Senior Coding Specialist (Facility Edits and Denials) - REMOTE
Montgomery College
- Remote job
Vanderbilt University Medical Center (VUMC), located in Nashville, Tennessee, seeks a professional coder in the Coding-Medicine/OBGYN/Neuro department. The position focuses on reviewing, assigning, and abstracting professional and outpatient facility diagnostic and procedural codes for encounters using designated coding classification systems. Key Responsibilities Develop efficient workflows to organize and prioritize complex coding work, ensuring compliance with regulatory requirements and hospital targets. Utilize designated coding classification systems and guidelines to ensure accurate code selection, reflecting appropriate resource utilization during patient encounters. Proactively identify documentation gaps or inconsistencies that may impact code assignment; initiate coding queries or tasks to clarify documentation and ensure accurate code assignment. Provide guidance and support to coding staff on complex coding scenarios and regulatory requirements, staying updated on changes in coding regulations and guidelines. Support ongoing training and development of staff. Required Qualifications Certifications: Certified Coding Associate (AHIMA), Certified Coding Specialist (AHIMA), Certified Coding Specialist – Physician (AHIMA), Certified Outpatient Coder (AAPC), Certified Professional Coder – Outpatient (AAPC), Registered Health Information Administrator (RHIA) – AHIMA, Registered Health Information Technician (RHIT) – AHIMA. Relevant work experience: 4 years. Education: High School Diploma or GED. Benefits & Commitment Vanderbilt Health offers a comprehensive benefits package that may include health, disability, retirement, and wellness offerings to enhance professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity (EEO/Vets/Disabled). #J-18808-Ljbffr Montgomery College
- ...education, and research. Organization: Coding-Medicine/OBGYN/Neuro 30 Job Summary:... ...abstracts professional and outpatient facility diagnostic and procedural codes to... ...Management Association (AHIMA), Certified Coding Specialist - American Health Information Management...Remote workSeniorFacilitiesTemporary workWork experience placementWork at office
- ...This role is a remote US based position. The ideal candidate... ...PURPOSE OF JOB The Senior Coding Specialist is responsible for abstracting... ...applicable guidelines and facility protocols and communicating... ...Review and resolve coding edits and denials.Assists with rebilling accounts...Remote workSeniorFacilitiesWork at officeLocal area
- ...The Sr. Director, Denials Management provides... ...unify clinical, coding, and technical denial... ...across all facilities and service lines.... ...denials, and code-edit rejections. • Partner... ...least 5 years in a senior leadership role... ...+ FTEs) including remote staff and vendor partners...Remote workSeniorFacilitiesContract workWork at officeNight shift
- ...health care in America’s heartland. Facility: Remote SD (Central Time) Location: Remote,... ...position Job Summary Facilitates the denial and appeal process through exercising... ...compliance with policies and ethical codes. Collaborates and communicates with...Remote workSeniorFacilitiesFull timePart timeImmediate startWork from homeShift workDay shift
- ...Position Summary Remote Opportunity! At Orlando... ...and outpatient facilities, our 27,000+ team members... ...complete and accurate coding of all levels (low, intermediate... ...medical necessity/CCI edits and the APC... ...• Certified Coding Specialist (CCS) • Certified Professional...Remote workSeniorFacilitiesInterim roleWork at officeLocal area
- ...workflow automation, remote patient engagement... ...Authorization Specialist (Contract) to support... ...downstream denials. The ideal candidate... ...side (not hospital/facility billing) Ability to... ...knowledge of CPT codes and procedural terminology... ...with NCCI edits, bundling rules, and...Remote workFacilitiesContract work
- ...Facility Appeals Denial Management Specialist North Oklahoma City billing office looking for an organized, self-... ...to, claim denials, underpayments, coding denials, filing of appeals, zero payments... ...is a plus. Experience with NCCI Edits, bundling and CPT/ICD-10 coding a...FacilitiesContract workTemporary workWork at officeFlexible hours
- ...WMG Pre-certification Specialist I How would you like... ...processes resulting in fatal denials. This position works... ...the appropriate CPT codes, diagnosis codes and/or... ...their representatives, facility and/or the hospital in... ...as requested (Claim Edits, Accounts, Referrals etc...Remote workFacilitiesShift work
$17.84 - $20.53 per hour
...diverse patient population. Our facility is licensed for 910 beds and... ...Avenue Lakeland, FL - Remote after training Pay Rate... ...Supervisor. The AR Follow and Denials Specialist is responsible for... ...with other departments such as Coding, Billing, CDM, UM, ect. to resolve...Remote workFacilitiesContract workMonday to FridayShift work- ...physicians, and medical facilities in dozens of... ...SUMMARY The Coding Specialist is responsible... ...on coding related denials. ESSENTIAL DUTIES... ...Review, Claim Edits, Payer Rejection... ...goals as defined by Senior Management (ex:... ...and proficiency in remote environment. •...Remote workFacilitiesWork at office
$29.7 - $31.8 per hour
...Summary The Acute Coding Appeals Specialist integrates medical coding... ...Related Group (DRG) denials to support the... ...Previous inpatient facility coding experience, working... ...appeals, denials and edits 5 years of coding experience... ...This is a remote position; however, candidates...Remote workFacilitiesTemporary workWork at officeLocal area$23.11 - $38.16 per hour
...Denials Specialist The Denials Specialist reports to the Manager of PFS... ...Corporate Compliance Program and Code of Conduct. Evaluates... ...orientation at the corporate facilities, work is performed based on... ...Patient Financial Services Remote Access Policy and Procedure....Remote workFacilitiesFull timePart timeWork at officeShift work$52.3k - $64.9k
...Summary Perform coding and related duties using... ...clinical departments. All remote work must be performed... ...coding) Resolve edits for electronic charges,... ...billing. CLAIM DENIALS / BILLING ISSUES:... ...~ On campus Fitness Facility, offering onsite classes...Remote workFacilitiesWork at officeLocal areaFlexible hours$27.74 - $39.16 per hour
...Job Summary The Coding Denial and Appeals Specialist is responsible for ensuring that workflows, processes... ...for outpatient professional and facility services by identifying and correcting... ...Monday-Friday Business Hours Remote work setting, but must live in the state...Remote workFacilitiesHourly payFull timeLive inMonday to FridayFlexible hoursShift work- ...Revenue Integrity Specialist in the Lab Administrationdepartment... ...best practices in coding, billing, and... ...opening of new facilities, units, or... ...claims delays and denials. Establishes... ...prevention of Claim Edits that prevent... ...Work Location: Remote Unit/Department...Remote workFacilitiesFull timeFor contractorsWork at officeLocal areaWork from homeShift workDay shift
- ...A company is looking for a Denial Management Specialist. Key Responsibilities Review and resolve daily claim scrubber edits based on coding/billing guidelines Research and resolve outstanding denials and manage insurance appeals in a timely manner Identify denial trends...Remote work
- ...Information Management Specialist Major Responsibilities: Reviews coded health information records... ...in hospital coding denial and appeal processes as... ...Investigates and resolves all edits or inquiries from the... ...others. Experience with remote work force operations...Remote workWork at officeLocal area
- ...To support efficient coding practices, the part-time Tennessee Licensed Senior Coding Specialist will review and assign diagnostic and procedural codes for professional and outpatient facility encounters while working remotely. Key Responsibilities Develop efficient workflows...Remote workSeniorFacilitiesPart timeWork experience placement
- ...CADUCEUSHEALTH Position: Coding Specialist coding Holds and Denials Overview We're seeking a... ...guidelines. Resolve coding edits, denials, and assist with... ..., Outlook, Teams). 100% remote with standard business hours... ...communication. Seniority level Seniority level Associate...Remote workFull timeContract workPart timeWork at officeLocal areaRelocation package
- ...The purpose of the Denials Management Specialist is to review the initial... ...care, billing, coding, and compliance to resolve... ...as OPPS, IPPS, NCCI edits, etc. Ability to navigate... ...(CMS-1500) and the facility (UB-1450) claim types... ..., including senior leadership. PREFERRED...FacilitiesContract workRelief
- Orlando Health seeks a coding professional responsible for accurate coding of inpatient hospital visits across multiple facilities. Candidates must have either a Bachelor's or Associates... ...like CCS or CPC is required. This remote opportunity offers professional growth...Remote jobSeniorFacilities
- ...healthcare organization in Florida seeks a coding specialist to ensure accurate coding for inpatient hospital visits across multiple facilities. The role requires at least five years... ...skills. This position offers a remote opportunity with flexible work arrangements...Remote jobSeniorFacilitiesFlexible hours
- ...over 1 billion square feet of facilities space for the nation’s... ..., the Solutions & Proposal Senior Specialist supports national business... .... The position is primarily remote, with a strong preference for... ...as required. Review and edit documents for clarity, grammatical...Remote workSeniorFacilitiesFull timeCasual workWork at officeLocal area
- ...Health Information Management Specialist Sr This position is responsible for providing... ...VitalChart ChartFlow (formerly EvriChart)) for remote coding access, include data related to... ...regulatory guidelines and in compliance with facility timely completion policy (as assigned...Remote workSeniorFacilitiesWork at office
- ...Ambulatory Surgery Facility Coder -... ...apply for the Senior Ambulatory Surgery... ...Facility Coder - Remote role at LCMC HealthYour... ...Intern HIM Coding pursues a... ...coding claim and edits or performs any... ...serve as a coding specialist.Your... ...payers.Claim Edits, Denials And Follow-Up KnowledgeReviews...Remote workSeniorFacilitiesPart timeWork experience placementInternshipLocal areaImmediate start
- ...electronic health record system. The HIM Specialist Sr will have an understanding of... ...VitalChart ChartFlow (formerly EvriChart)) for remote coding access, include data related to... ...regulatory guidelines and in compliance with facility timely completion policy (as assigned...Remote workSeniorFacilitiesWork at officeLocal area
- ...Coding Integrity Specialist III Work From Home As a Coding Integrity Specialist III WORK FROM HOME... ...record documentation to assign, sequence, edit and/or validate the appropriate ICD-1... ...) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS...Remote workFacilitiesWork from home
$77.6k - $176k
...0 Intelligence Management Specialist, Senior The Opportunity: The key... ...Experience writing and editing professional products for multiple... ...on during meetings. Remote : If this position is... ...at a Booz Allen or customer facility. Hybrid : If this position...Remote workSeniorFacilitiesFull timeContract workPart timeWork at officeLocal area- ...and other departments/facilities within the CHRISTUS Health... ...complex payment denials inclusive of correcting... ...CPT, HCPCS and ICD-10 coding regulations and guidelines... ...of electronic claims editing and submission... ...experience with Medicare Remote (FISS) DDE. Licenses,...Remote workSeniorFacilitiesFull timeContract workMonday to Friday
$83k - $99.45k
...Energy is currently seeking a Senior Specialist focused on supporting new site integration in the Remote Operating Control Centers for... ...for developing and creating facility manuals and procedures for control... .... ~ Experience creating, editing, and documenting Standard...Remote workSeniorFacilitiesFor contractorsWork at officeWorldwide
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