AdventHealth

Coding Denials Management Specialist Remote - (Job Number: 24019139)


PayCompetitive
LocationAltamonte Springs/Florida
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 646945
      Employer Industry: Healthcare Services

      Why Consider this Job Opportunity:
      - Competitive salary up to the maximum amount specified in the job description
      - Opportunity for career advancement and growth within the organization
      - Remote work flexibility
      - Supportive and collaborative work environment
      - Chance to contribute to the mission of Extending the Healing Ministry of Christ

      What to Expect (Job Responsibilities):
      - Investigate and resolve coding-related denials from payers
      - Serve as a resource for all coding-related questions and guidance
      - Adhere to compliance plans and regulations of all applicable agencies
      - Analyze medical records to support medical necessity
      - Track and report denial prevention opportunities to supervisor

      What is Required (Qualifications):
      - Minimum of one year of experience working payer denials for medical necessity
      - Minimum of five years recent acute care coding experience
      - High school diploma or equivalent
      - RHIA, RHIT, CPC, or CCS certification
      - Familiarity with the DRG reimbursement system

      How to Stand Out (Preferred Qualifications):
      - Advanced degree in a clinical, medical, or business field of study
      - Experience in HIM, clinical documentation improvement, revenue integrity, or related field
      - Patient Financial Services experience
      - Certification in Clinical Documentation (CDIP)

      #HealthcareServices #CareerOpportunity #CompetitivePay #RemoteWork #Compliance

      "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
  • About the company

      AdventHealth is a Seventh-day Adventist non-profit health care system headquartered in Altamonte Springs, Florida, that operates facilities in 9 states across the United States.

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