Clinical Coding Denials Analyst
Health Business Solutions LLC
Health Business Solutions LLC is seeking a Clinical Coding Analyst to review denied claims, resolve coding issues, and ensure compliant coding practices. You will analyze denials, audit coding accuracy, and coordinate with providers and coding staff to obtain needed documentation. The role requires 2 years of coding experience, familiarity with ICD-10-CM and CPT/HCPCS, and ongoing knowledge of payer policies to maximize reimbursement while maintaining compliance. #J-18808-Ljbffr Health Business Solutions LLC
- ...Description: We are seeking a detail-oriented and analytical Clinical Coding Analyst to join our team and take on the responsibility of... ...be instrumental in analyzing and resolving coding-related denials, thereby enhancing operational efficiency and financial performance...SuggestedLocal area
- ...Senior Managed Care Analyst - Full Time page is loaded## Senior Managed Care Analyst... ...transparency, billing, prior authorization, and denial processes.* Knowledge of Medicare... ...be familiar with medical terminology, coding processes, clinical documentation and governmental and non...SuggestedFull timeContract workWork at office
- Position Summary The Grievance and Appeals Analyst I is responsible for the review,... ...eligibility, coordination of benefits, and denial management. Strong analytical and problem... ...plans. Familiarity with medical terminology, coding, and utilization management processes. Prior...SuggestedContract workWork at office
$23.21 - $29.48 per hour
...and other identified visits to determine appropriate ICD-10-CM coding and billing and compliance with Medicare Risk Adjustment metrics... ...and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of...SuggestedRemote job- Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We... ...This position collaborates closely with clinical teams, insurance providers, and other... ...related to service utilization or claims denials. Provide requested documentation and supporting...SuggestedWork at officeFlexible hours
- Case Review Analyst - Exact Billing Solutions (EBS) Location: Lauderdale Lakes, FL - On‑site... ...Analyst, you will review and process clinical records to submit for authorization to payors... ...and resolve utilization or claim denial issues. Provide requested documentation...Flexible hours
$49.93k - $97.36k
...regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal...Work experience placementWork at officeRemote work$49.93k - $97.36k
...federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the...Remote jobWork experience placementWork at office- ...A healthcare services provider in Lauderdale Lakes, FL is seeking a Case Review Analyst. This role involves reviewing and processing clinical records for authorization to payors, collaborating closely with clinical teams and insurance providers to support effective patient...
- ...Job Description Why This Role Exists | The Strategic Program Analyst serves as CXI's research and strategic positioning function. This role discovers, evaluates, and communicates emerging technologies, geopolitical developments, scientific breakthroughs, and global opportunities...
- ...been asked to identify qualified candidates for this Contract Analyst position. This position is a contract opportunity which is expected... ...for reviewing, analyzing and negotiating service contracts for clinical and non-clinical equipment. Works with vendor and legal...Hourly payContract workWork experience placementWork at office
- ...Pennsylvania Remote Worker: Michigan Remote Workertime type: Full timeposted on: Posted 8 Days Agojob requisition id: 2026-7577The **Revenue Analyst** plays a key role in supporting the financial health of the organization by analyzing, tracking, and reporting revenue-related...Remote work
- ...A leading medical device company is seeking an Entry-Level Accounts Payable Analyst. This remote position requires candidates to reside near Stuart, FL. Responsibilities include reviewing customer refunds, processing credit card refunds, and supporting Accounts Payable...Contract workRemote work
- ...not required degree/certification as a surgery tech or RN Prior analyst experience working with OR and/or Anesthesia information... ...Analyst supports the mission of JMC by configuring and supporting clinical applications within the Epic electronic health record (EHR) software...Work at office
- ...Nemours is seeking a Compensation Analyst to work out of Wilmington, Delaware, Jacksonville, or Orlando, FL. This is a hybrid role. Primary Functions This position is responsible for: Providing direct technical and consultative support in the administration of the organization...Work experience placement
$40k - $80k
Description The Program Controller participates in the planning, tracking, analysis, and reporting on multiple projects of varying contract type, size, complexity, and level of risk. Responsibilities include significant interface with project managers, senior technical...Contract workFor subcontractorRemote work- ...Abra is seeking an Interface Analyst to support the configuration and maintenance of system interfaces between Epic and third‑party applications. This contract position is remote with some onsite travel required in the Midwest. The ideal candidate will have over 2 years...Contract workRemote work
- Responsibilities Develop and maintain provider schedules to meet patient needs. Manage provider census through proactive census risk management. Manage market census to ensure the right patients are seen at the right time based on HarmonyCares risk tiering and inactivation...Work at officeLocal area
- ...Medicare & Medicaid Services (CMS). Education Bachelor’s degree in Clinical Informatics, Computer Science, Information Systems, Business... ...Registered Nurse or Allied Health Professional Prior analyst experience working with inpatient clinical systems. Work history...
- ...Job Title: Database Analyst Job Location: Tallahassee, FL (on-site) Job Duration: 12 month contract Job Tasks and Activities Analyze Medicaid claims, eligibility, provider, and encounter data to identify trends, anomalies, and opportunities for improvement. Support program...Contract work
- This position provides Requirements Management support to Space Access organizations in support of Space Access, Mobility, and Logistics. Performs informal and formal requirements reviews involving strategy, concepts, planning, formulation, development, derivation, interpretation...Contract work
$38 - $40 per hour
...Company: Utilities Company Position: Retirement Analyst Term: 6-month contract expected to be renewed for a total 12 month term Pay: $38/Hr - $40/Hr Location: Tampa, FL - 4 days on site 1 day remote Education: Bachelor’s degree in Business Administration, Human Resources...Contract workRemote work- SUMMARY The primary purpose of this position is to review, assess, and validate customer records to aide in the detection of possible money laundering, terrorist financing, and fraud using risk-based approach methods while ensuring compliance with the Bank's established...
$20.02 - $25.78 per hour
...Overview Revenue Cycle Management team focuses on a series of clinical and administrative processes that healthcare providers utilize... ...solving skills Strong communication skills Familiarity with ICD-10 coding Competent with computer systems, software and 10 key...Hourly payTemporary workWork experience placementLocal areaRemote workFlexible hours- ...integrity and employee confidentiality Requirements Bachelor's degree or equivalent work experience 5+ years’ experience as a Business Analyst (or similar role), within HR functional areas, implementing, supporting, configuring HR processes – (Core HCM, Benefits, Absence,...Work experience placement
- ...Position Overview Senior Business Systems Analyst role in dynamic, energetic, complex but rewardingly challenging, high-value, highly visible, fast‑paced environment. The ideal individual would be a Subject Matter Expert in Workday HCM Core, Benefits, Absence, & Compensation...Work experience placementFlexible hours
$30.38 - $32.38 per hour
...Immediate need for a talented Contract Analyst . This is a 03+ months contract opportunity with long-term potential and is located in Lake Mary FL (Hybrid) . Please review the job description below and contact me ASAP if you are interested. Job ID:26-16691 Pay Range: $...Contract workWork at officeLocal areaImmediate startFlexible hours2 days per week- ...Director in developing commercial frameworks (FCC) and expanding tenders to additional shipyards not yet used by the company. The Senior Analyst will lead RFP activities, analyze complex shipyard proposals, evaluate commercial terms, prepare negotiation packages, and support...
- Unlock your potential as a Finance Leader in a rewarding hybrid role that puts you at the forefront of financial strategy and operational excellence. This position offers a unique opportunity to enhance your professional growth while collaborating with a team dedicated...
$55.6k - $83.4k
...Green Dot Corporation is seeking a BSA/AML Analyst to join their team in Los Angeles, CA. In this role, you will use your skills to ensure compliance with federal regulations and address financial threats. You will analyze transaction monitoring reports and fulfill regulatory...
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