CLINICAL DENIALS

Job Description ECU Health About ECU Health ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers...

Job Description ECU Health About ECU Health ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers...

ECU Health About ECU Health Medical Center ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides...

ECU HealthAbout ECU Health Medical CenterECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides...

The Denial Management Nurse is responsible for developing and implementing a centralized program to promote greater efficiency with completing, tracking, and reporting clinical denial reviews to determine appropriate appeal of patient accounts. This individual will combine clinical, business, and regulatory knowledge and skill to reduce significant financial...

Job Description ECU Health About ECU Health Medical Center ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet designation...

The role of the Denial Nurse is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to denials. The Denial Nurse LVN will review for appropriate care and setting and following guidelines/policies as it relates to denials. The Denial Nurse LVN is responsible for...

OverviewThe Denials RN is responsible and accountable for receiving, processing and documenting all concurrent denials for assigned facilities. The RN has an integral role within the revenue cycle by providing clinical expertise in the denials management process.The Denials RN performs a root cause analysis of the concurrent denial, formulates and implements...

ECU HealthAbout ECU Health Medical CenterECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides...

ECU HealthAbout ECU Health Medical CenterECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides...

ECU HealthAbout ECU Health Medical CenterECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides...

**Overview**The Denials RN is responsible and accountable for receiving, processing and documenting all concurrent denials for assigned facilities. The RN has an integral role within the revenue cycle by providing clinical expertise in the denials management process.The Denials RN performs a root cause analysis of the concurrent denial, formulates and...

Work Schedule:100% FTE. Primarily Monday - Friday, no weekends. Eight hour shifts between the hours of 7:30 AM - 4:00 PM.Be part of something remarkableJoin the #1 hospital in Wisconsin!We are seeking a Denial Management Nurse to:* Be part of a dynamic team to manage clinical denials from payors.* Use your expert clinical knowledge to resolve medical...

Job DescriptionWork Schedule: 100% FTE. Primarily Monday - Friday, no weekends. Eight hour shifts between the hours of 7:30 AM - 4:00 PM. Be part of something remarkableJoin the #1 hospital in Wisconsin! We are seeking a Denial Management Nurse to: Be part of a dynamic team to manage clinical denials from payors. Use your expert clinical knowledge to resolve...

ECU Health About ECU Health Medical Center ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and...

JOB SUMMARY The Clinical Appeal#Coordinator will be responsible for reviewing, researching and appealing all Clinical Denials received for the organization. The Clinical Appeal Coordinator will need to conduct any training and education that is needed as a result of those denials. The Clinical#Appeal Coordinator will work with Business Services, Health...

JOB SUMMARYThe Clinical Appeal Coordinator will be responsible for reviewing, researching and appealing all Clinical Denials received for the organization. The Clinical Appeal Coordinator will need to conduct any training and education that is needed as a result of those denials. The Clinical Appeal Coordinator will work with Business Services, Health...

Overview The  Director, Medical Review will: Lead tracking and coordination of all direct bill therapy appeals, ensuring thorough data compilation and analysis. Lead ALJ hearing preparation and maintain professional communication with facility and corporate personnel. Communicate effectively with public and medical personnel promoting clinical excellence....

Overview: General Description The Medical Coding Specialist assists with: Implementation, tracking and maintenance of claim coding denials to ensure optimal collections related to claims denied as a result of lack of medical necessity, inadequate ICD-10 coding or other clinical errors. Identification of denied claims and the initiation and coordination...

Inspire health. Serve with compassion. Be the difference. Job Summary The Professional Billing Quality Coding Auditor will support the Medical Group Coding and Education department by performing routine reviews of coders to ensure accurate coding. This position will also perform specialty reviews as identified by Coding and Education leadership. Prepares a...