- R1 RCM (Salt Lake City, UT)
- …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
- St. Luke's University Health Network (Allentown, PA)
- …and/or formal meetings with auditor or payor representatives in defense of coding appeals , as needed. + Maintain necessary audit/appeal activity documents ... patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient...for outpatient/CPT payor recommendations in collaboration with the OP Coding Supervisor or Network Coding … more
- Ventura County (Ventura, CA)
- Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified ... Coding Supervisor - Health Information Management Salary...for the Health Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The… 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
- Stony Brook University (Commack, NY)
- Claims Supervisor - Commack **Required Qualifications (as evidenced by an attached resume):** Bachelor's degree (foreign equivalent or higher). In lieu of degree, ... billing systems. Experience working with medical terminology, ICD-10 and CPT coding . Prior supervisory experience. Experience working with Word, Excel and/or Access.… 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
- Peak Vista (Colorado Springs, CO)
- …and certifications that are essential to the position. + Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding ... clinical documentation and how it relates to medical coding , coding guidelines and payer rules. Essential...+ Provides expertise to Accounts Receivable Staff in addressing appeals for denials due to potential coding … more
- State of Colorado (Denver, CO)
- …of accuracy in order to meet legal requirements. This position serves as clinical administrative support to multi-disciplinary staff. Duties are as follows, but not ... health care information; + Execute, copies and distributes the release of clinical information from health records; + Request clinical information from… more
- e CancerCare (Nashville, TN)
- …Work an average of 40 to 80 denials per day based on supervisor requirements and accounts assigned. Works closely with insurance carriers for reimbursement ... Recognizing their importance and relationship to patient care. Consults with appeals department for disputed medical necessity denied claims. Works and Understands… more
- BrightSpring Health Services (Valdosta, GA)
- …assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.* Provide any additional research for ... educational sessions as requested.* Perform additional duties as requested by Supervisor or Management team. Measurement: DSO, accounts worked per month, AR>90… more