance carriers. +… more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting._ **Referral Specialist III/Patient Access (Pre & Prior Authorizations, Appeals , Insurance) ... weeks/30 days at the Plano, TX office. The **Referral Specialist III** is responsible for providing support to a...of Referral Specialists, assisting in the review of audit appeals and documenting audit statistics. + Acts as a… more
- Molina Healthcare (Tacoma, WA)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in… more
- HCA Healthcare (Nashville, TN)
- …and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts ... want to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300… more
- Baystate Health (Springfield, MA)
- …_First Shift_ ; Monday-Friday; 40hrs per week **Certification Required** : Certified Coding Specialist - American Health Information Management Association This ... DIVERSE LOCATIONS. **Education:** GED or HiSET (Required) **Certifications:** Certified Coding Specialist - American Health Information Management… more
- Seattle Children's (Seattle, WA)
- …ensure coding and documentation compliance. **Required Credentials** Certified Coding Specialist -Physician Based (CCS-P) certification by the American Health ... have three openings - at the Springbrook location in Seattle._ The Professional Coding Education Specialist will support activities related to educating billing… more
- Mohawk Valley Health System (New Hartford, NY)
- Compliance Coding Specialist - Hybrid - Full time - Days Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal ... and compile statistical analysis. + Serves as the primary RAC and appeals liaison for the hospital, including preparation of quarterly statistical summaries on… more
- ProMedica Health System (Toledo, OH)
- …RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES This position reports to the Director, Professional Coding , Audit & Education has no direct reports. POSITION SUMMARY ... Conducts audits of physician/provider documentation and coding for office and surgical procedure encounters. Develops and delivers education to physicians,… more