• Medical Appeals & Coding

    University of Utah (Salt Lake City, UT)
    …Number** PRN41434B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals & Coding Specialist III **Job Grade** E **FLSA ... will exemplify these attributes too. We are looking for an experienced ** Medical Appeals & Coding Specialist ( MAC ) III** to join our team. As the … more
    University of Utah (03/14/25)
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  • Appeals Audit Specialist - McLaren…

    McLaren Health Care (Port Huron, MI)
    …+ Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist certifications ... appeals demonstrating accuracy/proficiency in referencing support from the medical recorddocumentation and coding guidelineswith timely and successful… more
    McLaren Health Care (03/14/25)
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  • Remote Medical Appeals

    Community Health Systems (Fort Smith, AR)
    As a Remote Medical Denials / Appeals Specialist at Community Health Systems - Shared Services Center, you'll play a vital role in supporting our purpose to ... health insurance, flexible scheduling, 401k and student loan repayment programs. The Remote Medical Denials / Appeals Specialist position is remote and… more
    Community Health Systems (03/13/25)
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  • Clinical Appeals Specialist

    St. Luke's Health System (Twin Falls, ID)
    …work. **What You Can Expect:** Under limited supervision, the Clinical Appeals Specialist 2, is responsible for managing client medical denials by conducting ... determine if an appeal is warranted. + Reviews patient medical records and utilizes clinical and regulatory knowledge and...Acts as a resource to the verifiers on documentation, coding & clinical account review. + Maintains knowledge of… more
    St. Luke's Health System (01/08/25)
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  • Clinical Appeals Specialist II…

    Community Health Systems (Franklin, TN)
    **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for ... SSC and ancillary departments all payor updates regarding billing and coding updates/changes, completes timely and consistently reports project status SSC leadership… more
    Community Health Systems (03/04/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Omaha, NE)
    appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously ... + Serves as a clinical resource for Utilization Management, Chief Medical Officer, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training,… more
    Molina Healthcare (02/09/25)
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  • Coding Charges & Denials Specialist

    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 ... and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS**...Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved… more
    Houston Methodist (01/06/25)
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  • Clinical & Coding Specialist

    Independent Health (Buffalo, NY)
    …a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding ... and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in...appeals to include review of records, consultation with Medical Director, response to facilities as well as coordination… more
    Independent Health (01/14/25)
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  • Medical Coder/ Coding

    Tidelands Health (Myrtle Beach, SC)
    …Information Technician (RHIT(R)) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) + Certified Outpatient Coder (COC) ... all outpatient, ED, and hospitalists accounts, based on the medical information provided and consistent with regulatory guidance and...policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting… more
    Tidelands Health (02/05/25)
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  • RN Clinical Coding Specialist

    Billings Clinic (Billings, MT)
    …external audits determinations. Apply clinical and coding assessment skills to medical record, and extract supportive documentation for appeals . Report any ... starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! RN Clinical Coding Specialist FINANCE (Billings Clinic Main Campus)… more
    Billings Clinic (01/28/25)
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