Physician Denials Coder

Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding career at Grady! SUMMARY As a member of the Compliance team, the Compliance Auditor is responsible for leading and conducting key activities of Grady Health System's audit...

Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding career at Grady! SUMMARY As a member of the Compliance team, the Compliance Auditor is responsible for leading and conducting key activities of Grady Health System's audit...

Role - P hysician Medical Reviewer Duration - Weekend job Remote Pre-service reviews only - at least 4 cases per hour is the goal. Training will be for 3-4 days, Mon- Thurs 8a m -5p m Seeking P hysician medical reviewer for REMOTE weekend work - at least 2 weekends per month This position requires an initial time commitment to...

RESPONSIBLE FOR: Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately complex hospital outpatient visits. Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Liaisons with physicians and physician...

Description:RESPONSIBLE FOR: The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep III...

Overview: This position reviews professional (physician) charges.  Shift is flexible. Remote role.    REQUIRED QUALIFICATIONS:  Ability to analyze medical record notes to ensure correct coding, billing compliance and complete charge capture. Ability to research regulatory requirements. Ability to clearly communicate findings with...

Description: RESPONSIBLE FOR: Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately complex hospital outpatient visits. Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Liaisons with physicians...

Description: RESPONSIBLE FOR: The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep III...

Description: RESPONSIBLE FOR: The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep...

Job DescriptionJob DescriptionClaim/Charge Edit Specialist is responsible for reviewing clinical documentation to ensure timely, accurate, and compliant charge capture and processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. Claim/Charge Edit Specialist works closely with...

Job DescriptionJob DescriptionResponsible for hospital and physician billing and follow-up. Must have experience with commercial and government payers. Responsibilities include follow-up for payment, work denials, appeals, and research.This position will require the selected candidate to work on-site for the first two weeks, then 100% remote for the...

Job DescriptionJob DescriptionResponsible for hospital and physician billing and follow-up. Must have experience with commercial and government payers. Responsibilities include follow-up for payment, work denials, appeals, and research.This position will require the selected candidate to work on-site for the first two weeks, then 100% remote for the...

Job DescriptionJob DescriptionOrganization:HSI Financial Services, LLC (HSI) is a subsidiary of Phoenix Health Care Management Services, Inc., and was created in 1983 as members' first shared services initiative. Offering a full range of revenue cycle management solutions, HSI strives to provide superior service and financial value for its clients.HSI is...