- University of Utah (Salt Lake City, UT)
- …08/14/2024 **Requisition Number** PRN39530B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job ... coding knowledge to abstract and record data from medical records and provides support to areas related to...CPC -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified … more
- Carle (Urbana, IL)
- Outpatient Denial/ Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... appeals for the Carle enterprise. Represents Carle in clinical meetings and writing appeals on outpatient accounts where medical necessity, level of care or… more
- CDPHP (Albany, NY)
- …accreditation and other regulatory requirements. Using knowledge of clinical nursing and medical practices, the Clinical Appeals Specialist will review ... to be a part of that experience. The Clinical Appeals Specialist is responsible for adhering to...case summarization required. + Experience with ICD diagnosis, CPT coding practices, and DRG principles required. + Experience in… more
- St. Mary's Healthcare (Amsterdam, NY)
- …experience and other factors permitted by law. Responsibilities: * Uses clinical and coding knowledge to ensure accurate and compliant charge items and to recognize ... and audit requests and coordinates attempts to overturn denials by drafting appeals , negotiating with payers, or following up with payer utilization review… more
- University of Washington (Seattle, WA)
- …communicated payer decisions in a timely manner + Review clinical denials and initiate appeals process + Conduct medical necessity reviews, based on denial root ... management or healthcare management), certified case manager, certified documentation specialist , certified coder, certified professional medical auditor +… more
- The Mount Sinai Health System (New York, NY)
- …DRG reimbursement methodology. Demonstrated knowledge of ICD-9 codes, DRG and CPT coding . **REQUIRED SKILLS** Certified Coding Specialist **ABOUT US** ... **JOB DESCRIPTION** The DRG Appeals Analyst - CDI Liaison is responsible for analyzing medical records, claims data, and coding on all diagnoses and… 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 ... 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
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs. Required Skills ... all messages in a timely manner. + Maintains communication between medical providers, administrative staff, and/or patient/families. Business Services: + Performs… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL ... RESPONSIBILITIES: + Acts as the primary resource over the medical coding function; reviews the work of...accordance with contracts, calling payers on open claims, sending appeals on denied claims and following up on requests… more
- Seattle Children's (WA)
- …to ensure coding and documentation compliance. **Required Credentials** Certified Coding Specialist (CCS) certification by the American Health Information ... creation of educational materials. Experience in revenue cycle functions, including coding denial management and appeals process. Experience in research… more