Coding Appeals Specialist

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other...

Job DescriptionJob DescriptionDescription:1. Performs retrospective and prospective account reviews and resolves coding edits to ensure that coding is accurate and documentation supports reimbursement.3. Analyzes coding-related denials (for problems such as bundling issues and inappropriate4. CPT/diagnoses) to identify trends and root causes.5. Develops...

Description As the Appeals and Grievances (A&G) Analyst, you will be responsible for assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. You will: Manage various weekly/monthly deadlines effectively due to the time constraints imposed by CMS on Medicare appeals and grievances. Collaborate...

General Summary of Position MedStar Health is looking for a Coding Specialist t o join our team with MedStar Physicians' Billing Services. We are seeking a CPC coder with at least 2 years of coding experience and strong ability to code Evaluation and Management services in the office, outpatient and inpatient setting: primary care, family medicine, urgent...

Description As the Senior Appeals and Grievances Analyst, you will be responsible for: Assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and providers receive fair and accurate resolutions to...

Description:JOB PURPOSE:Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical coding,...

General Summary of Position MedStar Health is looking for a Coding Specialist III with experience in Transplant Surgery coding to join our REMOTE team with the MedStar Medical Group! To qualify for a level III Coding Specialist, you must have 5-7 years medical-professional coding experience and your CPC certification. As a Coding Specialist III you will...

Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to the Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review of...

Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to the  Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review of...

OVERVIEW: Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career...

OVERVIEW: Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career...

General Summary of PositionMedStar Health is looking for a Coding Specialist III with experience in Transplant Surgery coding to join our REMOTE team with the MedStar Medical Group!  To qualify for a level III Coding Specialist, you must have 5-7 years medical-professional coding experience and your CPC certification.   As a Coding Specialist III you will...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other...

General Summary of PositionMedStar Health is seeking experienced Inpatient Medical Coders that are self-motivated and have at least 3 years of inpatient acute care coding experience with knowledge in MS-DRG and/or APR-DRG. Qualified candidates must have their CCS (Certified Coding Specialist) through AHIMA. MedStar Health provides the latest technology...

Description:JOB PURPOSE:Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical coding,...

Description:JOB PURPOSE:Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical coding,...

GENERAL SUMMARY/ OVERVIEW STATEMENT: Under general guidance of Patient Access Services Denial Manager, the Admitting Department Appeals Specialist is responsible for assisting with insurance denials and is expected to adhere to programs, policies and procedures to maximize reimbursement by minimizing denials. Under the supervision of the Patient Access...

Overview: Expected pay for this position is $29.01/hour. Actual pay will be determined by experience, skills and internal equity. POSITION SUMMARY: The Lead Coding Specialist oversees the coordination of accurate and compliant coding and charging to ensure adherence to established current ICD codes and CPT/HCPCS coding guidelines along with all...

General Summary of Position MedStar Health is looking for a Coding Specialist I to join our team with the Facility Outpatient Coding Operations department ! We are specifically seeking an experienced outpatient CPC Medical Coder that is self-motivated and has at least 1 year of experience in Emergency Department coding . As a Coding Specialist, you will...

Job DescriptionJob DescriptionWe are offering a long term contract employment opportunity in the healthcare industry, Based in Glen Burnie, Maryland, we are in need of a proficient Medical Biller/Collections Specialist to be an integral part of our team.Responsibilities:• Effectively handle medical insurance collections by engaging with insurance...