Coding Denials Analyst

Education

• Associate's degree in Health Information Services or a related field required
• Or high school diploma/equivalent with 3 years of coding experience in lieu of degree

Experience

• 3 years of coding experience in an acute care setting required
• 2 years of billing and coding denials resolution preferred

Certifications

• One of the following upon hire required: CCS, CCA, RHIA, RHIT, CPC, COC, or another relevant AHIMA/AAPC coding certification
• Coding denials analysts hired prior to January 1, 2013 are exempt from certification requirements

Skills

• Ability to research and apply third-party payer rules and regulations
• Ability to analyze and resolve complex coding-related claim or payer denials
• Proficiency with Microsoft Office and billing software
• Strong understanding of ICD-10-CM/PCS, DRG methodologies, CPT-4, Outpatient Code Editor, and NCCI policies
• Strong written and verbal communication skills
• Good decision-making, problem-solving, attention to detail, and ability to meet deadlines

• 401(k)
• PTO
• Medical coverage
• Dental coverage
• Paid parental leave
• Flexible spending account
• Tuition reimbursement
• Student loan repayment program
• Supportive team environment
• Opportunities for growth