and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder...); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information...
with key management personnel, providers and staff members to assure patient access to care. This individual appropriately... submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels...
); Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS... coding of medical charts for billing. This position also reviews and response to coding-based denials for inpatient, hospital...
Verification Skills Matter Most You're not just answering phones – you're our revenue protection specialist and patient financial... are provided, prevent claim denials, and maximize revenue capture Excel at Financial Counseling: Confidently explain costs...
management, government and contracted payers Required Must be experienced in clinical, coding and patient financial services... experience is a plus Required Previous experience writing DRG Appeals Preferred Previous experience with RAC claims denials...
initiatives. Responds to clinical documentation or clinical validation denials and provide CDI leadership with updates... appeals, and recommends process improvements to minimize future denials. Participates in the review and development of CDI...
authorizations same day and next day, if needed. Assists patients in scheduling appointments with specialist and help resolve... managers for special referral pre-certification and out-of-plan or out-of-network referrals; monitors authorizations or denials...
Correct Coding Initiative (CCI) and Medical Necessity (MN) edits, as well as post bill denials relating to the same. Manages... and prioritizes tasksto meet deadlines for all projects and audits assigned. Provides ad-hoc multivariate reports to management...
Correct Coding Initiative (CCI) and Medical Necessity (MN) edits, as well as post bill denials relating to the same. Manages... and prioritizes tasksto meet deadlines for all projects and audits assigned. Provides ad-hoc multivariate reports to management...
Overview Dental Care Alliance (DCA) is seeking an experienced RCM Fees Analyst / Insurance Specialist... to obtain and validate fee schedules ¨ Analyze trends in denials, underpayments, and payer inconsistencies and recommend...
denials. Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health... Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information...
, and manage multiple tasks while delivering accurate, timely results; and also understand reimbursement and denial management.... Excellent communication, problem-solving ability, and a commitment to quality are essential; experience with CDM management, fee...
services, evaluation and management services. Responsible for resolving coding related denials. Job Responsibilities... (CCA) - American Health Information Management Assoc (AHIMA) Or Certified Coding Specialist - Physician-based (CCS-P...
and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized... and denials. Maintains department defined quality and productivity standards. Primary Duties: 1. Abstracts, analyzes...
Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) a plus Experience... urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999...
and mentoring Utilization Review, Clinical Documentation Integrity and Clinical Denials and Appeals teams. They ensure the teams... receive comprehensive education on policies, procedures, regulations, denials, and clinical criteria. The role provides...
as compliance. Successful management is critical in enhancing timely payment processes, avoiding payment denials and helping... for the management of all Patient Access Services for Community Hospital North Campus, Northwest Surgical Hospital, and north...
in healthcare billing, collections, payment processing, or denials management (denials management experience preferred) Understands... Partner for Health. The Patient Accounting Specialist III is responsible for processing complex transactions such as complex...
as compliance. Successful management is critical in enhancing timely payment processes, avoiding payment denials and helping... for the management of all Patient Access Services for Community Hospital North Campus, Northwest Surgical Hospital, and north...
strong organizational skills and prioritizes getting the right things done. The Accounts Receivable Specialist is responsible... insurance claims, including appeals and denials, to ensure timely and accurate reimbursement. Processes denials & rejections...