analytics, AI, intelligent automation, and workflow orchestration. As our Clinical Coding Appeals Supervisor, you will support... guidelines. Here’s what you will experience working as a Clinical Coding Appeals Supervisor: Track daily inventory of cases...
on submitted appeals, assist in escalation of appeals, assist Supervisor to analyze and report denials data, trends... process, seeking opportunities for process improvement. This role will collaborate with Clinical and Coding DRG Denials...
coding. Assists with coding/billing/charging questions and edits. Analyzes clinical documentation to ensure clear, thorough..., CDI/IP Supervisor to trend and develop appropriate educational programs. Assists with coding volumes if requested...
and improve lives every day. Primary Purpose Parkland Community Health Plan’s (PCHP’s) Reimbursement Policy Coding Specialist... will ensure accurate adjudication of claims by translating medical policies, reimbursement policies and clinical editing policies...
will complete and process denial paperwork for the Coding Denial Analyst and Denial Supervisor, make phone calls to payers to follow... up on appeals, and follow up with physician offices for missing documentation preventing coding from being completed...
physicians and clarifies coding versus clinical issues. Works closely with Registration and Business Office personnel to resolve... issues related to claims, coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster rates are used...
Job Category: Professional Description The Supervisor, Clinical Denials & Claims Resolution, is responsible for overseeing the.... Utilize clinical expertise to support accurate claim documentation and coding practices. Regularly review patient accounting...
terminology, ICD-10 and CPT coding. Prior supervisory experience. Experience working with Word, Excel and/or Access. Preferred...: The Claims Supervisor is responsible for ensuring that all WTC-related claims are reviewed and submitted timely to the WTC...
terminology, ICD-10 and CPT coding. Prior supervisory experience. Experience working with Word, Excel and/or Access. Preferred...: The Claims Supervisor is responsible for ensuring that all WTC-related claims are reviewed and submitted timely to the WTC...
terminology, ICD-10 and CPT coding. Prior supervisory experience. Experience working with Word, Excel and/or Access. Preferred...: The Claims Supervisor is responsible for ensuring that all WTC-related claims are reviewed and submitted timely to the WTC...
of insurance payers, appeals processes, clinical policies and medical billing practices. The ideal candidate will be detail...Position Overview: Reporting to the Hospital Collections Supervisor, the Level III - High Dollar Collector...
, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary... aged account timely to Supervisor. Compile data to substantiate and utilize to resolve payer, system or escalated account...
records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues... delays/ problem aged account timely to Supervisor. Participate and attend meetings, training seminars and in-services...
of insurance payers, appeals processes, clinical policies and medical billing practices. The ideal candidate will be detail...Position Overview: Reporting to the Hospital Collections Supervisor, the Level III - High Dollar Collector...
, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary... aged account timely to Supervisor. Compile data to substantiate and utilize to resolve payer, system or escalated account...
attention re:coding and compliance, contracting, claim form edits/errors and credentialing for any potential in delay/denial... accounting system. Appeals claims to assure contracted amount is received from third party payors. Complies and maintains KPI...
of insurance payers, appeals processes, clinical policies and medical billing practices. The ideal candidate will be detail...Position Overview: Reporting to the Hospital Collections Supervisor, the Level III - High Dollar Collector...
services and claims. Work insurance claims to ensure prompt and accurate billing. Work to resolve coding or billing errors... and underpaid claims to effect complete reimbursement by the payer/patient. Resubmit or correct and submit claims or submit appeals...
of insurance payers, appeals processes, clinical policies and medical billing practices. The ideal candidate will be detail...Position Overview: Reporting to the Hospital Collections Supervisor, the Level III - High Dollar Collector...
records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues... delays/ problem aged account timely to Supervisor. Participate and attend meetings, training seminars and in-services...