. Responsibilities: * Denial Management: Review and analyze denied claims to determine the cause of denial, coordinating with coding... professional fee billing is preferred. Familiarity with payer requirements, denial codes, and appeals processes for a range...
Include the following. Others may be assigned. Validate denial reasons and ensures coding in DCM is accurate and reflects the... or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES...
to ensure the financial viability of the WVU Medicine hospitals. This includes but is not limited to, denial investigation..., AND/OR LICENSURE: 1. High School diploma or equivalent. EXPERIENCE: 1. One year of training in medical billing, coding, insurance...
Include the following. Others may be assigned. Validate denial reasons and ensures coding in DCM is accurate and reflects the... or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES...
Include the following. Others may be assigned. Validate denial reasons and ensures coding in DCM is accurate and reflects the... or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES...
Include the following. Others may be assigned. Validate denial reasons and ensures coding in DCM is accurate and reflects the... or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES...
. Knowledge of healthcare coding practices. Understands and uses applicable CPT and ICD-9 codes. 11. Ability to multi task... performance. Prepare reports, presentations, and other written communications. Oversee denial prevention by analyzing trends...
Description Job Overview We are seeking a detail-oriented and knowledgeable Specialist to join our team. The ideal... candidate will possess a strong understanding of medical coding, billing, and terminology. This role is essential in ensuring...
received from payers and/or auditors. Provides support to both internal and external customers for denial/appeals activities... and coding guidelines with timely and successful submissions. Assists in identifying denial trends and selecting the...
, and success rate of appeals. Supports global denial prevention and mitigation efforts throughout the health system by attending... of clinical experience (required). Experience with appeals and/or denial processing (preferred). Clinical nursing experience...
· American Case Management Certification (ACM), Certified Clinical Documentation Specialist (CCDS) or Certified Coding Specialist..., clinical documentation improvement, coding, and billing etc. to reduce denials. 4. Assists in the development of denials...
Supervisor and guidance of the Team Lead the Patient Accounts Specialist is highly involved in all aspects of medical billing..., and is responsible for escalated follow-up and denial work. Participates in training and auditing of Patient Account Representatives...
Supervisor and guidance of the Team Lead the Patient Accounts Specialist is highly involved in all aspects of medical billing..., and is responsible for escalated follow-up and denial work. Participates in training and auditing of Patient Account Representatives...
- for you and every person we serve together. Visit nchjobs.org to learn more. JOB SUMMARY The Coding Specialist is responsible..., and ancillary services. The Coding Specialist will understand ICD-10, CPT and HCPCS coding; have the ability to interpret insurance...
and appeals. Duties include hands on coding, documentation review and other coding needs for ICD-9, ICD-10. Works directly... Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1...
- for you and every person we serve together. Visit nchjobs.org to learn more. JOB SUMMARY The Coding Specialist is responsible..., and ancillary services. The Coding Specialist will understand ICD-10, CPT and HCPCS coding; have the ability to interpret insurance...
in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding... and appeals. 16. Completes projects and research as assigned. 17. Provides feedback and participates as the coding...
) Job Description: JOB SUMMARY The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been... and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements...
trends, payor follow-up and denial management, and develop techniques to optimize revenue, improve coding accuracy... and Coder Specialist will enhance the billing and coding department's reputation by accepting ownership for accomplishing new...
denial resolution strategies. What We're Looking For We're seeking an experienced insurance collection specialist... or equivalent required; College degree preferred 2+ years experience in insurance denial management, appeals processes, and EOB...