- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Supervisor ** , you ... well as reimbursement guidelines. **Here's what you will experience working as a Clinical Coding Appeals Supervisor :** + Track daily inventory of cases… more
- University of Michigan (Ann Arbor, MI)
- Revenue Cycle Coding Supervisor - Appeals & Denials Apply Now **Job Summary** The Denial Coding Supervisor provides subject matter expertise in ... education initiatives + Ensures the collaboration required between the Clinical Documentation Specialists and Coding functions is...Detail** **Job Opening ID** 258393 **Working Title** Revenue Cycle Coding Supervisor - Appeals &… more
- University of Utah Health (Salt Lake City, UT)
- …Supervise the day-to-day activities of staff who process member and provider Grievance and Appeals . + Monitor and set goals for staff workloads. + Ensure that staff ... are processing Grievances and Appeals efficiently and in compliance with applicable policies, regulations,...standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine,… more
- Covenant Health Inc. (Knoxville, TN)
- …procedures relative to coding . + Educates and assists physicians and clarifies coding versus clinical issues. + Works closely with Registration and Business ... Office personnel to resolve issues related to claims, coding , pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used. + Reviews… more
- Houston Methodist (Houston, TX)
- …correct coding conventions to patient charge encounters in a clinical environment. This position abstracts diagnosis and procedural services from the physician ... growth and development and participation in team meetings. + Provides on-going coding and documentation education to physicians and clinical staff. +… more
- Healthfirst (FL)
- …ensure coding is consistent with the services billed and compares against the clinical coding guidelines in order to decide if a claim adjustment is ... policy requires. + Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines + Supports continuous… more
- UNC Health Care (Goldsboro, NC)
- …all denials and is key point person for assigning team review. ie denials to Coding Supervisor . 4. Reviews and documents findings on all medical necessity and ... the Physician Advisors and subject matter experts for all audit and appeals work activities. Responsibilities: 1. Provides leadership, clinical expertise and… more
- Centene Corporation (Jefferson City, MO)
- …instructions to the claims department for prepayment reviews + Assist SIU Clinical Supervisor /Manager as needed with training new hires, answering questions ... erroneous practices + Consult investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities +… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by handling… more
- Houston Methodist (Houston, TX)
- …appropriate billing functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any ... medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Stays current on collection procedures of various payors and industry… more