Denials Analytics & Appeals Coordinator

Paycom - ATS; Reno (OH); On-site; USD 55,000 - 75,000; Full time

Job summary

Memorial Health System seeks a Denials Management Coordinator to review hospital denials, identify patterns, and educate staff on proper processes. The role requires concise appeal writing and clear communication with insurance payers while documenting results in the HIS.

You will contribute to monthly audit reports, provide recommendations for reducing future denials, and collaborate across departments to optimize denial management and revenue integrity.

Qualifications

• High School Diploma or GED required.
• Minimum 2 years of healthcare-related experience.
• Experience with coding, medical terminology, and denials preferred.
• Coding knowledge (ICD-10) preferred; certification within 2 years may be required.

Responsibilities

• Analyze all denials for patterns and trends.
• Educate front line staff on proper denial processes.
• Verbalize with insurers and write appeal details for payment on denials.
• Document denial reviews in the hospital information system.
• Prepare management reports on audit results and process improvements.
• Make monthly observations and recommendations to prevent denials.

Skills

Analytical skills

Negotiation skills

Communication skills

Team orientation

Computer skills

Education

High School Diploma or GED

2 years healthcare experience

ICD-10 knowledge

Coding certification within 2 years

Tools

Payment review systems

Hospital information systems

Coding methodologies

Job description

Memorial Health System seeks a Denials Management Coordinator to review hospital denials, identify patterns, and educate staff on proper processes. The role requires concise appeal writing and clear communication with insurance payers while documenting results in the HIS.

You will contribute to monthly audit reports, provide recommendations for reducing future denials, and collaborate across departments to optimize denial management and revenue integrity.