- HCA Healthcare (Nashville, TN)
- …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Work from ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals.… more
- Houston Methodist (Houston, TX)
- … staff; and functions as clinical subject matter expert related to coding denials and appeals. **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a ... At Houston Methodist, the Coding Charges & Denials Specialist is...payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries.… more
- Hartford HealthCare (Farmington, CT)
- … denial trends and recommended remediation. *Communication* * Escalates or communicates coding denials to appropriate departments per established process. ( ... other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding...an acute care hospital setting required. * One year denials review , auditing, management, and/or coder training… more
- St. Luke's University Health Network (Allentown, PA)
- …who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across ... coding , compliance, and documentation guidelines + Resolve Charge Review and Claim Edit CCI/LCD edits, diagnosis coding...and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal.… 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 physician ... coding quality goals and outcomes + Collaborate with Manager and Medical Coding Compliance Specialists to review training materials for staff and to support… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote Physician Pro Fee Coding Specialist- Denials Management provides quality review and analysis of a wide range of patient medical ... records and ensures accuracy of coding . This role ensures appropriate assignment of diagnostic and...CHS management and/or other CHS affiliated personnel. + Possess clinical knowledge and ability to evaluate and summarize … more
- UNC Health Care (Goldsboro, NC)
- …regulations. 3. Reviews all denials and is key point person for assigning team review . ie denials to Coding Supervisor. 4. Reviews and documents findings ... leads the team in the strategy to appeal all clinical denials . Provides the clinical ...as a Registered Nurse required. * 2 years utilization review , care management, or compliance experience preferred. * Minimum… more
- Kaleida Health (Buffalo, NY)
- **Director Clinical and DRG Denials ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director, Clinical & DRG Denials provides ...managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and DRG… more
- WMCHealth (Hawthorne, NY)
- …Job Details: Job Summary: The Denials Manager's responsibilities include identifying all denials sent to APS Work queues and review and redistribute them ... redistribute to other departments for action/correction. + Conduct analysis on Clinical /Technical Denials and provide/recommend opportunities for improvement. +… more
- St. Luke's University Health Network (Allentown, PA)
- …and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require ... clinically appropriate. + Investigates managed care and commercial insurance rejections, denials for possible experimental services and coding issues, providing… more