Denial Management Coordinator | Revenue Cycle Analytics

Northbay Health; Fairfield (CA); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

403(b) retirement plan with employera

Education reimbursement

Paid time off

Wellness programs

Job summary

NorthBay Health is seeking a Coordinator, Denial Management to monitor, analyze, and coordinate professional fee denials and underpayments. You will work with the PFS division, practice operations, providers, and staff to create reports, monitor trends, and provide corrective oversight for billing and contractual reimbursement issues.

The role requires 3+ years in related billing with CPT/ICD/HCPCS knowledge and HFMA CRCR training within 9 months.

Qualifications

• Associate degree or equivalent with at least 3 years in related work.
• 5 years in professional billing with CPT/ICD/HCPCS knowledge.
• HFMA CRCR training within 9 months of employment.

Responsibilities

• Create, review, and analyze payer underpayment and variance reports weekly.
• Utilize EHR, billing systems, payer portals, and Microsoft Office tools effectively.
• Research and evaluate denial and underpayment trends; propose process improvements.
• Plan, organize, and prioritize workload to manage high volumes of data accurately and efficiently.
• Provide training to the PFS team based on data analysis and identified trends.
• Collaborate with other departments to resolve denials and improve reimbursement processes.

Skills

Denial management

CPT/HCPCS coding

HIPAA knowledge

Data analysis

Excel

EHR systems

Payer contracts

Training staff

Attention to detail

Communication

Education

Associate’s degree

Tools

Billing systems

Payer portals

EHR systems

MS Office

Job description

NorthBay Health is seeking a Coordinator, Denial Management to monitor, analyze, and coordinate professional fee denials and underpayments. You will work with the PFS division, practice operations, providers, and staff to create reports, monitor trends, and provide corrective oversight for billing and contractual reimbursement issues.

The role requires 3+ years in related billing with CPT/ICD/HCPCS knowledge and HFMA CRCR training within 9 months.