3 nurse jobs found

Overview: FTE: PRN - 8 hours per week   Experience in surgical coding is strongly preferred.   This position offers  flexibility with remote work and is authorized within approved states only (FL, GA, MO, PA, SC, NC, TN, or TX).     Reviews and analyzes medical records to assign accurate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing precise coding for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement.   Responsibilities: Key Responsibilities:   • Reviews and analyzes medical...

Overview: FTE: PRN - 8  hours per week   This position offers  flexibility with remote work and is authorized within approved states only (FL, GA, MO, PA, SC, NC, TN, or TX).     Reviews and analyzes medical records to assign accurate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing precise coding for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement. Responsibilities: Key Responsibilities:   • Reviews and analyzes medical records to assign accurate diagnostic and procedural codes • Ensures...

Overview: The Clinical Denial Management Nurse is responsible for completing, tracking, and reporting clinical denials at an enterprise level across all UF hospitals. Reporting to the Enterprise Denial Nurse Manager, this role supports Revenue Cycle functions including clinical departments, finance, accounting, compliance, patient financial services, revenue integrity, managed care, utilization review, and patient access.   The Clinical Denial Management Nurse serves as a clinical expert in denial management, ensuring all denied claims are reviewed from a clinical perspective and appropriately appealed to secure maximum reimbursement and minimize organizational write-offs. Responsibilities: Necessary Skills Knowledge of hospital billing and reimbursement, including Medicare/Medicaid denials, appeals, contracts, and healthcare regulations Ability to read and interpret Explanation of Benefits (EOBs) Strong critical thinking, analytical, and problem-solving skills High...