University Hospitals Pain Management

Description A Brief Overview Under the direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for multi-specialty group practices. This position initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims. What You Will Do Analyzes, on a daily basis and in accordance with established time frames, the outstanding insurance accounts. Initiates appropriate and effective telephone and/or written follow-up on the identified accounts. Communicates with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims. Researches and responds to all telephone inquiries from the customer service department, in a prompt, professional manner meeting departmental guidelines. Reviews and corrects coding edits and denials. May code ICD-10 from written documentation. May abstract...

A healthcare institution in Shaker Heights is seeking a Physician Coding Specialist II who will monitor and analyze unresolved insurance accounts, initiate contact for resolutions, and ensure timely payments. Candidates should have strong analytical skills, effective communication abilities, and a certification in medical coding. The role requires maintaining patient confidentiality and meeting specific productivity and quality standards. #J-18808-Ljbffr

Description A Brief Overview Under direction of the Market Manager, Care Transitions and Rehab, the Supervisor of Care Transition will manage day to day operations of their site and/or area. The Supervisor will act in two capacities; the liaison between site and/or area leadership and the Care Transitions team and the content expert for all team clinical operations at their site (including TCC, PCN and SW). Supervisors will drive site specific metrics tied to Care Transitions including but not limited to NSOC, observation hours, length of stay, patient throughput, patient flow, readmission prevention efforts, follow up appointment obtainment and tracking as well as daily escalation of barriers. In addition, will focus on patient experience and staff engagement outcomes at their site and/or area. This role requires expert working knowledge of the roles and responsibilities of each team member and ability to be the content expert on all clinical operations for the Care Transitions...