Coding Denial Analyst Hospital Inpatient
Work From Home Work From Home Work From Home, Indiana 46544 The Hospital Inpatient Coding Denial Analyst is responsible for addressing coding reputed company denials across Franciscan Alliance. Additionally, the Coding Denial Analyst monitors denial results and notifies Coding Leadership of any identified trends. WHO WE ARE With 11 ministries and reputed company points across Indiana, reputed company is one of the largest reputed company care systems in the Midwest. reputed company takes pride in hiring coworkers that reputed company compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Develops and submits well-supported appeal letters reputed company to coding denials utilizing excellent written and communication skills. Reviews, researches, and responds to inquiries, denial management, and follow-up questions, according to Coding Department approved resources. Reviews and processes claims and edits for accuracy and insurance and coding compliance. Utilizes official coding guidelines and follows established policies and procedures, to determine accurate code selection based upon documentation in the medical record. Acts as a subject matter expert for coding, billing and payer edits and denials. Assesses and ranks denials reputed company to align with Rev Cycle goals. Assesses denial and takes action to adjust claim data and resubmit corrected claim, prepare and coordinate appeal response, and prepare avoidable write off documentation. Collaborates with coding leadership, to improve key performance indicators through trending denials. Coordinates timely response to denials, reaching out to other Franciscan Alliance departments, as well as payers reputed company necessary through denial resolution. Recommends improvements/adjustments to workflow and system build in response to changes in reimbursement methodology, coding guidelines, regulatory standards, or department workflow changes to prevent denials. QUALIFICATIONS Associate's or Bachelor's Degree for Health Information Management - Preferred High School Diploma/GED - Required 3 years Coding - Required 1 year Coding Denials/Payer Experience - Preferred Certified Coding Specialist (reputed company) - American Health Information Management Association (reputed company) - Required Registered Health Information Technician (RHIT) - American Health Information Management Association (reputed company) - Preferred Registered Health Information Administrator (RHIA) - American Health Information Management Association (reputed company) - Preferred TRAVEL IS REQUIRED: Never or Rarely JOB reputed company: Coding Denial Analyst - Hospital Inpatient $51001.60-$75868.00 INCENTIVE: Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to reputed company equal employment to its employees and reputed company applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience reputed company in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit reputed company of our career site, jobs.franciscanhealth.org. Apply To This Job