submission. Monitor denials, returned claims, claim edits, and payer claim processing behavior to assist with identifying... as required or requested Reviews denial and underpayment trends in collaboration with PFS Manager, Contract Specialist, and Compliance...
for payor, RAC, regulatory denials/appeals, and downgrades by providing in depth coding review, audit findings and appeal... Administrator, Registered Health Information Technician, Certified Coding Specialist , Certified Professional Coder or Certified...
to proper specialist, preparing paperwork, obtaining authorization from insurance company and handling denials and problems...
(also called Resource and Housing Specialist) works directly with families in the shelter to successfully resolve their housing... families' compliance with shelter and program rules, and administer warnings and denials of services as needed. Work...
integrity issues. Responsible for completion of appropriate error/issues in Work Queues. Identifies and resolves Payor Denials... to meet with the Talent Acquisition Specialist to assess other positions available within the health system. PAS employees who...
denials. The Manager oversees the DOM Professional Fee Coders and directly supervises the Patient Billing and Collections... for trainees. The Clinical Operations Manager also supervises the Department of Medicine Quality Improvement Specialist...
integrity issues. Responsible for completion of appropriate error/issues in Work Queues. Identifies and resolves Payor Denials... to meet with the Talent Acquisition Specialist to assess other positions available within the health system. PAS employees who...
with Patient Support Specialist (PSS) to identify and eliminate barriers to access for patients enrolled in GPS. Responds to HCP... changes, claim denials, underpayments, etc.) and engages payer team appropriately when patient access may be jeopardized...
Pharmacist Specialist, or Clinical Coordinator is responsible for the interpretation, evaluation, preparation, and dispensing... of MAP technicians refill processing, prior authorization submissions, denials and appeals management, and coordination...
Specialist and other members of the health care team. Promotes high standards of practice and holds staff and self accountable... Review Specialist as needed. Performs all duties within the role to included: Performs admission and continued stay reviews...
other coders and medical billing specialist in resolving coding problems. · Provides ICD-10 and CPT, for physician research... and billing edits as well as denials by performing second review of medical record documentation and assignments · Review...
department website as needed. Compute denials and approvals in Clintrac system as it relates to patients hospital stays. Process... check requests.Assist Payor Specialist Assistants on daily basis. Knowledge, Skills & Abilities Patient Group Knowledge...
opportunities on behalf of owning area. * Codes/abstracts/audits accounts and resolve inpatient and outpatient coding denials... to) Attend and provide notes back to the Manager for meetings: OCC, Denials, etc. Support other roles within the department...
along with management of edits and denials. Pro cessing claim edits. 4% of time spent /p Researching and processing denied claims... Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist...
impacting edits and denials from a coding perspective. • Work with Patient accounts closely to monitor denials and provide... Time Regular 1.0 Location: General Hospital Location of Job: US:WV:Charleston Talent Acquisition Specialist: Lisa J...
from the frustrations of insurance headaches, denials, and restrictive treatment limitations... of insurance dictating care so they can become renowned specialist physical therapists building upon and continuing our company...
Specialist (CCS) or Certified Coding Specialist - Physician (CCS-Phy) or Certified Professional Coder (CPC) or Registered Health... Clinical Documentation Specialist- (CCDS) or CIRCC-AAPC or Radiation Oncology Certified Coder (ROCC): Preferred Essential...
Specialist support at both locations EMR is EPIC Must be Board Certified or Board Eligible in Internal Medicine (Family... documentation that meets insurance company requirements; appeal all denials in a timely manner. Participates in inpatient...
Specialist support at both locations EMR is EPIC Must be Board Certified or Board Eligible in Internal Medicine (Family... documentation that meets insurance company requirements; appeal all denials in a timely manner. Participates in inpatient...
and other educational materials Edits/Denials/Coding - Assists with edits, denials and appeals. Also assists with coding and working holds... Professional Coder) CCS (Certified Coding Specialist) RHIA (Registered Health Information Administrator) RHIT (Registered...