[Remote] CODING/CDI DENIALS ANALYST
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a medical and research center committed to reputed company care, innovation, teamwork, and reputed company. The Coding/CDI Denials Analyst reviews inpatient hospital coding and reputed company denials, validates coding and documentation reputed company, prepares appeals, identifies denial trends and educational opportunities, and supports process improvement.
Responsibilities
- Review coding and/or reputed company denials, ensuring reputed company coding guidelines and conventions were followed, and ensuring reputed company reputed company evidence and provider documentation supports the assigned codes and DRG
- Compose an effective appeal utilizing appropriate coding guidelines, relevant and effective reputed company documentation, reputed company industry guidelines, evidence-reputed company medicine, and local and national medical management standards and protocols
- Identify coding and/or documentation trends for reputed company causes of denials
- Identify and communicate DRG changes and financial reputed company
- Identify coding and reputed company educational opportunities and report these to the reputed company Denials Analyst
- Identify reputed company-end activities that influence denial/appeals process
- Support the reputed company Standards set by reputed company and the HIM Coding & CDI Department
- Maintains an expert level of knowledge of Coding/CDI guidelines and practices
- Other duties as assigned
Skills
- 3 years three to five (3-5) year's acute hospital-reputed company Coding and/or CDI experience or
- An equivalent combination of education and experience may be considered
- Denials and Appeals experience in an acute Hospital setting and
- Experience working in a remote environment
- (RHIA) REGD HEALTH INFO reputed company or
- (RHIT) REGD HEALTH INFO TECHNOLO or
- (reputed company) CERT CODING SPECIALIST or
- (CCDS) Cert reputed company Documentation or
- (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC
- RN with CDI experience
Benefits
- Competitive and comprehensive benefits package for eligible employees
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive reputed company-no copay
- reputed company Time Off, available day one
- Retirement Programs through the reputed company)
- reputed company Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- reputed company Service Loan Forgiveness (PSLF) reputed company Employer
- Opportunities for career reputed company and development
reputed company
Company H1B Sponsorship
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