Physician Services Coding Denial Analyst
Franciscan Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $47,216 - $70,241 per year
Job Level
Mid-LevelSenior
About the role
- Reviews, researches, and responds to inquiries, denial management, and follow-up questions
- Reviews and processes claims and edits for accuracy and insurance and coding compliance
- Utilizes official coding guidelines and follows established policies and procedures
- Acts as a subject matter expert for coding, billing and payer edits and denials
- Assesses and ranks denials priority to align with Rev Cycle goals
- Assesses denial and takes action to adjust claim data and resubmit corrected claim
- Collaborates with coding leadership, to improve key performance indicators through trending denials
- Coordinates timely response to denials, reaching out to other Franciscan Alliance departments
- Recommends improvements/adjustments to workflow and system build
Requirements
- Associate or Bachelor's Degree Healthcare Information Management - Preferred
- High School Diploma/GED - Required
- 3 years Coding - Required
- 1 year Coding Denials/Payer Experience - Preferred
- Demonstrated experience in surgical operative coding - Preferred
- CCS - Certified Coding Specialist - Required or CCS-P - Certified Coding Specialist - Physician - Required or CPC - Certified Professional Coder - Required
- RHIT - Registered Health Information Technician - Preferred
- RHIA - Registered Health Information Administrator - Preferred
Benefits
- Comprehensive benefit offerings
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
codingclaims processingdenial managementsurgical operative codingcoding complianceclaim data adjustmentperformance indicators trending
Soft skills
collaborationcommunicationproblem-solvingworkflow improvement
Certifications
CCSCCS-PCPCRHITRHIA