- Saratoga Hospital (Saratoga Springs, NY)
- …Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working with ... Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement… more
- HCA Healthcare (El Paso, TX)
- …**Introduction** Do you want to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA ... you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our team. **Job… more
- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party ... obtain payment of claims. JOB DUTIES AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials … more
- Houston Methodist (Sugar Land, TX)
- …for data gathering on medical resource utilization, and, as appropriate, resolution of inpatient denials , as well as other tasks related to reimbursement or ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The RN Clinical Denials Appeals Specialist functions as a revenue management liaison for all care ... and collaborates with other departments and maintains active presence in inpatient and outpatient settings. Qualifications: In addition to bringing humankindness to… more
- Northwell Health (Melville, NY)
- …Review, Case Management, and Clinical Appeals. 3-5 years of acute inpatient clinical experience. Experience with MCG guidelines. Experience with Epic. *Additional ... Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy ... to improve coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing appropriate… more
- Select Medical (West Orange, NJ)
- …for this job (https://jobs-selectmedicalcorp.icims.com/jobs/339844/prior-authorization- specialist inpatient ... - West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** **Full-Time** **Onsite… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on ... share knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in accomplishing all aspects of… more
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