match) Generous PTO 8 Paid Holidays Equipment Provided for Remote Roles Overview The Rejection Coder is responsible... to other departments so the invoice can be resubmitted Provide coding directions to appeal invoices and/or submit appeals via payer...
Primary Location: Work From Home - KY - ULP - AMG Address: Home Office Remote, KY 40601 Shift: First Shift (United States of America) Job Description Summary: Job Description: The job summary for this position is not currently on fi...
and physician practices as well as the Senior Director of Government Appeals. The incumbent must maintain a high level.... In the context of managing the appeals, the incumbent will be responsible for resolving differences of opinions among coders...
Clinical Appeals RN utilizes subject matter expertise in MS-DRG and APR-DRG auditing to review and provide response to appeals... provide written documentation under tight deadlines. As a Sr Clinical Appeals RN, you will derive key insights from the...
Anticipated End Date: 2026-02-28 Position Title: Medical Coding Appeals Analyst Job Description: Sign On Bonus..., and implications for system edits. Coordinates research and responds to system inquiries and appeals. Conducts research of claims...
Reviewer Appeals and Hearings to coordinate and perform all appeal related duties including analyzing and responding... appropriately to appeals from providers; reviewing documentation to ensure all aspects of the appeal have been addressed properly...
Reviewer Appeals and Hearings to coordinate and perform all appeal related duties including analyzing and responding... appropriately to appeals from providers; reviewing documentation to ensure all aspects of the appeal have been addressed properly...
Purpose The Clinical Appeals and CDI Specialist uses clinical/nursing knowledge and understanding of national coding..., and compliant. ? The Clinical Appeals and CDI Specialist provides nurse consultation services that consist of reviewing...
Purpose The DRG Auditor Clinical Appeals is responsible for conducting comprehensive retrospective reviews... integrity, and align with federal and industry standards. Reports to Clinical Appeals & CDI Manager Essential Functions...
for patients, physicians, and employees. POSITION SUMMARY The Medical Coder is responsible for all coding functions for Omega... with physicians, anesthesia providers, scheduling, and the billing team. The coder will also support coding audits, denials...
Responsibilities Clinical Validation - Perform daily audits on provider appeals for completeness and accuracy based... position. Uses the Cotiviti applications to processes CV appeals to meet both production and accuracy standards. Reviews...
-PCS and CPT-4 classification systems. The DQ Senior Coder also completes appeals processing tasks for both the inpatient... Quality (DQ) Senior Coder performs medical record coding and abstracting reviews with expert knowledge of ICD-10-CM, ICD-10...
from the insurance provider side. They will be responsible for handling appeals for Medicare members, specifically working... and appeals. Conducts research of system edits and make determination on claim decision on the provider dispute. Experience...
as a key resource for coding audits, error analysis, coder feedback and supporting revenue integrity initiatives... be required to come into the local office on occassion. REQUIRED Certified & active serving Professional Coder (CPC), Certified Coding Specialist...
team, providing documentation support for appeals and denials. Maintain productivity and accuracy standards as defined..., Sense of Urgency & Continuous Improvement. Perform other duties as assigned. Education Certified Professional Coder...
Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting... Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding...
Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting... Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding...
edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic... in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include...
American Vascular Associates is looking for a full-time Medical Coder. Specializing in Interventional Radiology... with denial management as necessary and as requested. Assist billing team with submitting corrected claims and/or appeals...
Job Summary The Podiatry Coder is responsible for reviewing, interpreting, and assigning accurate CPT, ICD-10-CM.... Monitor coding edits, denials, and rejections related to podiatry services; assist with corrections and appeals...