HIM DRG Denial Coordinator
Cook Children's Medical Center
Location: Remote - TX Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 20 Summary: The DRG Denials Coordinator is responsible for managing and maintaining the DRG Denials correspondence. Responsible for reviewing and organizing denial letters by third-party payor, accurately analyzing and abstracting key data information into the proper data fields. Identify root cause and financial impact. Presents all payer denial letters to Physician Advisors and CDI Director for review. Experience: Three years Inpatient coding experience with ICD-10-CM/PCS required. In Lieu of education requirements, 5 years of acute care or 5 years inpatient coding experience required. Must have strong knowledge of Coding regulations and regulatory compliance experience. Education: Associates degree in HIM, Business or related field required. Licensure, Registration, and/or Certification: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) About Us: Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination. Cook Children's is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment. #J-18808-Ljbffr Cook Children's Medical Center
- Cook Children's Medical Center is seeking a DRG Denials Coordinator to manage denial correspondence and data. You will review denial letters from third-party payors, analyze information, and abstract data into the proper fields. Identify root causes and financial impact...SuggestedRemote job
- ...client. CorroHealth offers the following products and services: Denials Management and Complex Claim Resolution, A/R Outsourcing,... ...perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment....SuggestedHourly payRemote workMonday to FridayShift work
- CorroHealth is seeking a remote US-based Denials Management Specialist to support revenue cycle activities. You will differentiate clinical vs. technical denials, review UB04/HCFA 1500 guidelines, and negotiate resolutions with payers. Responsibilities include filing appeals...SuggestedRemote job
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...collaborating in advance with the primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation and assist with scheduling... ...on completing P2P reviews. Establish internal authorization or denial determinations for No Authorization Required (NAR) requests....SuggestedRemote work- ...Partner Company is a healthcare organization focused on pediatric care and research, seeking a specialist to manage denial and appeal follow-up within a fully remote team. The role requires working with revenue integrity teams and leveraging tracking systems to monitor...SuggestedRemote work
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...Scion Staffing has been engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue recovery organization . This is a fully remote role (U.S.-based, any time zone) supporting specialty medical practices nationwide. POSITION...Hourly payTemporary workInterim roleRemote workFlexible hours$46k - $69k
...coverage and benefits, identify requirements for prior approval, and submit for authorization. Assists with appealing prior authorization denials, retro authorization, or other special cases. At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients...Remote jobH1bWork at officeLocal areaFlexible hours- ...technology drives us to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population Health. We envision a world... ...RCM/billing mailbox daily — triage payer correspondence, denial notices, patient billing inquiries, and internal requests,...Full timeWork at officeRemote workWorldwide
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...for authorization. Assists with appealing prior authorization denials, retro authorization, or other special cases. At Medtronic, we... ...requirements for prior authorization and initiates as required Coordinates required paperwork, clinical notes, and forms for submission...Remote jobTemporary workH1bWork at officeLocal areaFlexible hours- ...p.m. JOB SUMMARY: The Patient Access Authorization Scheduler Coordinator will be responsible for completing accurate pre-registration,... ...pending authorizations and proactively address any issues or denials. Certified Patient Account Representative (CPAR) and Certified...Work at officeLocal areaMonday to Friday
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Prior Authorization Coordinator (Benefits Specialist) Full-Time | $19-$21/hour | Monday-Friday | 8:00 AM-4:30 PM CST | Remote About DxTx... ...or GED. Preferred Qualifications Experience handling denials, peer-to-peer coordination, and appeals. Experience with eCW,...Permanent employmentFull timeTemporary workWork at officeRemote workMonday to Friday- ...addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. Work Schedule for this... ...the department. Prioritize requests for drug authorizations or denials. Review of prior authorization criteria for drug products. Recommend...Remote workWork from homeMonday to Friday
- Beyond Blue Job Posting Title: Insurance Authorization Coordinator Requisition Number: R-000003157 Department Name: Supervisor, Financial... ..., and authorization processes to minimize delays and denials. Coordinates with providers, payers, and pre-registration to validate...Full timePart timeReliefInternshipRemote workShift work
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...clinical and billing data to identify documentation, coding, and denial prevention. Develops and implements action plans for denial... ...regulatory guidelines. Responsible for working complex denial coordination with intra-team members to identify root cause. Performs audits...Full timeLocal areaRemote workShift work$20 - $28 per hour
...through Sunday, Nov 30th. POA News February 2026: Pre-Certification Coordinator February 2026: Pre-Certification Coordinator by Princeton... ...and clarity High accuracy in data entry to prevent delays or denials Excellent interpersonal and customer service skills Excellent...Hourly payFull timePrivate practiceWork at officeFlexible hours- Sciometrix is seeking a detail-oriented RCM Coordinator to bridge coding, billing, clinical staff, and payers. This on-site role in Somerset... ...daily revenue cycle workflows, monitoring claims, denials, and posting payments while ensuring HIPAA-compliant processes...
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...merchandising and processing principles Ensures merchandise is properly tagged, hung, secured, and coded Communicates with the Coordinator on Duty to ensure efficient flow of goods to sales floor Ensures Associates complete tasks and activities according to store...Hourly payTemporary workLocal areaHome officeFlexible hoursNight shift- ...Actions & Promise in behaviors, practices & decisions. Work Focus Coordinates operational, technical & / or clerical support services that... ...CPT, ICD-10 assignment, documentation review and claim denial review Responsible for working the pre-bill edits within key metrics...Remote jobFull timeLocal areaShift workDay shift
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...actively seeking a full-time Bilingual Spanish/English Medicaid Coordinator to work in the Bronx business office. The ideal candidate will... ...Maintain accurate, up to date records of all approvals, denials, and communications Track authorization expirations to ensure...Full timeWork at office- ...independent US medical practices in maximizing collections. You will manage aging claims, contact insurers through payer portals, address denials, and ensure accurate resubmissions while documenting every step in the practice management system. This role requires strong...Remote jobShift work
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Description Denials Coordinator - Hospital Billing Patient Financial Services - Corporate 42nd Street - Full-Time - Days (Hybrid) A hospitaldenial coordinatormanages and resolves denied insurance claims to help the hospital recover revenue.Key responsibilities include analyzing...Full timeTraineeshipLocal area$33.05 - $49.6 per hour
...information during an interview. Schedule Details/Additional Information: First Shift Hospital Based INPATIENT Coding Experience Required. Denials related experience preferred May work remote for this opportunity out of the following states: AL, AK, AR, AZ, DE, FL, GA, IA, IL,...Hourly payDaily paidFull timeTemporary workPart timeWork at officeLocal areaRemote workFlexible hoursShift workDay shift- Shriners Children’s in the United States seeks a Denials Management Follow Up Representative to manage payor responses after appeals... ...across institutional and professional claims. The role emphasizes coordination, data tracking, reporting, and collaboration with the Revenue...
- ...We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced U.S.-based medical office . This role is... ...Follow up on pending authorizations and assist with resolving denials Communicate insurance requirements and authorization status clearly...Full timeFor contractorsWork at officeRemote work
- Denial Management Specialist — Medical Claims Appeals (Remote) Work denials every day, write appeals that win, and trace each denial back to the step that caused it so it doesn't come back next month. A denial is evidence of an upstream mistake: coverage that wasn't checked...Remote work
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...find out how a little empathy changes everything. We are seeking a detail-oriented and analytical professional to join our team as a Denials Coding Specialist! If you are passionate about healthcare coding, denial prevention, and collaborating with teams to improve...Part timeLocal areaRemote workMonday to Friday- CredSpun LLC is seeking a remote Denial Management Specialist to tackle medical claims denials and write persuasive appeals. You will... ..., categorize denials by root cause, and prepare monthly denial summaries for leadership, coordinating #J-18808-Ljbffr CredSpun LLCRemote job
- ...collections of government or commercial healthcare receivables. You will follow up on outstanding accounts, verify eligibility, and process denials and appeals with attention to detail and compliance. The role requires at least 3 years in healthcare AR, active certification, and...
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