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Care Manager - Denials & Appeals (RN CCM
Job in
Houston, Harris County, Texas, 77246, USA
Listed on 2026-08-15
Listing for:
Harris Health System, Inc.
Full Time
position Listed on 2026-08-15
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Administration
Job Description & How to Apply Below
Harris Health System, Inc. in Houston is seeking a Care Manager Clinical Denials (CM-CD) to manage clinical audits and denials related to inpatient medical necessity and coding.
You will review patient records, apply clinical and payor knowledge, and coordinate timely appeals as required. The CM-CD will serve as a liaison between Case Management and physicians, perform departmental audits to validate charging accuracy, and participate in activities to meet regulatory requirements and prevent
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