, follow-up with insurance companies, billing, auditors and clinics/hospital departments, non-clinical appeal writing, accurate... by telephone when needed 4. Composes administrative, non-clinical appeals as directed by leadership. Organizes and manages appeal...
and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory... to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical...
and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory... to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical...
and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory... to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical...
leadership to communicate training and optimization needs to clinical leadership, chargemaster committee, compliance, and related... and reports on denials appeals and follow-up activities related to billing edits. 4. Provides assistance to departments...
and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory... to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical...
to answer clinical questions during the authorization process. 9. Scheduling and following up on peer to peers and denials... are to be coded, and clinical documentation reviewed to ensure the documentation is complete. Escalates financial clearance risks...
Specialist), or CPC (Certified Procedural Coder). PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1... improvement audits and training of designated coding staff. 3. Acts as expert coding resource not only to coders, clinical...