Overview Serves as the dynamic denial management coding analyst to maintain a low denial rate and high reimbursement rate at an enterprise level. To maintain a high coding standard within the enterprise. Organizes and plans projects to improve effectiveness of dynamic coding, reimbursement rates, and appeal turnover rates. Performs analysis for denial trend improvement to include EPIC system edits, coding validation, CDM processes that affect reimbursement, authorization trends and performance improvement, and payer denial trends. Educates departments on appropriate charging/billing/coding issues to ensure regulatory compliance. Works with managed care and compliance to resolve issues with departments and payers. The option is available to work on-site in Gainesville or Jacksonville. Must live in Florida to work remote. Qualifications Minimum Education and Experience Requirements: High school graduate required with CPC, COC, RHIT, RHIA, CCS and 1-2 years coding experience, 1-2 years insurance experience, denial experience. � Prefer Associate�s degree or higher in a health or business-related field and 3 years coding or billing, insurance follow up, collections or denial management in a hospital /clinical setting. Knowledge, Skills, Abilities: � Demonstrated knowledge of: o Hospital billing and reimbursement o Denials and appeals o Third-party contracts o Federal and state regulations governing the healthcare industry � Excellent critical thinking and analytical skills � Attention to detail and ability to complete the job with minimal errors and work independently. � Proficient organizational skills � Excellent writing and communication skills � Ability to prioritize and manage time effectively. � Proficient in Microsoft Office Products such as: Outlook, Word, Excel � Knowledge of HIPPA guidelines � Ability to read and interpret EOB�s. � Strong research and problem-solving skills � High level of comfort with computer systems Motor Vehicle Operator Designation: Will not operate vehicles for an assigned business purpose. Licensure/Certification/Registration: None
**Morning Edition Host****Job ID**: 6654 **Job Views**: 347 **Location:** Colorado Springs, Colorado, United States **Postal Code:** 80903 **Job Category:** Radio **Employment Type:** Full time **Salary:** **Posted:** 02.18.2022 **Job Description****Employment Requirement...
...is looking to hire a detail-oriented part time Field Enumerator to perform tasks that... ...employees. This position is part time, work from home, with flexible hours. Would you like... ...hours. All training is provided. No experience needed. Agriculture background is...
...ESSENTIAL FUNCTIONS Follow all PSI rules and regulations. Knowledge and proficiency of heavy shipyard construction welding in all positions using approved WPS (Welding Procedure Specification) determined by PSI and classification society Welding process includes...
...Description Love dogs (and cats!)? Join our award-winning team of Pet Care Specialists! Get paid to cuddle pups, enjoy the fresh air,... ...are currently looking for Pet Care Specialists (Dog Walker/Pet Sitter) to join our team of pet-loving individuals. This is an...
...Job Description Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~38...