HIS Coding Denial Analyst
Employer Industry: Healthcare Why consider this job opportunity: - Opportunity for career advancement and growth within the organization - Work in an award-winning, state-of-the-art healthcare facility - Engage in continuous quality improvement initiatives - Contribute to the accuracy and compliance of coding and billing processes - Collaborative work environment with a focus on education and training What to Expect (Job Responsibilities): - Evaluate and resolve denied claims within the Coding department - Review medical records and coding information to determine necessary changes or appeals - Utilize denial reports to assess root causes and identify trends in coding denials - Provide training and education to coding staff regarding payer rejections - Serve as a subject matter expert in developing workflows within the Audit Manager software tool What is Required (Qualifications): - RHIT/RHIA/CCS/CPC certification with 5 years of experience in coding for an acute care hospital - Experience in Continuous Quality Improvement (CQI) tools and techniques - Strong knowledge of coding and billing regulations for all payers - Ability to maintain current knowledge of regulatory updates and local payer policies - Proven track record of monitoring and tracking denial trends How to Stand Out (Preferred Qualifications): - Master's Degree - 5-10 years of experience in acute care coding - Clinical Document Specialist certification or clinical validation of coding experience - I-10 certification #Healthcare #Coding #CareerOpportunity #QualityImprovement #TrainingProvided We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer. Apply tot his job