- Insight Global (Skokie, IL)
- Job Description Insight Global is looking for a clinical denials specialist to join the team at one of your healthcare clients in Chicago. As a Clinical ... Denials Specialist you will be working with the denials team to review and analyze denials from a clinical perspective. This person will be… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries....Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Hartford HealthCare (Farmington, CT)
- …Records / Health Information* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... process changes. . Works with and provides education to HHC staff on denials issues related to reimbursement, clinical criteria, insurance plan changes,… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- TEKsystems (Austin, TX)
- Description: Job Summary: The Revenue Cycle Denials and Appeals Specialist will be responsible for building and maintaining collaborative and productive ... of knowledge for the designated revenue cycle function, with a focus on Denials and Appeals * Performs analysis, identifies trends, presents opportunity areas, and… more
- CenterWell (Topeka, KS)
- …of our caring community and help us put health first** As an **Accounts Receivable Specialist /Healthcare Claims Denials Specialist ** , you will: + Ensure the ... patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow… more
- Texas Health Resources (Arlington, TX)
- **Coder II - Denials ** _Are you looking for a rewarding career with a top-notch health care company? We're looking for a qualified_ **Coder II** _like you to join ... Professional Coder Upon Hire **REQUIRED** or CCS-P - Certified Coding Specialist - Physician-based Upon Hire **REQUIRED** and Other Specialty certification such… more
- Carle (Urbana, IL)
- Clinical Documentation Integrity Specialist + Department: Health Information Management + Entity: Champaign-Urbana Service Area + Job Category: Nursing + ... and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk...peers and providers we needed or requested. Reviews DRG denials and provides information to the denials … more
- MD Anderson Cancer Center (Houston, TX)
- …professionals, employees and the public. **SUMMARY:** The primary purpose of the Sr. Clinical Coding Specialist position is to analyze medical records and ... abstract clinical data by assigning codes from patient records in...established through CMS and the AMA. 11. Resolves coding edits/ denials by performing second review of medical record documentation… more
- Tufts Medicine (Burlington, MA)
- **Job Profile Summary** The role of the Clinical Documentation Integrity (CDI) Specialist III is responsible for concurrent and retrospect review and analysis of ... the medical record to improve overall quality and completeness of clinical documentation. The CDS III facilitates and obtains appropriate modifications to … more