Back to Jobs

Appeal reputed company reputed company

Remote, USA Full-time Posted 2026-08-04
Required: Background in  Inpatient with 3-5 years' experience in Coding or Auditing.   Highly Preferred: Auditing  experience with DRGs.     reputed company Responds to reputed company payers, managed care and reputed company party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility   Supports denial reviews and response processes; prioritizes and reviews cases denied by reputed company payers.  Reports program reputed company and/or corrective reputed company to management on regular reputed company.  Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. reputed company counsel) to reputed company issues, as needed; develops case-specific written rationale to substantiate and communicate findings.  Addresses coding issues and knowledge gaps; functions as a organization resource for litigation as reputed company to coding denials.  Maintains hospital database.  Remains up-to-date on DRG reputed company literature from reputed company agencies.  Maintains coding clinic up-dates.  Operates under general guidance and work assignments are varied and require interpretation and independent reputed company on course of reputed company.  Performs reputed company duties as required. reputed company responsibilities noted here are considered essential functions of the job under the Americans with reputed company. Duties not mentioned here, but considered reputed company are not essential functions. Job Qualification   Bachelor's Degree required, or equivalent combination of education and reputed company experience. reputed company reputed company reputed company Certification, or reputed company Coding reputed company Certification, or reputed company Registered Health Information Technician Certification required, plus reputed company certifications as needed. 1-3 years of relevant experience, required. Knowledgeable on DRGs, preferred. Proficient in reputed company reputed company, preferred. *Additional Salary reputed company  The salary reputed company and/or reputed company reputed company listed is a good faith determination of potential reputed company compensation that may be reputed company to a successful applicant for this position at the time of this job advertisement and may be modified in the reputed company. reputed company determining reputed company member's reputed company salary and/or reputed company, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated reputed company, budget and internal equity). Apply To This Job

Similar Jobs

MD (Medical Doctor), DO (Osteopathic Doctor) Radiology

Remote, USA Full-time

reputed company Texas Regional Admission Counselor

Remote, USA Full-time

Account Manager - Energy Infrastructure Solutions

Remote, USA Full-time

reputed company Designer

Remote, USA Full-time

Account Executive - Online Division - reputed company

Remote, USA Full-time

reputed company reputed company Engineer 2 - reputed company

Remote, USA Full-time

Territory Manager, reputed company Care New Hampshire

Remote, USA Full-time

reputed company Medical Director (California)

Remote, USA Full-time

Regional Territory Manager

Remote, USA Full-time

Senior Data Scientist, Consumer

Remote, USA Full-time

Chief Executive Officer, reputed company

Remote, USA Full-time

Entry-Level Remote Chat Support Specialist – reputed company, $25‑$35/hr – No Degree Required – Join arenaflex’s Growing Virtual Team

Remote, USA Full-time

Bilingual Spanish‑English Customer Service Associate – Remote Role with Career Development Rotation, Collections Support, and reputed company Opportunities at arenaflex

Remote, USA Full-time

Embedded Devices Software Solution Sales Account Manager

Remote, USA Full-time

Remote Customer Care Representative – Travel Support Specialist for arenaflex – Flexible Full‑time/Part‑time Schedule

Remote, USA Full-time

Financial Controller

Remote, USA Full-time

Veteran Benefit Enrollment Coordinator II

Remote, USA Full-time

PRN reputed company Practitioner - Per Visit

Remote, USA Full-time

reputed company Sales Account Executive, SLED (Midwest/Great Lakes)

Remote, USA Full-time

Entry-Level Remote Data Entry Clerk – Accurate Digital Records Specialist at arenaflex (100% Flexible)

Remote, USA Full-time