Inpatient Coder - DRG Appeals Specialist
UHS
Universal Health Services (UHS) - Western Region Consolidated Business Office (WCBO) is seeking an Inpatient Coder for the Appeals department. The role analyzes third party coding audits, drafts detailed appeal letters, and reviews clinical level of care to identify denial trends. Responsibilities include DRG validation, reviewing audit letters, and providing analysis to support appeals. The position requires coding certification and DRG experience with strong MS Office skills. #J-18808-Ljbffr UHS
- Universal Health Services (UHS) WCBO seeks a dynamic Inpatient Coder for the Appeals department to analyze third party coding audits, draft detailed... ...appeal letters, and review denial trends. The role involves DRG validation, interpreting payer rationale, and ensuring...Suggested
- ...continued professional development. The Western Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate...SuggestedWork at officeRemote work
- University Medical Center of Southern Nevada (UMC) in Las Vegas seeks an experienced inpatient coder. The role involves coding for research, utilization and reimbursement, with opportunities to report improvements and monitor coding trends. Candidates should have CCS, RHIA...SuggestedRelocation
- Universal Health Services (UHS) - Western Region Consolidated Business Office (WCBO) is seeking a Billing/Appeals professional to manage denied claims and support medical necessity appeals in collaboration with Nurse Auditors. The role emphasizes accuracy, timely follow...SuggestedWork at office
- ...denied claims by identifying reasons for denial or dispute and collaborating closely with Nurse Auditors to support medical necessity appeals. This position requires preparing and submitting accurate appeal documentation, conducting thorough research to gather supporting...SuggestedWork at officeLocal area
- Universal Health Services (UHS) in the WCBO is seeking an in-office Appeals/Denials Specialist to manage denied claims, gather supporting evidence, and coordinate with Nurse Auditors to support medical necessity appeals. This role operates 7:30 AM-4:00 PM and requires...Work at office
- ...revenue cycle management. The role analyzes reimbursement trends, identifies underpayments, and coordinates reconsiderations and payer appeals to optimize payment capture. Responsibilities include overseeing underpayment reconsiderations, correcting insurance plan errors,...
- Inpatient CoderPosition SummaryFusionHCR is seeking an experienced Inpatient Coder responsible for the expert coding of inpatient medical records... ...following:Certified Coding Specialist (CCS)Registered Health... ...reimbursement regulations.MS-DRG classification and reimbursement...
- ...Responsible for activities involving expert inpatient coding of medical records as a mechanism... ...of the following: - Certified Coding Specialist (CCS) - Registered Health Information... ...and reimbursement regulations and MS-DRG classification structure; current...Work at office
- ...Description We are seeking an experienced Inpatient Coder to accurately code inpatient medical... ...HCPCS codes as applicable. Apply MS-DRG and Medicare/IPPS coding guidelines.... ...following is required: Certified Coding Specialist (CCS) Registered Health Information...Full time
- ...Responsible for activities involving expert inpatient coding of medical records as a mechanism... ...Requirements: Certified Coding Specialist (CCS) Registered Health Information Administrator... ...and reimbursement regulations and MS-DRG classification structure; current...Live inWork at officeRelocation
- ...Prior Authorization/ B&E job description: A Prior Authorization Specialist: A prior authorization specialist is a healthcare... ...up relentlessly to prevent delays in patient treatment Denial & Appeal Management: If an insurer rejects a request, the specialist investigates...
- ...We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless... ...insurance authorization requests. Draft and submit clinical appeals for denied services. Communicate directly with insurance medical...Temporary workMonday to Friday
- ...Position Type: Full TimeAt Pueblo Medical Imaging, our Revenue Cycle Specialists play a vital role in supporting the financial health of our... ...or documentation required for billing, claim submissions, or appeals to ensure timely and accurate revenue capture. Vendor...
$24.87 - $33.64 per hour
...accurate ICD, CPT, and HCPCS codes to establish DRG or APC assignments, including handling... ...more of the following: Certified Coding Specialist (CCS) credentialed from the American... ...specialties accepted. Certified Professional Coder (CPC) credentialed from the American...Full timeTemporary workLocal areaRemote workDay shift- ...to established policies and procedures. Qualifications ACUTE INPATIENT EXPERIENCE REQUIRED Education: MINIMUM - CCS Graduate as a Registered... ...recent Inpatient and Outpatient coding experience required. Coders must have the ability to crossover between all coding types (IP...Local area
- ...Healthcare Hospital is seeking a detail-oriented Utilization Review Specialist to maximize patient care quality and ensure efficient... ...between medical staff and insurers, handling authorizations and appeals, and tracking utilization trends. Hours are Monday through Friday...Monday to Friday
$20 - $36 per hour
...Connecting. Growing together. The Access & Reimbursement Pharmacy Specialist will be responsible for the benefit verification research and... ...role includes ongoing follow up on prior authorizations and appeals. The role also includes identifying and obtaining financial...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaRemote workMonday to FridayShift work- FusionHCR is seeking an experienced Inpatient Coder to perform expert coding of inpatient records to support accurate reimbursement, data integrity, research, utilization review, and regulatory reporting. The role requires review of complex inpatient records, identification...
- ..., and a transplant program. It earned Magnet recognition for nursing excellence and patient care. The hospital seeks a skilled inpatient coder with CCS/RHIA/RHIT credentials, proficient in CPT/HCPCS/ICD coding and related reimbursement rules to support accurate medical...
- FusionHCR is seeking an experienced Inpatient Coder to deliver expert coding of inpatient medical records, supporting accurate reimbursement, data integrity, and regulatory reporting. The role requires 3+ years in an acute‑care setting, CCS or RHIA certification, proficiency...
$45k - $55k
Care Options for Kids connects leading pediatric specialists with families to provide best-in-class pediatric therapy, nursing, and school... .... Identify and elevate authorization denials or delays for appeal or peer-to-peer review. Maintain accurate records of authorization...Work at officeRemote work- ...staff to capture accurate clinical severity and reimbursement. The role emphasizes collaboration with physicians, nurses, and coders to ensure DRG-based accuracy and high-quality patient records in a fast-paced healthcare environment. #J-18808-Ljbffr Global Force USA
- ...Center in Las Vegas, NV is seeking a dedicated Prior Authorization Specialist. You will secure insurance approvals before procedures,... ..., submitting requests, tracking status, handling denials with appeals, and communicating timelines and costs to patients and providers...Work at office
- ...documentation. This hybrid role requires collaboration with physicians, nursing staff and HIM coding to ensure appropriate reimbursement and DRG level of service for patients. The position offers on-site in Las Vegas, NV with relocation bonus for candidates willing to relocate,...Full timeRelocationRelocation package
$20.35 - $30.97 per hour
Surgery Scheduler Creates and manages provider's surgery schedules, including in office procedure schedules and equipment. Maintains any changes or cancellations of surgeries for rescheduling and/or clinical follow up. Uses provider power plans to ensure all necessary...Hourly payWork at office- Position OverviewCreation of computer aided design diagrams at an advanced level for the National Operations Division while ensuring a gh level of accuracy, and the utmost in client satisfaction.Key Job ResponsibilitiesCAD Design• Responsible for professionally assembling...Full timeWork experience placementAfternoon shift
- Benefits: Competitive salary Dental insurance Health insurance Paid time off Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to...
$22.5 per day
...Resorts, we seek individuals like YOU to create unique and show-stopping experiences for our guests.THE JOB:As a Workforce Management Specialist, you’ll be at the heart of what keeps our properties running seamlessly. In this dynamic, high-impact role, you will support...Full timeWork at office$65k - $80k
...Shape tomorrow: At Bosch, you change lives. Job Description We are seeking a knowledgeable and customer-focused HVAC Specialist to provide expert phone and email-based troubleshooting and applications assistance for residential and commercial water-source heat...Full timeFor contractorsWork experience placementWork at officeLocal areaRemote workWork from homeFlexible hours
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