Certified Coder/Denial Analyst

DaMar Staffing; Hannibal (MO); On-site; USD 50,000 - 75,000; Full time

Job summary

DaMar Staffing in Hannibal, MO seeks a reviewer to collaborate with coding and billing to perform a comprehensive denied visit review. You will ensure accurate billing, proper reimbursement, and complete data capture while following all guidelines.

The role requires strong analytical skills, knowledge of PPS and coding standards, and the ability to work with confidential financial data in a team setting. Experience with coding systems and reimbursement policies is preferred.

Qualifications

• Must have strong analytical and problem-solving abilities.
• In-depth knowledge of PPS and coding guidelines.
• Ability to handle confidential financial data with integrity.

Responsibilities

• Collaborate with coding and billing to review denied visits for accuracy and completeness.
• Ensure proper billing and reimbursement, and complete data capture.
• Adhere to all applicable rules, regulations, and coding requirements.

Skills

Analytical thinking

Problem-solving

Attention to detail

Confidentiality

Education

High School Diploma or equivalent

AHIMA/AAPC RHIT/RHIA certification with coding experience

Tools

Encoding systems

Job description

Job Title

Collaborates with coding and billing department to perform a comprehensive review of the denied visit. The comprehensive review should ensure accurate billing and reimbursement and completed data capture. Stays within departmental guidelines, rules, regulations and all billing requirements.

Requirements

• High School Diploma or equivalent required
• Current coding certification through AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders), or RHIT/RHIA with coding experience required
• Thorough knowledge of the related prospective payments systems (PPS)
• Knowledge of ancillary testing (laboratory, x-ray, EKG)
• Knowledge of anatomy, physiology and medical terminology
• Understanding of ethical coding practices and guidelines
• Knowledge of applicable federal, state and laws and regulations
• Knowledge of all aspects of third-party reimbursement policies and practices
• Excellent analytical and problem-solving skills
• Ability to assess and evaluate complex financial dataAbility to maintain cooperative, working relationships, maintain friendly positive attitude, and the ability to maintain confidentiality
• Proficiency with computer applications, encoding system and ability to learn various software programs required