Coding Denials Specialist

JOB SUMMARY

This position reports to the Revenue Integrity & Coding Supervisor under the direction of the Director of Revenue Cycle.

Responsibilities include

analyzing and investigating coding edits and denials within the billing scrubber. Proficient in writing appeals and collaborating with clinical departments and business office on denial patterns and opportunities. Strong understanding of coding guidelines, NCCI edits, CMS regulations, payer edits, and the ability to read and understand EOBs.

Strong communication skills and able to critically think through processes. Ability to multi-task and float within the department and complete any duties as assigned.