Coding Appeals Specialist

4 days ago


Glen Burnie, United States TEKsystems Full time
Job DescriptionJob Description

Description:

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 inappropriate

4. CPT/diagnoses) to identify trends and root causes.

5. Develops process improvements for coding and documentation workflows based on denial analysis and industry coding guidelines.

7. Organizes data into clear reports that are presented to denial management leadership, physician advisors, and providers.

9. Provides regular feedback to denial management team members and coding/physician educators to promote departmental knowledge of best practices within coding.

11. May assist with communication to providers on outstanding queries for additional documentation or diagnosis information.

13. Proactively maintains current knowledge of applicable regulations and payer policy requirements, new or upcoming changes, and best practices from the AAP and professional journals.

15. Supports the denial coding team with additional tasks as needed (such as directly inputting codes on complex or high-value accounts).

Skills:

Ccs, Cpc, Epic, Medical Coding, Coding, Coder, Medical Coder, Emr, Icd-10, Ehr, Medical record

Top Skills Details:

Ccs,Cpc,Epic,Medical Coding,Coding,Coder,Medical Coder

Additional Skills & Qualifications:

Education

• Current coding certification (RHIA, RHIT, CPC, CCS) is required.

Experience Level:

Expert Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.



  • Glen Burnie, Maryland, United States Giant Food Full time

    Job Summary:As a Grocery Stocking Specialist at Giant, you will play a vital role in ensuring our shelves are fully stocked and visually appealing. This includes receiving and processing inventory, maintaining accurate inventory levels, and organizing products on the sales floor. Your attention to detail and ability to work efficiently will make a...


  • Glen Burnie, Maryland, United States Anne Arundel Workforce Development Corporation (AAWDC) Full time

    Job SummaryThe Maintenance Specialist will be responsible for performing intermediate skilled tasks in troubleshooting, operation, replacement, repair, and maintenance of commercial air conditioning and heating systems, refrigeration, water treatment, controls, and all other building mechanical and electrical systems.Key ResponsibilitiesPerform operation,...


  • Glen Burnie, Maryland, United States VDart Full time

    Network Engineer RoleAt VDart, we are seeking a skilled Network Engineer to join our team. As a Network Engineer, you will be responsible for designing, implementing, and supporting LAN, WLAN, and WAN network infrastructure. Your technical expertise will serve as a technical escalation point, and you will create and maintain technical and process...

  • Nurse Care Specialist

    4 weeks ago


    Glen Burnie, Maryland, United States Genesis Healthcare Services Full time

    At Genesis HealthCare Services, we're committed to delivering high-quality care and compassion to our patients and residents. As a Registered Nurse, you'll play a vital role in our mission to improve the lives we touch.Key Responsibilities:Perform nursing assessments and collaborate with the nursing team to develop effective plans of care.Administer...


  • Glen Burnie, Maryland, United States Apex Systems Full time

    Job SummaryWe are seeking an experienced AV Service Technician to provide on-site and remote technical support for our clients. The ideal candidate will have a strong background in installing, operating, and maintaining Audio Visual and Videoconferencing systems.Key ResponsibilitiesTroubleshoot system problems and perform repairsManage customer-generated...


  • Glen Burnie, United States BlazerJobs Full time

    Job DescriptionJob DescriptionMinimum 1+ years Behavior Specialist experience required.Blazer Jobs is actively interviewing experienced Registered Behavior Technicians (RBTs) for a full-time opportunity to work with school districts in the Glen Burnie, MD area.Key Responsibilities Include:Implement behavior intervention plans as developed by a BCBA Collect...


  • Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Job Title: Clinical Engineering Technician IIIAt the University of Maryland Medical System, we are seeking a highly skilled Clinical Engineering Technician III to join our team. As a key member of our clinical engineering department, you will play a critical role in ensuring the safe and effective operation of medical equipment in our hospitals.Job...


  • Glen Burnie, Maryland, United States MedVanta Full time

    We are seeking a skilled Physical Therapist to join our team at MedVanta. As a key member of our staff therapy team, you will be responsible for administering physical therapy treatment to patients suffering from injuries or dysfunction of various systems.The purpose of treatment is to help restore function, relieve pain, and prevent further disability. Our...


  • Glen Burnie, Maryland, United States PSG Global Solutions Careers Full time

    Job SummaryWe are seeking a skilled CT Technologist to join our team. As a CT Technologist, you will be responsible for performing diagnostic imaging procedures using computed tomography (CT) scanners. Your primary goal will be to assist in the diagnosis of patient illness by performing high-quality imaging procedures.Key Responsibilities:Perform CT...


  • Glen Allen, Virginia, United States HomeServices Insurance Full time

    Job SummaryWe are seeking a highly skilled Insurance Risk Specialist to join our team at HomeServices Insurance. As an Insurance Risk Specialist, you will be responsible for assessing client risk exposure on personal and/or commercial property, making appropriate recommendations, and placing coverage to address those risks.Key ResponsibilitiesMarket and sell...


  • Ruther Glen, Virginia, United States Doswell Operating Group Full time

    About UsPit Stop is a leading convenience store chain with 17 locations across Virginia. We offer top-quality Exxon fuels and a lightning-fast, friendly shopping experience.Job SummaryWe are seeking a Food Service Specialist to assist with the operation of food preparation and service for our store. The ideal candidate will be friendly, positive, and...

  • AP Specialist

    2 weeks ago


    Glen Mills, United States Golden Waffles Full time

    Company Overview Have you got what it takes to succeed The following information should be read carefully by all candidates.Golden Waffles is the largest manufacturer and distributor of waffle irons, mix, and toppings to leading restaurants, hotels, colleges, and theme parks. The company provides a comprehensive turnkey waffle program to over 40,000 customer...

  • AP Specialist

    1 week ago


    Glen Mills, United States Golden Waffles Full time

    Company Overview Golden Waffles is the largest manufacturer and distributor of waffle irons, mix, and toppings to leading restaurants, hotels, colleges, and theme parks. The company provides a comprehensive turnkey waffle program to over 40,000 customer locations throughout North America and has been operating for over 85 years! Our well-established...

  • AP Specialist

    2 weeks ago


    Glen Mills, United States Golden Waffles Full time

    Company Overview Have you got what it takes to succeed The following information should be read carefully by all candidates.Golden Waffles is the largest manufacturer and distributor of waffle irons, mix, and toppings to leading restaurants, hotels, colleges, and theme parks. The company provides a comprehensive turnkey waffle program to over 40,000 customer...

  • AP Specialist

    2 months ago


    Glen Mills, United States Golden Waffles Full time

    Job DescriptionCompany OverviewGolden Waffles is the largest manufacturer and distributor of waffle irons, mix, and toppings to leading restaurants, hotels, colleges, and theme parks. The company provides a comprehensive turnkey waffle program to over 40,000 customer locations throughout North America and has been operating for over 85 years! Our...


  • Glen Allen, Virginia, United States Intellipro Group Full time

    Job Title:Software Development SpecialistLocation:Remote or HybridSalary:$70Job ID:#Key Responsibilities:Design, develop, and maintain Web and Windows-based solutions using C#, ASP.NET, and related technologies. Work on both front-end (user interface) and back-end (web services, Windows services, database integration) development. Utilize tools such as...


  • Glen Allen, Virginia, United States Patient First Full time

    Job SummaryThe Medical Records Release Information Specialist plays a vital role in ensuring the timely and efficient processing of medical release of information requests for protected health information (PHI). This position requires a high level of accuracy and attention to detail, as well as excellent communication and organizational skills.Key...


  • Glen Allen, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are offering a contract for a permanent position as a Service Desk and Project Specialist in Glen Allen, Virginia. This role involves joining our team to optimize and maintain the network infrastructure for our clients. You will be instrumental in supporting day-to-day operations, troubleshooting network issues, and enhancing...

  • AP Specialist

    2 months ago


    Glen Mills, United States Golden Waffles Full time

    Company OverviewGolden Waffles is the largest manufacturer and distributor of waffle irons, mix, and toppings to leading restaurants, hotels, colleges, and theme parks. The company provides a comprehensive turnkey waffle program to over 40,000 customer locations throughout North America and has been operating for over 85 years! Our well-established...

  • AP Specialist

    2 weeks ago


    Glen Mills, United States Golden Waffles Full time

    Company OverviewGolden Waffles is the largest manufacturer and distributor of waffle irons, mix, and toppings to leading restaurants, hotels, colleges, and theme parks. The company provides a comprehensive turnkey waffle program to over 40,000 customer locations throughout North America and has been operating for over 85 years! Our well-established...