denials and audit determinations for the hospital, including inpatient status disputes and medical necessity denials. Utilizes... denials and audit determinations. Applies clinical expertise and judgment to determine the medical necessity of services...
& note all M/care’s denials before giving to appropriate dept ALL denials from Humana ALL Humana “Custodial” denials... ALL HMO denials ALL Medicare’s PR-9; 18, CO140 Audit accounts that have open claims - investigate, fix and tag...
verification, billing and collections. Responsibilities: Essential Functions Position is eligible for Hybrid / Remote model... after 90 days. 3 days remote / 2 days in office Prepares and monitors monthly billing and collection processes utilizing...
, billing and collections. Responsibilities Essential Functions Position is eligible for Hybrid / Remote model after 90... days. 3 days remote / 2 days in office Prepares and monitors monthly billing and collection processes utilizing...
This is a remote position. Pacific time zone hours. Cash Applications Representative Essential Job Functions: Ensures..., and denials from all payers and patients. Meets important deadlines consistently especially during end-of-month/EOM closings...
admission, billing, payments and denials. Comprehensive knowledge of patient insurance process for obtaining authorizations... Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership...
and completeness to support correct claim submission and reduce denials. Query providers when documentation is incomplete, unclear.... Collaborate with the billing team to resolve claim rejections, denials, and coding-related issues. Maintain confidentiality...
, and abilities preferred: Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive... Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023...
, and abilities preferred: Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive... Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023...
, and abilities preferred: Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive... Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023...
and accurate charge submissions and reduce claim denials. Collaborate across departments—including CMOs, Clinical Informatics...) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist...
Period 80 Shift Day Weekly Schedule Monday-Friday (8:00am-5:00pm) Remote No Category Medical Coding Job Summary... accurate reporting of HCC diagnoses via claims. Works to resolve claims denials and reports denial trends to leadership...
Full-time, 40 Hours/Week 8:30am - 5pm Remote (Onsite for the first 90 days) Applicant must reside in OH or PA... authorization team, focusing on therapy, behavioral health, diagnostic procedures, specialist visits, and advanced radiology...
Period 80 Shift Day Weekly Schedule Monday-Friday (8:00am-5:00pm) Remote No Category Medical Coding Job Summary... accurate reporting of HCC diagnoses via claims. Works to resolve claims denials and reports denial trends to leadership...
Full-time, 40 Hours/Week 8:30am - 5pm Remote (Training onsite first 90 days) Applicant must reside in OH or PA.... Work directly with insurance companies and healthcare providers to resolve authorization delays, denials, or issues...
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...
remote. Position Summary: The Coder II is responsible for accurately reviewing, abstracting, and coding medical records...: Partner with revenue cycle teams to support clean claim submission and minimize denials. Work closely with oncology care...
, maximum reimbursement, and minimizing denials. You will serve as the primary point of contact for coding questions for a team... RCM leadership to review and address the team's performance. Location: Mobile, AL preferred but willing to hire remote...
require the examination of a claimant by an impartial specialist in accordance with law and Board rules; determines specialty... in field of medicine in which impartial specialist must be qualified; prepares findings of fact and indicates the specific...
that are a mix of remote work and onsite work fixed days each week 3. Hybrid flexible - roles that are a mix of remote work..., and sets up case files for assignment and investigation Handles initial claim denials, and averts potential complaints...