Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage Review and analyze denied claims and identify root causes Initiate outbound calls to provider offices for denial clarification and resolution Document call outcomes and update claim status
Description Insurance verification and eligibility. Insurance pre-authorization / pre-certifications verification and documentation in the billing system as well as electronic document system. Seeks ASC admin approval or rescheduling of any non-authorized or low margin cases. Contacts
Job Summary Insurance verification and eligibility. Insurance pre-authorization/pre-certifications verification and documentation in the billing system as well as electronic document system. Seeks ASC admin approval or rescheduling of any non-authorized or low margin cases. Contacts and
Charge Entry - Remote Position Job Category: Billing Full-Time Remote Downtown Mall Office Corporate Office Morristown, TN 37813, USA Job Details Description Benefits: Health Dental Vision 401(K) 401(K) matching Life and Disability Paid Time Off Holidays
Clinical Quality Review Specialist At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
Clinical Oversight And Quality Review Specialist At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for
Coding Quality Education Review Specialist Join Our Team and Earn a $5,000 Sign-On Bonus! Schedule: Monday-Friday, 40hrs per week. 8am-5pm in your time zone. On occasion, schedule adjustment may be necessary for department meetings to accommodate
Outpatient Clinical Documentation Integrity Supervisor The Outpatient Clinical Documentation Integrity (CDI) Supervisor leads the team that bridges the gap between the providers and coders/billers to clarify at-risk documentation to ensure accurate claim submission. This position will
Medicare Risk Adjustment Coding Specialist- Remote American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership
Remote MSDRG Auditor The DRG Validation Auditor is a member of the CGI Healthcare Compliance, DRG Validation Team, with responsibility for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
MEDHOST, a division of Harris; is seeking a Manager, Account Follow-Up Services who is experienced, strategic, and able to lead the team. Are you a leader who loves improving financial health and building great client
About Relio Relio is an AI-native healthcare revenue cycle management platform. We combine deep RCM operational expertise with modern AI tooling to help billing teams work faster and more accurately. We are an early-stage, well-backed company
Resolution Analyst, Denials (REMOTE) Hiring Immediately
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery
Underpayment Analyst, Denials - Zero Balance (REMOTE) Hiring Immediately
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery