, 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...
Specialist (CCDS). EXPERIENCE: 1. Two (2) years’ experience in clinical documentation improvement. 2. Two (2) years... information about this position. Plans, directs, and manages functions within the Clinical Documentation Improvement (CDI...
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...
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...