- Blanchard Valley Hospital (Findlay, OH)
- …investigational or potential compliance risks. Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether coding ... OF THIS POSITION The primary purpose of the Professional Coding Integrity Supervisor is to maintain the daily operations...other departments to provide accurate and credible guidance. Duty5: Review of quarterly internal quality audits of the PCIS… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial ... They will be required to work with multiple departments and communicate to the Denial Avoidance Specialist when identifying trends relating to denials. The … more
- Blanchard Valley Health System (Findlay, OH)
- …Delegates appropriate authority, responsibility, and accountability to employees. Review 's employees' performance, recognizes good performance, addresses substandard ... Collections Managers & Supervisors, Patient Financial Services Educator & Compliance Specialist , Patient Financial Services Director and Revenue Cycle Director on… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied accounts ... unresolved denial issues and escalates to a denial analyst for further review as well...needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... initiate corrected claims and appeals. Duties include hands on coding , documentation review and other coding...experience in billing, coding , denial management environment related field. Skills,… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- SUMMARY: We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for ... and Coder, your daily duties will include entering and coding patient services and charges into our EMR system...all procedures. Follow Up on accepted or denied claims. Review denied claims for denial reasons and… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... submission and timely review and resolution of coding related claim...for single or low volume errors. Report high volume coding denial trends to the coordinator +… more
- UT Health (Houston, TX)
- …as assigned. **Certification/Skills:** 1. Certified Professional Coder (CPC) or Certified Coding Specialist Physician-based (CCS-P). 2. Effective analytical and ... Remote Senior Compliance Coding Analyst - Emergency Medicine **Location:** Texas Medical...Attends meetings. Manages EPIC PB Edits and Requests for denial appeals. Reports review results to the… more
- Rush University Medical Center (Chicago, IL)
- …* Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist - Physician Based (CCS-P) * Registered Health Information ... and focused educational programs on the results of auditing, review claim denials pertaining to coding , and... education and documentation adequacy. 9. Assists with claim denial reports to ensure optimal reimbursement 10. Analyzes billing… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review . Serve as a resource to Payment Resolution ... The position will report directly to the Supervisor Clinical / Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review . Serve as a technical resource and subject ... causes of clinical denials. Participates in payer meetings and supports the review and resolution of claim escalations. Responsible for leveraging clinical and broad… more
- Catholic Health Services (Smithtown, NY)
- …named Long Island's Top Workplace! Job Details The Clinical Documentation Improvement Specialist is responsible for improving the overall quality and completeness of ... and risk of mortality through extensive interaction with physicians, coding and other health care professionals; serves as a...order to avoid missing data. Knowledge of current insurance denial trends and CDI's role in denial … more
- Universal Health Services (Tredyffrin, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites… more
- Virtua Health (Marlton, NJ)
- …analysis of CDI Specialist and HIM APR-DRG severity level assignment and denial management.* The CDI Specialist is the primary source to verify diagnoses ... and analyzes medical records concurrently for proper documentation. This review includes new admissions to the facility, as well...in the medical record for proper DRG coding . When symptoms in the medical record require further… more
- Dignity Health (Sacramento, CA)
- …on form *Ensure HEDIS Quality inquiries are being completed by assigned physician * Denial letters: Review encounter for errors and correct them. *Ensures that ... sources. Has knowledge in the current ICD and CPT coding in a clinic setting. The incumbent is responsible...List to capture all encounters *Cerner PCA Charge Viewer: Review each Encounter to make sure there is a… more
- Abbott (Plano, TX)
- …114,000 colleagues serve people in more than 160 countries. **Sr. Appeals Specialist , Patient Therapy Access Team** **Position Location: 6600 Pinecrest Drive Plano, ... TX** currently has an opportunity for a **Sr. Appeals Specialist ** . This role is responsible for facilitating and...levels of appeal in the event of initial coverage denial . Manage complex appeals cases for assigned region including… more
- Beth Israel Lahey Health (Burlington, MA)
- …and billing. The Billing Specialist will be responsible for charge and claim review to ensure correct information is on file for charge to post and bill ... **Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …their life. Under the supervision of Revenue Cycles Manager, the Accounts Receivable Specialist is responsible for filing insurance claims, denial management and ... adjudication according to LBJI contracts. Essential Functions: + Review accounts receivable reports daily. + Manage patient account(s) to ensure accurate and timely… more
- Palmer College of Chiropractic (Davenport, IA)
- …primarily follows the claim process from origin to completion ensuring proper coding procedures. He/She will be responsible for accounts receivable goals, by ... and/or training required. Preferred experience specific to Chiropractic billing and coding . Experience in healthcare billing field to include, knowledge and… more
- Guthrie (Towanda, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 years… more
