Care Manager - Denials & Appeals (RN CCM)
Harris Health System, Inc.
Harris Health System, Inc. in Houston is seeking a Care Manager Clinical Denials (CM-CD) to manage clinical audits and denials related to inpatient medical necessity and coding. You will review patient records, apply clinical and payor knowledge, and coordinate timely appeals as required. The CM-CD will serve as a liaison between Case Management and physicians, perform departmental audits to validate charging accuracy, and participate in activities to meet regulatory requirements and prevent #J-18808-Ljbffr Harris Health System, Inc.
Vacancy posted 1 day ago
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