Inpatient Appeals Coder - DRG & Denials Expert

DaMar Staffing; Village of Great Neck (NY); On-site; USD 66,000 - 108,000; Full time

Job summary

Northwell Health is seeking an experienced inpatient coder/auditor to manage appeals and denials with commercial payers and third-party reviewers.

You will review denial trends, identify coding gaps, and develop case-specific rationales while maintaining inpatient denial data and DRG literature updates.

Bachelor's degree and professional coding certifications required; 3+ years in coding or auditing; Excel proficiency.

Qualifications

• Bachelor's Degree or equivalent in related field.
• 3+ years inpatient coding or auditing experience.
• Knowledge of DRGs preferred.
• Proficient in Microsoft Excel.

Responsibilities

• Manage appeals/denials with commercial payers and third-party review organizations.
• Review denial trends and identify coding issues.
• Develop case-specific rationales and coordinate resources for resolution.
• Monitor inpatient denial types and communicate findings to leadership.
• Maintain hospital databases and stay updated on DRG literature.
• Ensure compliance with related regulations and duties.

Skills

Inpatient coding

Auditing

DRGs

Appeals

Education

Bachelor's Degree

Professional Coding Certification

Coding Professional Certification

RHIT Certification

Tools

Microsoft Excel

Job description

Northwell Health is seeking an experienced inpatient coder/auditor to manage appeals and denials with commercial payers and third-party reviewers.

You will review denial trends, identify coding gaps, and develop case-specific rationales while maintaining inpatient denial data and DRG literature updates.

Bachelor's degree and professional coding certifications required; 3+ years in coding or auditing; Excel proficiency.