Denials Analytics Manager - Medical Coding

Core Clinical Partners; Lafayette (LA); On-site; USD 90,000 - 120,000; Full time

Job summary

Core Clinical Partners is seeking a Coding Audit Manager to oversee denial analysis, coding audits, and appeals across the organization. You will lead denial resolution efforts, collaborate with billing and clinical teams, and ensure compliance with federal regulations and payer guidelines.

The role emphasizes analytical oversight, trend identification, and implementation of corrective actions to improve coding accuracy and financial health of the organization.

Qualifications

• Must have strong knowledge of medical coding and billing systems.
• Experience with denial analysis, research and resolution.
• Regularly audit medical records for coding accuracy and compliance with regulations.

Responsibilities

• Review and analyze coding denials (CPT, ICD-10-CM, HCPCS) to identify root causes.
• Develop and maintain reporting on coding denials, trends and financial impact.
• Lead denial resolution efforts with billing, revenue cycle, and clinical teams.
• Manage appeals process, ensuring timely submissions and tracking outcomes.
• Ensure compliance with HIPAA and regulatory requirements across coding activities.

Skills

Medical coding

Denial management

Analytical skills

Communication

Leadership

Regulatory compliance

Education

Bachelor's degree or equivalent

RHIA, CDI, CPC, CCS, CCS-P

Job description

Core Clinical Partners is seeking a Coding Audit Manager to oversee denial analysis, coding audits, and appeals across the organization. You will lead denial resolution efforts, collaborate with billing and clinical teams, and ensure compliance with federal regulations and payer guidelines.

The role emphasizes analytical oversight, trend identification, and implementation of corrective actions to improve coding accuracy and financial health of the organization.