- R1 RCM (Boise, ID)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials Mitigation Lead , you will play a critical ... ensuring efficient claim processing. **Here's what you will experience working as a Denials Mitigation Lead :** + Extract relevant data reports from R1B1 and… more
- Cedars-Sinai (Los Angeles, CA)
- …that fuels innovation. **Req ID** : 14001 **Working Title** : Project Manager, Denials Mitigation **Department** : CSRC Support Services **Business Entity** : ... will work with leadership to prioritize and drive opportunities around denial mitigation efforts impacting revenue. The PM will work closely with analytics teams… more
- Carle Health (Champaign, IL)
- …This position is also responsible for tracking coding trends and assists with mitigation of coding-based denials through education of coding team members. The ... years + Reporting - 1 year + Ability to lead and direct teams - 1 year + Ability...related to coding + Provide necessary education to mitigate denials to coding team based on review + Collaborate… more
- Texas Health Resources (Arlington, TX)
- …as a content expert on the following: Compliance with program expectations Mitigation activities with all clinical partners / payors as needed. Compliance ... Code 44 intervention, HINN letters, IMM, Observation letter, etc. Potential denials , avoidable days, alternate level of care days, etc. Medical necessity… more
- Texas Health Resources (Frisco, TX)
- …as a content expert on the following: Compliance with program expectations Mitigation activities with all clinical partners / payors as needed. Compliance ... Code 44 intervention, HINN letters, Second IMM, Observation letter, etc. Potential denials , avoidable days, alternate level of care days, etc. Medical necessity… more
- Baylor Scott & White Health (Dallas, TX)
- …efforts to identify and correct issues related to commercial underpayments and denials . This role serves as a critical liaison between Revenue Cycle leadership ... payer trends, underpayments, and opportunities for BSWH revenue improvement * Track denials and avoidable write-offs (AWOs) across all regions; improve efficiency of… more
- Texas Health Resources (Arlington, TX)
- …practices with regulatory guidance and industry standards. Risk Identification & Mitigation - Identify compliance risks, report findings, and recommend corrective ... additional reviews to assist departments handling Medicare, OIG, or non-Medicare denials . Provide expert analysis on coding, documentation, and applicable regulatory… more
- Huron Consulting Group (Chicago, IL)
- …KPI targets, reports identified risks to management, and provides recommendations for mitigation of risk + Extrapolates market and payer trends and coordinates with ... for executive leaders across the system + Attends and co- lead metric and project calls with Senior Management and...with a focus on hospital or physician revenue cycle, denials management, or patient access services **Candidate Qualities** +… more
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