Texas Licensed Coding Denials Analyst
Virtual Vocations Inc
To support the health information management team, the full-time remote Texas Licensed Coding Denials Analyst will review, research, and resolve billing and coding edits while ensuring optimal reimbursement through analysis of complex claim denials. Key responsibilities Review, research, and resolve billing and coding edits to ensure accuracy and compliance Trend documentation, reimbursement, and coding to identify areas for improvement Assist leadership in managing fiscal resources and processes related to coding Required qualifications Associate's Degree in Health Information Services or related field, or a High School Diploma with 3 years of coding experience 3 years of coding experience in an acute care setting CCS, CCA, RHIA, RHIT, CPC, COC, or other relevant coding certification required upon hire Experience with billing and coding denials resolution preferred Proficient in ICD10-CM/PCS, DRG methodologies, CPT-4, and related coding policies
- ...Coding Denials Analyst Are you looking for a rewarding career with an award-winning company? We... ...Denials Analyst like you to join our Texas Health family. Work location: Remote... ...coding denials resolution preferred Licenses and Certifications 3 Years Coding in...SuggestedFull timeWork at officeLocal areaRemote workMonday to Friday
- ...Coding/CDI Denials Analyst - CCDS With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion... ...working in a remote environment Licenses and Certifications (RHIA) REGD HEALTH INFO...SuggestedFull timeLocal areaRemote work
$70k - $85k
...Risk Adjustment Coding Specialist II - Houston, Texas Department: Quality - Risk Adjustment Employment Type: Full Time Location: 19500 HWY... ...experience required ~ Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time ~ PC...SuggestedFull timeWork at office- ...remotely with a collaborative enterprise denials team focused on reimbursement accuracy and... ...'s Degree in Nursing (BSN) preferred • Licensed to practice nursing as a Registered Nurse... ...• Knowledge or experience related to coding, medical record review, auditing, or insurance...SuggestedFull timeWork at officeRemote work
- ...Clinical Denial Audit/Analyst RN Education: Minimum of an associate's degree in nursing is required... ...is preferred. Requires a current RN license for the state of Arkansas. Must have two... ...and insurance terminology, CPT, ICD coding structures, and billing forms. Should have...SuggestedFull timeContract workLocal area
$51k - $75.87k
...Hospital Inpatient Coding Denial Analyst The Hospital Inpatient Coding Denial Analyst is responsible for addressing coding related denials across Franciscan Alliance. Additionally, the Coding Denial Analyst monitors denial results and notifies Coding Leadership of any...Local areaRemote work- ...Overview Work remotely while using your denial management expertise to make a direct impact on healthcare operations. Work Style... ...optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports...Full timeRemote work
- ...Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with... ...Position Summary The Resolution Analyst acts as the liaison between key client contacts... ...understanding of ICD, HCPCS/CPT coding, and medical terminology. ~ Strong understanding...Contract workFlexible hours
- ...Auditor will assist with minimizing denials by way of ensuring medical criteria/medical... ...: Familiar with hospital coding and billing processes. Knowledge of... ...Nurse in good standing, currently licensed in the State of Texas without stipulations in practice as a...Temporary work
- ...North Carolina, Oklahoma, Texas, Utah, and Virginia.... ...the Revenue Integrity Analyst is responsible to identify... ..., payer contracts, and denial trends. The position... ...develop annual CPT/HCPC code updates and training. Performs... ...- Preferred Licenses and Certifications...Contract workWork experience placementRemote work
- ...Denial Analyst Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Duration: 03+ months with possible extension Facility: Eisenhower... ...Works with the Revenue Cycle stakeholders (e.g. Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials...Monday to FridayShift work
- ...Dedicated to DRG validation workflows, the full-time California Licensed DRG Integrity Analyst will perform clinical and coding assessments on inpatient encounters, identifying DRG risks and optimization opportunities while working remotely. Key responsibilities Perform...Full timeRemote work
- ...for a Clinical Documentation Improvement Analyst 2. Key Responsibilities Conduct concurrent... ...with documentation guidelines to support coding and improve quality measures Required... ...substitute for RN Current Registered Nurse License in the state of practice or equivalent...Remote work
- ...Oregon Licensed Coding Analyst, responsible for coordinating coding policies and edits within a remote, full-time position, while serving as a subject matter expert in coding guidelines and regulations. Key Responsibilities Update and create coding policies and edit configurations...Full timeWork at officeRemote work
$60k - $70k
...Denial Monitoring, Review & Tracking Monitors denial work queues for facility (technical) billing across all payers. Reviews daily... ...HFMA and internal definitions. Analyzes CARC/RARC codes to determine root causes and required next steps. Investigates...Shift work- ...Job Summary The Senior Analyst, Institutional Research provides leadership... ...optimum solutions. Troubleshoot code and data errors and run data traces... ...environment preferred. Licensing & Certification ~ Valid Texas Driver License Special Skills...Work experience placementShift work
$64.09k - $108.88k
...purpose of the Revenue Cycle Analyst position is to improve the revenue... ...performance metrics such as denial rates, collection rates, and... ...improvement. Ensure billing codes (CPT, ICD-10, HCPCS) are... ...PREFERRED QUALIFICATIONS: No license is required, but coursework or...Full timeImmediate startNight shiftWeekend work$28 per hour
...working closely with the CDM Analysts, the Revenue Integrity Analyst... ...Works with the PB and HB Denials teams to review and correct denials... ...to external and internal coding and charging audits. Works... ...education and/or experience. License/Certification Requirements...Full timePart timeWork at office- ...A company is looking for a Reimbursement Policy Analyst (Healthcare). Key Responsibilities Analyze, develop, and implement medical reimbursement... ...business requirements and support system changes Research coding and reimbursement issues, providing recommendations aligned...Remote work
- ...Revenue Integrity Analyst III Join our team as a Revenue Integrity... ...escalations, and systemwide denial prevention efforts. The Analyst... ...discrepancies, and specialty-specific coding risks; develops... ...experience and certifications LICENSE/CERTIFICATIONS: ~ AHIMA...Full timeContract workWork at officeShift work
- ...Overview The US Oncology Network is looking for a Coding Analyst to join our team at Texas Oncology . This full-time hybrid position will... ...service, authorizations, UOM, MUE, NDC) based on payer denials to ensure accurate coding and billing. Abstract relevant...Full timeWork experience placementWork at officeMonday to Friday
- ...Summary The Billing Integrity Analyst will provide professional... ...MAU as well as complex payer denials and working closely with our... ...possess a strong knowledge of coding/billing regulations and guidelines... ...managed care payers. License/Registration/Certifications...Remote workFlexible hours
- ...SUMMARY The Revenue Cycle Analyst (RCA) understands healthcare... ...healthcare analytics. Required Licenses/Certifications: None... ...values and a commitment to HMHD's Code of Conduct. 3. Attends the required... ...capture, coding, and edit/denial management. 10. Prepares detailed...Contract workWork experience placementWork at office
- ...governing the practice of pharmacy. Licensing Analysts with the Louisiana Board of Pharmacy verify... ...Act and the Louisiana Administrative Code. * Reviews applications for new... ...higher-level staff member. * Recommends denial of applications where evidence is discovered...Permanent employmentFull timeWork experience placement
- ...Medicine , as a Revenue Integrity Analyst in the Revenue Cycle... ...in regards to compliance in coding, billing, and proper documentation... ...to prevent claims delays & denials and non-compliant billing... ...analyzing business processes Licenses and Certifications ~...Full timeWork experience placementRemote workWork from homeMonday to FridayFlexible hoursShift work
- ...Sr. System Analyst We are currently seeking a Sr. System Analyst who will... ...efficiency and effectiveness. Design, code, and implement new or revised... ...a team environment required Licensing & Certification ~ Valid Texas Driver License Special Skills...Work experience placementInterim roleFlexible hoursShift work
- ...Title: Senior Licensing Analyst Employee Classification: Sr Licensing Analyst Campus: University of North Texas Division: UNT-Research & Innovation SubDivision-Department: UNT-Research & Innovation Department: UNT-Innovation & Commercialization-190...Monday to FridayWeekend workAfternoon shift
- ...Revenue Integrity Analyst I Join our team as a Revenue Integrity... ...Analyst partners with operational, coding, and compliance teams to ensure accurate billing, reduce denials, and strengthen documentation... ...and certifications LICENSE/CERTIFICATIONS: ~ AHIMA...Work at officeRemote work
- ...Clinical Analyst Appeals is a full-time remote position responsible... ...Prepare and defend claims denials and adverse audit results while... ...trends Conduct training on coding, billing, and documentation requirements... ...or professional certifications/licenses are highly desirable...Full timeRemote work
$72.7k
...organization on issues causing encounter pends/denials and potential solutions. Handle... ...healthcare analytics or related field. LICENSES AND CERTIFICATIONS Required ~ None... ...terminology and/or experience with CPT and ICD-9 coding Ability to identify basic problems and...For contractorsWork at officeLocal areaRemote work
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