CODING DENIALS SPECIALIST

Pella Regional Health Center; Pella (IA); On-site; USD 60,000 - 85,000; Full time

Job summary

Pella Regional Health Center in Iowa seeks a Revenue Integrity & Coding professional to analyze and investigate coding edits and denials within the billing scrubber. You will write appeals and collaborate with clinical departments and the business office on denial patterns and opportunities.

Applicants should have a strong understanding of coding guidelines, NCCI edits, CMS regulations, payer edits, and the ability to read and understand EOBs.

Qualifications

• Experience analyzing coding edits and denials within billing scrubber.
• Proficiency writing appeals and collaborating with clinical departments and business office on denial patterns and opportunities.
• Understanding of NCCI edits, CMS regulations, payer edits, and the ability to read and understand EOBs.
• Ability to multi-task and think critically within Revenue Cycle operations.

Responsibilities

• Analyze and investigate coding edits and denials within the billing scrubber.
• Write appeals and collaborate with clinical departments and business office on denial patterns and opportunities.
• Maintain strong understanding of coding guidelines, NCCI edits, CMS regulations and payer edits; read and interpret EOBs.
• Communicate effectively and multi-task within the Revenue Integrity & Coding team.

Skills

Analytical thinking

Strong communication skills

Reading EOBs

Coding guidelines knowledge

Denials analysis

Job description

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.