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...
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...
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 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...
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...
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...
Billing & Revenue Cycle Specialist with strong experience in hematology/oncology billing, coding, and revenue cycle management...Job Title: Medical Billing & Revenue Cycle Specialist Location: Bethlehem, PA (On-site) Job Type: Full-time...
and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external... departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns...
with Physician 95% of the time. Per provider request. Per departmental audit standards. Investigates claim denials from third... Center encounters per hour. Codes 10 GI/Pain Management encounters per hour. Codes 30 Radiology/OP Diagnostic services...
with physician practices (both private and hospital affiliated institutions). They interact directly with key management personnel... on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient...
, denials, and corrective action plans. Participate in internal audits and external reviews by funding sources. Serve..., recovery services, or peer support programming. Preferably have at least two (2) years of supervisory or program management...
and optimal charge capture. Req Effectively partner with revenue cycle staff on coding denials management. Req Effectively... communication skills. Preferred Qualifications: Required Licenses/Certifications: Req Certified Coding Specialist - CCS...
and optimal charge capture. Req Effectively partner with revenue cycle staff on coding denials management. Req Effectively... communication skills. Preferred Qualifications: Required Licenses/Certifications: Req Certified Coding Specialist - CCS...
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...
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. Key Responsibilities Oversee all aspects of urgent care billing, including charge entry, claims submission..., payment posting, denials, and appeals Manage and support billing staff, including training, performance monitoring...
a meaningful difference in the lives of the patients you serve. The Physical Therapy Support Specialist (PTSS) works to support... PTSS is responsible for therapy referral management, patient scheduling, assisting with patient registration and check-out...