Medical Coding & Reimbursement Appeals Analyst
Jobtailor
Jobtailor is seeking a claims adjudication specialist to translate medical policies into reimbursement rules and perform pre-adjudication reviews. You will review E/M, CPT, HCPCS, and ICD-10 coding, and contribute to policy updates by researching CMS and industry guidelines. Collaboration with providers and contracting staff is key. The role emphasizes accuracy in coding, policy interpretation, and system edits to support reimbursement. #J-18808-Ljbffr Jobtailor
- ...adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing... ...and Management, CPT, HCPCS and ICD-10 code. Reviews company specific, CMS specific... ...and responds to system inquiries and appeals. Conducts research of claims systems...Reimbursement
- ...Position After inpatient medical records are coded within Medical Information... ...Inpatient Coding Quality Analyst serves as a subject matter... ...to regulatory compliance, reimbursement integrity, data quality, audit... ...denial prevention and appeal activities, and collaborates...ReimbursementWork at officeRemote work
- ...seeking a denial management specialist to review denied claims, submit reconsiderations or appeals, and optimize enterprise revenue by reducing denials and improving reimbursements. This remote role requires residence in Florida or Georgia and entails collaboration with...ReimbursementRemote jobContract work
- ...the benefits offered may include: Day 1 Medical, supplemental health, dental & vision for... ...and so much more!The Epic Beaker Analyst III provides enterprise-level leadership... ...align build with financial accuracy and reimbursement goals.Oversee validation strategy, regression...ReimbursementFull timePart timeWork experience placementFlexible hours
- ...Payments Analyst The New York City Department of Correction (DOC) is an integral part of the City's evolving criminal justice system... ...Creating payment vouchers and approving payment vouchers for reimbursement; Develop tracking mechanisms for data and document...ReimbursementWork at office
$84k - $156k
...givingAct with Integrity: Follows the law our code of conduct and company policies and... ..., and wallet. Health benefits include medical, vision and dental coverage. Financial benefits... ...Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO...ReimbursementFull timeTemporary workPart timeLocal area- TriHealth in Cincinnati is seeking a Coding Appeals Specialist - Hospital Billing to expedite hospital coding denials, protect revenue,... ...partners, stays current with coding guidelines, and supports accurate, high‑quality coding and reimbursement. #J-18808-Ljbffr TriHealthReimbursement
$115.7k - $119.5k
...Senior Analyst Locations: Dallas | Chicago | Washington | Los Angeles | San Francisco | Brooklyn | Atlanta Boston Consulting... ...with coverage for both glasses and contact lenses annually • Reimbursement for gym memberships and other fitness activities • Fully vested...ReimbursementWork at officeLocal area- The Accounts Payable Analyst is responsible for executing Crane’s operating policy with regards to payment authorization, coding, and timely payment processing of all vendor invoices and employee reimbursements. They will maintain accounts payable vendor files as well as...Reimbursement
- ...Details Plan and oversee revenue integrity analyst performance and report goal status to leadership... ...Establish and enforce hospital pricing, coding, and regulatory changes Provide operational analytical support on reimbursement, charge lag, revenue trends, and other...ReimbursementFull timeWork at officeWork from home
- ...team as a Revenue Integrity Analyst III at the INTEGRIS Health 53... ...caregiver include front‑loaded PTO, medical benefits through the... ...discrepancies, and specialty‑specific coding risks; develops... ...a system resource on complex reimbursement and compliance challenges. Operational...ReimbursementContract workWork at office
- ...as a full-time Infosys employee you are also eligible for the following benefits:Medical/Dental/Vision/Life InsuranceLong-term/Short-term DisabilityHealth and Dependent Care Reimbursement AccountsInsurance (Accident, Critical Illness , Hospital Indemnity, Legal)401(k)...ReimbursementFull timeTemporary workRelocation
- ...Work from Home ‑ Hybrid ‑ Ohio Department: Reimbursement Schedule: Full time Hours: 40 per week Job Overview The Senior Reimbursement Analyst optimizes the organization’s financial... ...eligibility, authorization), mid‑cycle functions (coding, documentation), and back‑end outcomes (...ReimbursementFull timeContract workWork from home
$60.27k - $125.91k
...At A Glance Eligible team members have access to a comprehensive benefits package that includes: Medical, dental, and vision insurance Well‑being and fitness reimbursement programs Paid vacation, sick leave, and holidays 401(k) plan with company contributions and matching...ReimbursementFull timeTemporary workLocal areaLong distance- ## Revenue Integrity Analyst Full Time DaysApplyremote type: Fully Remotelocations... ...Master (CDM) maintenance, coding and billing validation, reimbursement integrity, and revenue cycle performance... ...submission when possible.* Review medical records and supporting...ReimbursementFull timeWork experience placement
$84k - $156k
...for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k)... ...discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and/or PPTO that can be used...ReimbursementFull timeTemporary workPart time- CVS Health in the United States seeks a Senior Manager, Pricing to lead a team handling pharmacy reimbursement appeals, including the Service Warranty process, with regulators and payers, ensuring timely, accurate outcomes. You will coach appeal coordinators, partner with...Reimbursement
- ...business portfolio. Job Description Business Analyst (BA): The role requires a consultant to act... ...for eligible candidates. Health Insurance (Medical, Vision and Dental), Commuter\'s benefit, FSA, DSA and many more. Reimbursement of relocation expenses & air ticket....ReimbursementPermanent employmentRelocationVisa sponsorship
- CVS Health in Oklahoma is seeking a Senior Manager, Pricing to lead a team focused on pharmacy reimbursement appeals, service warranties, and regulatory updates. You will drive timely, accurate processing and coordinate with legal, finance, and other units to meet evolving...Reimbursement
- ...Overview : The Contact Center Project Analyst shall manage all aspects of Contractor’... ...employees. Our benefits include: ~ Medical/Dental/Vision Insurance with Health Savings... ...~ Professional Training & Development Reimbursement Please note, these benefits are...ReimbursementFull timeFor contractorsWork at officeLocal areaFlexible hoursWeekend workAfternoon shift
$117.9k - $173.39k
...detail-oriented Senior Business Solutions Analyst to join our dynamic CLO Business... ...company sponsored benefit plan including medical, dental, vision, and other insurance coverage... ...an employee assistance program; fitness reimbursement; tuition reimbursement; an associate wellbeing...ReimbursementTemporary workWork at officeLocal areaFlexible hours$68.5k - $88.02k
...policies, including day-to-day management of the property and medical malpractice programs with multiple broker contacts and... ...insurance administration, including premium allocations and claim reimbursements Recommends and implements process improvements and improves...ReimbursementTemporary workWork at officeLocal areaRemote workFlexible hours- ...preferred) Preferred Experiment Product launch and post-launch analyst Commercial reporting in the U.S. pharmaceutical industry Exposure to Market Access, Contracting, or Reimbursement analyst Ability to work in a fast-paced, cross-functional global environment...ReimbursementContract workTemporary work
$75.1k - $126.33k
...functional scrum structure. Senior Data Analyst - Ad Operations As a Senior Data Analyst... ...Experience leveraging AI‑powered coding assistants to enhance productivity Skills... ...headset, keyboard, mouse, and connectivity reimbursement for remote work. A dedicated private workspace...ReimbursementRemote workWork from homeWork visa- Join TriHealth as a Coding Appeals Specialist - Hospital Billing! TriHealth offers Coding Denials... ...appeals that support maximum reimbursement. You’ll serve as a trusted resource to... ...comprehensive benefits package - including medical, dental, vision, paid time off,...ReimbursementFull timeDay shift
$20.98 - $30.12 per hour
...Description The University of Maryland Medical System (UMMS) is an academic... ...regarding financial reimbursement. Organizes collection procedures... ...professionalism. Performs appeals process when appropriate. Promotes... ...of collection laws, medical coding (CPT & ICD-9/10) and third...ReimbursementImmediate startRemote work- ...Revenue Cycle Managed Services Coding AuditorApplylocations: US... ...compliance requirements and reimbursement impact. The coding auditor will... ...and identify opportunities for appeal or correction.* Partner with... ...Qualifications:*** Minimum **3-5 years of medical coding auditing experience**....ReimbursementHourly payRemote workFlexible hours
- ...excellent selection of benefits for regular, part-time and full-time Team Members, including: Medical, Dental and Vision Insurance Health Savings Account (HSA), Health Reimbursement Account (HRA) & Flexible Spending Accounts (FSA) Short- and Long-Term Disability Plan...ReimbursementFull timeTemporary workPart timeWork experience placementWork at officeRemote workFlexible hours
- ...Healthcare Business Analyst Arete Technologies, Inc. offers a set of innovative consulting and outsourcing services, bridging... ...experience working knowledge of administrative claims data and medical coding systems Preferred qualifications: Deep understanding of health...Local areaWorldwide
$75k
...$75,000 Generous benefits: Medical, Dental, Vision, Pension, 403... ...working knowledge of current coding terminology, HIPPA and other... ...posting to denial management and appeals. • Understand the... ...regulations affecting coding and reimbursement. • Produce and analyze accurate...ReimbursementWork experience placementWork at office
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