Top 7 coding specialist Jobs in hettinger, nd

Utilization Review Specialist
West River Health Services —Hettinger, ND
- Full-time
- Mid-level
- Computer skills
- LPN
Med Coder Auditor/Educator (CPC)
Pediatrix —United States
- Full-time
- Remote
- Microsoft Excel
- HIPAA
- Mid-level
- Employee stock purchase plan
- Health insurance
10d

Discover related jobs

Based on your search for coding specialist jobs.

Med Coder Auditor/Educator (CPC)
Pediatrix —United States
The Medical Coding Auditor/Educator will evaluate, prepare, and present audit results and educational instruction to physicians, coders, and other staff using…
10d

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Medical Billing Specialist – Charge Analyst
Emerald Psychiatry & TMS Center —Dublin, OH
Current CPR certification, or ability to obtain certification within 6 months of employment. 10-key data entry experience required.
$20 - $25 an hour
Quick Apply
Compliance Educator
Nationwide Children's Hospital —Columbus, OH
Education Requirement: *Bachelor’s Degree in Health Information Management, Nursing, Healthcare Administration, or a related field, required.
From $75,000 a year
Quick Apply
4d

Show more jobs in cities nearby

I want to receive the latest job alert for coding specialist in hettinger, nd

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

coding specialist jobs near hettinger, nd

Fertility Nurse jobs in Cincinnati, Oh

Utilization Review Nurse jobs in Oklahoma City, Ok

Utilization Review Nurse jobs in Nassau County, Ny

Nurse Practitioner jobs in Salt Lake City, Ut

Utilization Review Nurse jobs in Fort Myers, Fl

Utilization Review Nurse jobs in Mansfield, Tx

Utilization Review Nurse jobs in Dallas, Tx

Prior Authorization Specialist jobs in New Jersey

Coding Specialist jobs in Maryland

Coding Specialist jobs in Fort Lauderdale, Fl

Qualified Behavioral Health Specialist jobs in Ohio

Coding Specialist jobs in Clifton, Nj

Banner Health Billing Coding jobs in Phoenix, Az

Coding Specialist jobs in Fort Worth, Tx

Utilization Review Specialist

West River Health Services -
Hettinger, ND

Apply Now

Job Details

Full-time

Qualifications

Medical insurance coverage verification
Intake
Mid-level
RHIT
Certified Professional Coder
Quality risk management
Clinical data entry
Pre-authorization review for utilization management
Utilization management
Certified Coding Specialist
Health record chart audits
Medical record abstraction
Resource utilization in healthcare
Concurrent review in utilization management
Computer skills
LPN
Health information management
Data collection
1 year
Communication skills
Documentation reviews
Nurse Licensure Compact (NLC)

Full Job Description

Position Summary:
Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for patients in accordance to established guidelines and criteria for designated setting and status. Collection of clinical information necessary to initiate commercial payer authorization. Obtain and maintain appropriate documentation concerning services in accordance to reimbursement agency guidelines.

Excellence in Practice:

Performs preadmission review on admissions when required by insurance companies/agencies to comply with policies and procedures.
Works in coordination with discharge planner, monitoring medical necessity for admissions and appropriate level of services.
May also need to notify physician and patient of authorization denials.
Inputs collected data into computer system for insurance communication.
Assists with retrospective review of specified charts as required.
Obtains extensions in length of stays from insurance companies if needed.
Obtains preauthorization and/or precertification of services.
Reviews hospital records daily to determine if utilization resources could be served in a better environment, OBS vs INPT.
Ability to interact on an interpersonal basis with providers and other staff within the organization.

Essential Job Requirements:

Education: Appropriate education level required in accordance with licensure.
Experience: Three years of relevant experience with superior communication and interpersonal skills. Minimum one year healthcare or clinical experience required.
License Requirements: Licensed Practical Nurse (LPN) license with State Nursing Board and/or possess multistate licensure privileges or a Registered Health Information Technician (RHIT) required. Additional coding certifications also acceptable such as certified coding specialist (CCS), certified coding specialist physician (CCS-P), certified professional coder (CPC) and certified professional coder – hospital (CPC-H).

zK5YYO361E

Apply Now

Refine Your Search

coding specialist jobs in hettinger, nd

Utilization Review Specialist

Med Coder Auditor/Educator (CPC)

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for coding specialist in hettinger, nd

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected