- CaroMont Health (Gastonia, NC)
- Job Summary: The Clinical Documentation and Denial Specialist will assist with development and execution of a planned, systemic, system-wide approach to ... Management and Appeals based on departmental needs. The Clinical Documentation and Denial Specialist is responsible for assisting the denial … more
- TEKsystems (Annapolis, MD)
- This is a hybrid position in Annapolis, MD Description Position Summary The clinical denial appeals specialist is responsible for the identification, ... responding to authorization concerns, and/or reconciling coverage-related issues. The clinical denial appeals specialist also... denial root cause, and prepares any required clinical documentation summaries to accompany appeals *… more
- Baptist Memorial (Memphis, TN)
- Summary Reviews clinical information and supporting documentation for acute care inpatient Part A services to determine appeal action. Reports to the manager of ... evaluates all communications received in order to optimize reimbursement. + Evaluates clinical information and supportive documentation prior to initial appeal… more
- University of Miami (Hialeah, FL)
- …utilized for daily job performance, are essential. + Strong ability to analyze clinical documentation to ensure codes reported are clearly and consistently ... condition or procedure or other reportable data element collaborating with the Clinical Documentation Specialists for concurrent queries to the providers,… more
- HCA Healthcare (Nashville, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Work from Home you can ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock… more
- Rush University Medical Center (Chicago, IL)
- …**Responsibilities:** 1. Conducts medical necessity reviews and prepares any required clinical documentation summaries to accompany appeals to ensure optimal ... for clinical inpatient denials, conducts appeals as appropriate. Track denial outcomes, identify trends and work collaboratively with clinical providers,… more
- AdventHealth (Altamonte Springs, FL)
- …denial root cause and bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance ... . Experience in denial management, utilization review, case management, clinical documentation improvement, revenue integrity, or related field .… more
- Houston Methodist (Houston, TX)
- …Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a ... collaborative environment with revenue cycle management and clinical partners at various Houston Methodist facilities. This position will be responsible for working… more
- Texas Health Resources (Arlington, TX)
- …required + Bachelor's degree in nursing or HIM preferred + 2 years experience as a clinical documentation specialist required + 3 years experience as an RN ... changes and updates. *Demonstrates knowledge of denial issues for clinical validation opportunities, clinical documentation requirements, coding… more
- Trinity Health (Troy, NY)
- …reviews; including but not limited to, appending modifiers and checking clinical documentation . Provides feedback to intra-departmental Revenue Integrity ... coordination with Patient Business Service (PBS) centers; including analysis of clinical documentation , assist in appeals as needed, root cause analysis… more