Remote Clinical Denials Lead - Surgical Coding & Appeals
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- Remote job
UT Southwestern Medical Center seeks a Clinical Denial Management Specialist III to perform advanced medical billing/denial duties under supervision. Preference for applicants with General/Multi-specialty surgery experience and EPIC familiarity. CPC certification is a plus. 100% remote work with a shift Mon-Fri; benefits include comprehensive healthcare, PTO, and retirement options. Prioritize candidates near the DFW area for interview logistics. #J-18808-Ljbffr Socket.dev
- ...East Registered Nurse (RN) Clinical Denials and Appeals Inova 8095 - Fairfax East... ...role will be Full-Time Remote, Monday-Friday (8-Hours per... ...and department (ex: UR, PFS, Coding, Billing, and HIM) to ensure... ...Inova, Northern Virginia's leading nonprofit healthcare provider...Remote workFull timeMonday to FridayFlexible hours
- ...Center in Dallas, TX invites applications for a Clinical Denial Management Specialist III in the Revenue... ...The successful candidate will analyze complex surgical E/M denials, coordinate with payers, and submit timely appeals. #J-18808-Ljbffr UT Southwestern Medical CenterRemote jobWork from homeMonday to FridayShift work
- ...System is seeking a dedicated Registered Nurse (RN) Clinical Denials and Appeals to join the team as a Full-Time Remote role. The position supports review of denied... ...of timely appeals, and collaboration across UR, Coding, Billing, and HIM to strengthen documentation. The...Remote jobFull time
$36 - $40 per hour
...’re forging our own path. We’re a remote-first staffing and consulting company... ...long term fulfillment in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity... ...$85,000.00-$95,000.00 1 month ago Clinical Review Nurse - Prior Authorization...Remote workPermanent employmentFull timeWork visa- ...your community—you belong at St. Joe’s. Job Summary The Clinical Denial Appeals Coordinator supports the Revenue Cycle by assessing and... ...staff, case managers, and coders regarding managed care and coding-related denial issues. Interact with payer representatives...Remote workWork at office
- ...in Aurora, Colorado, is seeking a Medical Claims Denial & Appeals Specialist. This role is crucial in resolving insurance... ...analytical approach to denials. Certification in coding is preferred. The position is fully remote, offering flexibility and valuable benefits. #J-1...Remote job
- Montefiore Medical Center is seeking a Clinical Appeals Manager to lead the Wakefield Division's appeals process. You will respond to third-party denials, interface with health plans and coordinate with Finance and Contracting on utilization-management issues. In this...
- ...practice providing comprehensive clinical, surgical, and imaging services. With... ...AR Process insurance denials and appeals to ensure timely account... ...understanding of EOBs and ANSI code denials. Excellent... ...Location While this is a remote position, preference will be...Remote workFull timeWork at office
- ...System from referring hospitals, clinics, and physicians offices,... ...approval of specific treatments and surgical procedures, and(3) second... ...on proposed admissions for coding accuracy, difficulty in obtaining... ...controls are met. Conduct denial appeal follow-up, through analysis...Remote jobWork at office
$23 - $35 per hour
A healthcare staffing agency is seeking an experienced outpatient surgical coder for a remote, 6-month contract position based in the United States. The role involves reviewing coding denials and ensuring accurate coding for outpatient surgical procedures. Candidates should...Remote jobContract work- Inova Health System is seeking a Registered Nurse (RN) for Clinical Denials and Appeals. This full-time remote role supports denials and appeals across facilities, with start times between 7:30 AM-9:00 AM ET. The role requires a bachelor’s or associate degree with RN license...Remote jobFull time
$89.52k - $161.14k
...DRG Clinical Validation Lead Anticipated End Date: 8/28/2026 Virtual: This... ...services, focused surgical and diagnostic procedures,... ...claims payment. May also manage appeals for services denied. How... ...Professional Coder (CPC) or Inpatient Coding Credential such as CCS or...Full timeContract workTemporary workWork experience placementLocal area1 day per week- ...St. Luke's in the United States is seeking a Denials Management Specialist to join our remote team. This role focuses on inpatient CMS denials, medical necessity reviews, and appeals for insurance payers. You will collaborate with Case Management and Billing to improve...Remote work
- ...Clinical Denial Management Specialist III With over 75 years... ...minor and/or major surgical procedures. Preference... ...documentation to review, research coding denials for minor/... ...Create and submit appeals for clinical and... ...resource to the FERC Team Leads, Compliance Auditors,...Full timeWork from homeMonday to FridayFlexible hoursShift work
$92,289.6 - $120,577.6 per week
...Overview Responsible for clinical review, development, and submission... ...and outpatient clinical appeals for denied hospital claims. This... ...and reduce avoidable denials. MINIMUM REQUIREMENTS... ...Emergency Room, Labor & Delivery, Surgical Services (not to include Perioperative...Full timeTemporary workPart timeWork at officeFlexible hours$10 per hour
A remote healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate... ...will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should...Remote jobFull time- ...Technical Denials & Appeals Specialist Our client is seeking a sharp, analytical, and results-driven Technical Denials & Appeals Specialist... ...that overturn them, we want to talk to you. This is a remote opportunity. However, candidates must reside within the greater...Remote workWork at office
- Aspirion is seeking a Denials Appeals Specialist to analyze denied claims, draft compelling appeal letters, and submit appeals per payer guidelines... ...documentation to support revenue integrity and cash flow. Remote US-based role with growth opportunities. #J-18808-Ljbffr...Remote job
- Aspirion Health Resources, LLC is seeking a Denials Appeals Specialist to analyze denial reasons, draft persuasive appeal letters, and submit... ...and reduce aging accounts receivable. You will work in a remote US-based environment, collaborating with cross-functional teams...Remote job
$80k
## RN Clinical Documentation Specialist... ...*Ensemble is a leading provider of technology... ...givers and HIM coding professionals... .... Reviews DRG denial letters and writes denial appeal letters.*... ...specific medical/surgical, Intensive Care... ...Workplace for Remote Work 2024Great...Remote workLocal area- Ensemble Health Partners is seeking an Acute Coding Appeals Specialist to review and write appeals for inpatient DRG denials, applying ICD-10-CM/PCS, HCPCS, NCCI, CMS and... ...willingness to travel to client sites as needed; remote work options available. A high school diploma...Remote job
- ...Full-time, 40 hours/week Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist supports the Revenue Recovery team by... ...diagnosis information # Coordinates and/or completes appeals as applicable with payors. # Develops suggestions for...Remote workFull timeMonday to Friday
- ...Accounts Receivable Specialist for a remote role with a 3‑month in‑office training... ...unpaid and underpaid claims, research denials, perform appeals, and work with payers to maximize collections... ...targets; experience with CPT/ICD‑10 coding and healthcare billing is required....Remote jobWork at office
$90k - $99k
...seeking a DRG Nurse Reviewer Appeals and Hearings to coordinate and... ..., and maintaining current clinical knowledge. The role requires... ...active RN license, relevant coding certifications, and strong communication... ...health coverage. This is a remote role with up to 25% travel...Remote jobFlexible hours- ...Join Our Growing Coding Team – Where Orthopaedics... ...to work fully remote after training Opportunity... ...abstract and code clinical data, using... ...documentation and surgical reports to accurately... ...coding edits, denials, and rejections; assist in appeals and corrections as...Remote workWork at office
- ...excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals... ...reimbursement. # Interpret and apply ICD-10 coding in the review of medical records to support...
$23 - $35 per hour
This is a remote 6‑month contract outpatient surgical coder role with a potential extension or permanent conversion... ...or WY. Responsibilities Review coding denials to determine accurate coding, add... ...correct denials without writing appeals. Focus on outpatient surgical...Remote workHourly payPermanent employmentContract work- ...Job Title Denials Management Coder Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or...Remote workWork at officeLocal areaWork from homeFlexible hoursDay shift
- ...Coder Job Purpose The Coder utilizes coding skills to work invoice reviews and... ...related to the specialty needed (IP DRG, OP, Denials, SDS, etc.) Knowledge of Microsoft Word... ...Must be able to use job-related software Surgical coding experience a plus Strong...Remote workWork at officeLocal areaWork from homeFlexible hoursDay shift
- ...Hcc Documentation Lead (Rn) To be part of our organization, every... ...subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale... ...of communication. Primarily remote position, however occasional on...Remote workFlexible hours
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