Current jobs related to Clinical Denials Prevention Coordinator - Mount Airy, North Carolina - Northern Regional Hospital
-
Licensed Clinical Social Worker
2 weeks ago
Mount Airy, North Carolina, United States Eventus WholeHealth Full timeEventus WholeHealth Clinical Social Worker Job DescriptionEventus WholeHealth is seeking a highly skilled and compassionate Clinical Social Worker to join our team. As a Clinical Social Worker, you will play a vital role in providing recovery-oriented rehabilitation services to residents in skilled nursing and assisted living facilities.Key...
-
Medical Assistant
2 weeks ago
Mount Airy, North Carolina, United States Novant Health Full timeJob Summary:We are seeking a skilled Certified Medical Assistant to join our team at Novant Health. As a key member of our healthcare team, you will play a vital role in ensuring the delivery of high-quality patient care.Responsibilities:Coordinate and assist healthcare providers to ensure safe, quality, and cost-effective service and care for our...
-
Medical Assistant
3 weeks ago
Mount Airy, North Carolina, United States Novant Health Full timeJob Title: Certified Medical AssistantWe are seeking a highly skilled Certified Medical Assistant to join our team at Novant Health. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support services.Responsibilities:Coordinate and assist healthcare providers to ensure safe and effective patient...
-
Nurse Practitioner
2 months ago
Mount Airy, North Carolina, United States Optum Full timeAbout the RoleWe are seeking a highly skilled Nurse Practitioner to join our team at Optum, a leading healthcare organization. As a member of our interdisciplinary team, you will play a critical role in delivering high-quality, patient-centered care in the comfort of patients' homes.Key ResponsibilitiesConduct comprehensive assessments of patients' health...
-
Clinical Care Coordinator
2 weeks ago
Rocky Mount, North Carolina, United States Carilion Clinic Full timeTransforming Healthcare Together:As a Clinical Care Coordinator at Carilion Clinic, you will play a vital role in providing exceptional patient care. Your expertise in case management will enable you to utilize clinical judgment, communication, and problem-solving skills to achieve optimal clinical and resource outcomes. By promoting cost-effective care, you...
-
Nurse Practitioner
3 weeks ago
Mount Airy, North Carolina, United States BAYADA Home Health Care Full timeJob Title: Registered NurseBAYADA Home Health Care is seeking a skilled Registered Nurse to provide high-quality care to clients in their homes in Mount Airy, North Carolina.Job Description:We are looking for a compassionate and dedicated Registered Nurse to join our team. As a Registered Nurse with BAYADA, you will have the opportunity to make a meaningful...
-
Mount Airy, North Carolina, United States Guy Cappuccino MD Full timeCosmetic Medical Services ProviderThe ideal candidate will provide cosmetic medical services in an office-based plastic surgery office/medispa, focusing on cosmetic injections and non-surgical cosmetic procedures. This role requires a deliberate patient-centered partnership for a seamless patient experience between office procedures, pre-surgery, outpatient...
-
Maintenance Specialist
1 week ago
Mount Airy, North Carolina, United States Leonard Aluminum Utility Buildings Full timeJob OverviewLeonard Aluminum Utility Buildings is seeking a skilled Maintenance Specialist to join our team at the Leonard Mount Airy Plant. As a key member of our operations team, you will be responsible for overseeing and optimizing our fleet operations, including maintenance, personnel management, route planning, compliance, and budgeting.This role...
-
Family Medicine Nurse Practitioner
2 weeks ago
Mount Airy, North Carolina, United States Novant Health Full timeFamily Practice/Primary Care Nurse Practitioner OpportunityNovant Health is seeking a highly skilled Family Practice/Primary Care Nurse Practitioner to join our team in Mount Airy, North Carolina.About the RoleThis is an exciting opportunity to work in a dynamic and patient-centered environment, providing high-quality care to our patients. As a Family...
-
Industrial Maintenance Manager
2 weeks ago
Mount Airy, North Carolina, United States Visionary Recruiting Solutions Full timeJob DescriptionAt Visionary Recruiting Solutions, we are seeking a highly skilled Maintenance Manager to oversee and coordinate the maintenance team involved in the installation, repair, and upkeep of machinery and equipment. The ideal candidate will ensure that equipment operates efficiently to support overall plant operations.Key Responsibilities:Oversee...
-
Clinical Nurse Specialist
1 week ago
Rocky Mount, North Carolina, United States UNC Health Care Full timeJob Summary:UNC Health Care is seeking a skilled Clinical Nurse II to join our team. As a Clinical Nurse II, you will be responsible for providing high-quality patient care in a home health setting.Responsibilities:Assess patient needs and develop individualized care plans.Collaborate with interdisciplinary teams to coordinate patient care.Provide education...
-
Industrial Maintenance Supervisor
3 weeks ago
Mount Airy, North Carolina, United States Visionary Recruiting Solutions Full timeIndustrial Maintenance ManagerAt Visionary Recruiting Solutions, we are seeking an experienced Industrial Maintenance Manager to oversee and coordinate the maintenance team involved in the installation, repair, and upkeep of machinery and equipment. As a key member of our team, you will ensure that equipment operates efficiently to support overall plant...
-
Clinical Nurse
1 week ago
Rocky Mount, North Carolina, United States UNC Health Full timeJob SummaryAs a Clinical Nurse at UNC Health, you will play a vital role in delivering high-quality patient care in a hospital setting. Your primary responsibility will be to coordinate and implement individualized care plans for patients, ensuring their physical, emotional, and educational needs are met.Key ResponsibilitiesParticipate in identifying and...
-
Industrial Maintenance Supervisor
2 weeks ago
Mount Airy, North Carolina, United States Visionary Recruiting Solutions Full timeIndustrial Maintenance ManagerAt Visionary Recruiting Solutions, we are seeking an experienced Industrial Maintenance Manager to oversee and coordinate the maintenance team involved in the installation, repair, and upkeep of machinery and equipment. The ideal candidate will have a strong background in industrial electrical and mechanical systems, as well as...
-
Veterinary Care Specialist
4 weeks ago
Mount Airy, North Carolina, United States Country Veterinary Hospital Full timeAbout UsCountry Veterinary Hospital is a dynamic three-doctor practice that values its team members and offers opportunities for growth and development.Job SummaryWe are seeking a skilled Veterinary Technician to join our team. As a key member of our staff, you will be responsible for providing exceptional patient care, working closely with our...
-
Veterinary Care Specialist
6 days ago
Mount Airy, North Carolina, United States Country Veterinary Hospital Full timeVeterinary Technician Role at Country Veterinary HospitalAbout Us:Country Veterinary Hospital is a three-doctor practice where you can grow as a professional and be part of a supportive and friendly clinic culture. Our team values a proper work-life balance and high job satisfaction.Key Responsibilities:Provide safe and effective patient handling and...
-
Nurse Practitioner
1 month ago
Mount Airy, North Carolina, United States UnitedHealth Group Full timeJob SummaryWe are seeking a highly skilled Nurse Practitioner to join our team in Surry county, NC. As a member of our interdisciplinary team, you will provide high-quality, patient-centered care to our patients in the comfort of their own homes.Key ResponsibilitiesConduct comprehensive assessments of patients and develop individualized care plans to address...
-
Pediatric Home Health Nurse
2 weeks ago
Mount Airy, North Carolina, United States Angels of Care Pediatric Home Health Full timeJob Title: Pediatric Home Health NurseWe are seeking a compassionate and skilled Pediatric Home Health Nurse to join our team at Angels of Care Pediatric Home Health. As a Pediatric Home Health Nurse, you will provide high-quality, patient-centered care to children and young adults in their homes, making a meaningful difference in their lives.Job Summary:The...
-
Nurse Practitioner or Physician Assistant
2 weeks ago
Mount Airy, North Carolina, United States Bethany Medical Full timeJob Title: Primary Care NP/PABethany Medical, a leading multi-specialty group in Central North Carolina, is seeking a skilled Primary Care NP/PA to join our team.Job Summary:We are looking for a highly motivated and experienced Primary Care NP/PA to provide high-quality patient care in a busy practice setting. The ideal candidate will have a strong...
-
Pediatric Care Specialist
1 week ago
Mount Airy, North Carolina, United States Britt Medical Search Full timeOpportunity OverviewWe are seeking a skilled Pediatric Physician to join our pediatric group and contribute to the delivery of high-quality patient care. The ideal candidate will have a strong passion for pediatric medicine and a commitment to building long-term relationships with patients and families.Key ResponsibilitiesProvide comprehensive medical care...
Clinical Denials Prevention Coordinator
2 months ago
We are seeking a highly skilled Clinical Denials Prevention Coordinator to join our team at Northern Regional Hospital. As a key member of our revenue cycle team, you will play a critical role in ensuring that our patients receive the care they need while also maximizing reimbursement for our hospital.
Key Responsibilities- Denials Prevention and Management: Utilize your expertise to identify and prevent denials of inpatient and outpatient services, ensuring that our patients receive the necessary care and that our hospital receives fair reimbursement.
- Clinical Documentation Review: Conduct thorough reviews of clinical documentation to establish medical necessity and ensure that our coding and billing practices are accurate and compliant.
- Communication and Collaboration: Serve as a liaison between our hospital and external partners, including insurance companies and government agencies, to resolve payment denials and clinical documentation issues.
- Analysis and Reporting: Build and analyze management reports to identify patterns and trends, and recommend opportunities for improvement related to coding, billing, and denial prevention.
- Expertise and Knowledge: Stay up-to-date on applicable third-party payer changes and government regulatory changes, and apply your knowledge of Interqual and MCG guidelines to claim appeal arguments.
- Education and Credentials: Possess a minimum of 3 years of experience in an acute hospital setting, with a background in registration, billing/coding, or case management, or a minimum of 3 years of experience directly working in revenue cycle activities, collections, and appeals.
- Skills and Knowledge: Possess a working knowledge of government and non-government payer practice regulation standards and reimbursement, as well as denial/appeal management experience in commercial managed care and government insurances.
- Certifications: Hold one of the following credentials: RN (Registered Nurse), LPN (Licensed Practical Nurse), RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CDIP (Certified Documentation Improvement Specialist), or CCDS (Certified Clinical Documentation Specialist).
