Coding Denials Analyst

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

📋 Description

• Analyzes, investigates, resolves, and tracks billing and coding discrepancies.

• Monitors documentation, reimbursement processes, and coding practices.

• Supports the leadership team in the fiscal management of coding resources and procedures.

• Upholds professional accountability.

⛳️ Requirements

• Associate's Degree in Health Information Services or a related field is REQUIRED, or a High School Diploma or Equivalent.

• A minimum of 3 years of coding experience is REQUIRED in lieu of a degree.

• At least 3 years of coding experience in an acute care environment is REQUIRED.

• 2 years of experience in resolving billing and coding denials is preferred.

• Licenses and Certifications: CCS - Certified Coding Specialist Upon Hire is REQUIRED, or CCA - Certified Coding Associate Upon Hire is REQUIRED, or RHIA - Registered Health Information Administrator Upon Hire is REQUIRED, or RHIT - Registered Health Information Technician Upon Hire is REQUIRED, or CPC - Certified Professional Coder Upon Hire is REQUIRED, or COC - Certified Outpatient Coder Upon Hire is REQUIRED, or other relevant AHIMA or AAPC coding (not billing) certifications.

• Demonstrates the capability to identify, research, understand, and correctly implement third-party payer rules and regulations.

• Competent in analyzing and addressing complex coding-related claim or payer denials to ensure accurate and optimal reimbursement.

• Proficient in Microsoft Office and various billing software applications.

• Comprehensive knowledge of ICD10-CM/PCS, DRG methodologies, CPT-4, Outpatient Code Editor, and National Correct Coding Initiative policies.

• Detail-oriented with the ability to meet deadlines.

• Capable of successfully adapting to changing priorities and varying workload volumes.

🏝️ Benefits

• 401k

• PTO

• Medical

• Dental

• Paid Parental Leave

• Flexible spending

• Tuition reimbursement

• Student Loan Repayment Program

• Several other benefits