Remote Clinical Appeals Analyst - Coding & Compliance
Beth Israel Lahey Health
- Remote job
Beth Israel Lahey Health is seeking a Clinical Analyst to join the Patient Financial Services team and lead complex clinical appeals, audits, and compliance initiatives across inpatient and outpatient settings. You will ensure medical necessity and appropriate level of care, review coding and documentation, and educate providers on billing rules and policies. You will analyze denial trends, prepare appeals, participate in payer negotiations, and help develop training materials to improve #J-18808-Ljbffr Beth Israel Lahey Health
- ...support a high-profile team, the full-time Clinical Analyst Appeals will manage clinical appeals and audit... ...and government services in a remote setting, ensuring compliance with federal and state regulations related to coding, billing, and documentation. Key responsibilities...Remote workFull time
$93.14k - $124.8k
...Patient Financial Services, the Clinical Analyst plays an important role on a... ...and government clinical appeals and audit processes. The Clinical... ...Lahey Health (BILH) is in compliance with all applicable federal... ...as they pertain to coding, billing, and documentation....Remote job$29 - $52 per hour
...Coding Operations Manager This position is national remote. You'll enjoy the flexibility to telecommute* from anywhere within... ...are looking for a role in a clinical setting or supporting those who... ...in coding quality assurance/compliance activities that include action...Remote workHourly payMinimum wageFull timeWork experience placementLive inLocal areaMonday to Friday$80k - $90k
...Responsibilities*** Performs clinical reviews on medical... ....* Conducts Appeals reviews on medical... ...and other compliance and policy/procedures... ...ICD-9/ICD-10/MS-DRG coding may be necessary.*... ...claims software analyst experience may be... ...independently in remote setting with minimum...Remote workFlexible hours- ...Clinical Appeals Nurse - Full Time Remote - Jefferson Health Reviews payor denials and audits for potential... ...the appeal guidelines. Ensures compliance with regulatory and accrediting requirements... ...procedures. Knowledge of coding for payment of claims. Insurance...Remote jobFull time
- ...General Summary The Clinical Data Analyst II, under minimal supervision of... ...Design, write, and maintain code to perform complex data transformations... ...and new modules of remotely hosted vendors, acquiring... ...security, privacy, and compliance principles and adhere to the...Remote workTemporary workLocal area
- The Clinical Coding Analyst plays a critical role in ensuring accurate reimbursement, regulatory compliance, and documentation integrity for healthcare clients... ...timelines Review and appeal Medicare and third-party... ...Meditech, Epic, etc.) Prior remote work experience required...Remote jobWork experience placementFlexible hours
$23.89 - $42.69 per hour
...Coding Quality Analyst Optum is a global organization that delivers care,... ...craft strongly defensible appeal letters per process instructions... ...on correct coding and compliance for best practices. They will... ...fluency of encoders, coding clinics, ICD-9 and 10 guidelines,...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area$70k - $80k
Piper Companies is seeking a Remote Clinical Appeals Analyst to provide clinical expertise in reviewing and resolving complex member and provider... ...include consultation with non-clinical staff, compliance coordination, and complex case analysis. This is a full-...Remote jobFull timeContract workMonday to Friday- Health Business Solutions LLC is seeking a Clinical Coding Analyst to review denied claims, identify coding discrepancies, and collaborate with... ...required documentation. You will prepare coding-based appeals, conduct audits, and stay current with coding guidelines to...
$80k - $90k
...offering days working onsite and remote. Position Summary The Analyst, Compliance is responsible for assisting with... ...subject matter expert on complex coding, billing, and reimbursement matters... ...with the central revenue office, clinical staff, providers, and administrative...Remote workTemporary workWork at officeLocal area$70.1k - $126.2k
...and leading other Data Analysts. This role blends... ...partnership, supporting clinical and operational teams... ...analytical tools. Ensure compliance with federal and state... ...strongly preferred. SQL coding experience with the... ...approach to work with remote, hybrid, field, or office...Remote workWork at officeFlexible hours$33.69 - $56.15 per hour
...Adjustment Informatics & Workflow Analyst, you will design and... ...include: ~Translating HCC coding, clinical documentation standards, and... ...provider education, QA/RADV, compliance, and network teams to ensure... ...defensible. This is a remote opportunity with a schedule...Remote workFull timeMonday to FridayShift work- Solventum is seeking a Clinical Analyst to work remotely in Connecticut, focusing on methodologies for outpatient care. This role involves designing... ...healthcare industry, with strong knowledge of outpatient coding and claims processing. The position offers competitive compensation...Remote job
$115k - $133k
Role Description As a Senior Clinical Data Analyst in the Clover Care Services (CCS) organization, you... ...of healthcare data standards and coding systems (ICD-10, CPT, DRG) and familiarity... ...monthly cell phone & internet stipend, remote-first culture, paid parental leave for...Remote workFull timeWork at officeFlexible hours- ...is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst in New York. This role involves auditing... ...and ensuring accurate coding and compliance with regulations. Candidates should... ...competitive pay with potential for remote work. #J-18808-Ljbffr Capital...Remote work
- ...position can be fully remote but must work PST hours... ...enrollment, provider, clinical, or reporting systems)... ...with regulatory and compliance requirements (e.g., CMS... ...experience as a Business Analyst 2+ recent years in... ...workflows and claims coding accuracy Knowledge...Remote work
- ...Health Information Coding Analyst II Join our team at Regions Hospital... ...Inpatient Coder to join our remote coding team. In this role,... ...will ensure coding accuracy, compliance, and timely completion to... ...as well as on-site employee clinic to make it more convenient for...Remote workLive inLocal areaMonday to FridayFlexible hours
$25.54 - $38.3 per hour
...the Revenue Integrity Analyst role at Banner Health... ...financial outcomes/practices, compliance and optimal... ...areas such as Billing, Coding, CDM Services Expected... ...team This is a fully remote position and available... ...facilities comparing clinical documentation to billed...Remote workFull timeLive inWork at officeWork from homeMonday to FridayFlexible hoursShift work$73.35k - $114k
...Information Location: Cary, NC, Remote Organization:... ...About WCG WCG’s clinical solutions are built on... ...stimulate growth, foster compliance, and maximize efficiency... ...The CTMS Business Analyst is responsible for providing... ...billing processes (coding, Medicare regulations,...Remote jobFull timeWork experience placementLocal area- ...Oncology Network is looking for a Coding Analyst to join our team at Texas Oncology . This full‑time remote position will support the... ...adheres to the US Oncology Compliance Program, to include the Code... ...billing. Abstract relevant clinical information from the medical...Remote workFull timeWork at officeMonday to FridayFlexible hours
$96k - $132k
Job Description Clinical Development Analyst (Solventum) Company Overview 3M Health... ...: Providing expertise in coding performance, engine methodology... ...coding. Work Location Remote - United States Travel May... ...Policies Responsibilities include compliance with corporate policies,...Remote workH1bWorldwideRelocation packageFlexible hours- ...UChicago Medicine as an Inpatient Coder - Clinical Data Analyst in the Medical Records department . This is a remote, work from home opportunity, and you may be based... ..., under general direction, is responsible for coding and abstracting diagnoses and procedures from...Remote workFull timeInterim roleWork from homeShift work
$84.6k - $110k
...position is designated as remote. However, employees who reside... ...Wednesdays). The Senior Clinical Quality Assurance Analyst is responsible for... ...key stakeholders; Ensure compliance with contractual, local, state... ...years of ICD-10 diagnosis coding expertise (ideally 5+ years...Remote workH1bWork at officeLocal area2 days per week- ...position includes the review of clinical care and treatment plans by... ...HIPPA and 42-CFR rules and compliance. Oakland Community Health... ...organizational norms; firmly adhering to codes of conduct and ethical... ...environment. Hybrid (onsite/remote) work schedule available. The...Remote workWork at office
$65k - $75k
...Specialist – Primary Care Location: Remote Employment Type: Full-Time... ...patient outcomes while ensuring accurate clinical documentation and coding practices. Position Overview... ...internal and external audits and ensure compliance with Centers for Medicare & Medicaid...Remote workFull time$23.21 - $29.48 per hour
...other identified visits to determine appropriate ICD-10-CM coding and billing and compliance with Medicare Risk Adjustment metrics. Supports... ...and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity...Remote job- A clinical research technology firm is seeking a Research Analyst who can work remotely. This role requires an MBA and excellent English communication skills. Responsibilities include interacting with clients to create regulatory documentation, managing research data, and...Remote job
- Inovalon, Inc. is seeking a Senior Clinical Quality Assurance Analyst responsible for clinical oversight, training... ...reporting quality, ensuring compliance, and supporting clinical product initiatives... ...candidate brings extensive ICD-10 coding, HEDIS experience, and risk...Remote job
$59.86 - $74.95 per hour
...visualization tools. The IT Analyst Sr, BI Developer will be... ...reports and tools in support of clinical, business, and research operations... ...stakeholders. ~Designing, coding, validating, deploying, and... ...constraints. Remote work permitted. Qualifications...Remote workFull timeTemporary workFlexible hoursShift work
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