Coding Denial Analyst – Hospital Inpatient

This is a fully remote position, open to applicants in United States.

📋 Description

• Accountable for managing coding-related denials across the Franciscan Alliance.

• Tracks denial outcomes and informs Coding Leadership of any detected patterns.

• Creates and files well-supported appeal letters concerning coding denials, employing exceptional writing and communication abilities.

• Reviews, investigates, and addresses inquiries, denial management, and follow-up questions.

• Evaluates and processes claims and edits for precision as well as insurance and coding compliance.

• Applies official coding standards and adheres to established policies and procedures.

• Serves as a subject matter expert in coding, billing, and payer edits and denials.

• Evaluates and prioritizes denials to align with Revenue Cycle objectives.

• Collaborates with coding leadership to enhance key performance indicators by analyzing denial trends.

• Ensures timely responses to denials.

⛳️ Requirements

• Associate's or Bachelor's Degree in Health Information Management - Preferred.

• High School Diploma/GED - Required.

• 3 years of Coding experience - Required.

• 1 year of experience in Coding Denials/Payer - Preferred.

• Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA) - Required.

• Registered Health Information Technician (RHIT) from the American Health Information Management Association (AHIMA) - Preferred.

• Registered Health Information Administrator (RHIA) from the American Health Information Management Association (AHIMA) - Preferred.

🏝️ Benefits

• Comprehensive benefit offerings.