Fairview Health Services
Physician Coding Denials Specialist (REMOTE)
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Job Description
- Req#: 160248
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $92,872 annually
- Generous benefit package including medical, dental, vision, life insurance, and retirement plans
- Opportunity for career advancement and growth within the organization
- Collaborative work environment with a focus on education and training
- Involvement in key processes that secure reimbursement and minimize write-offs
What to Expect (Job Responsibilities):
- Perform research and submit appeals or re-bill claims to resolve coding denials and ensure payment collection
- Manage an extensive caseload of coding denials while prioritizing cases independently
- Act as a liaison among department managers, staff, physicians, and administration regarding coding denial issues
- Review medical records and coding-related denials to ensure compliance with coding rules and regulations
- Monitor coding trends and collaborate with revenue cycle teams to prevent avoidable denials
What is Required (Qualifications):
- 5 years of coding-related experience, including coding, abstracting, and data quality
- 1 year of experience in managing and appealing denials
- 1 year of expertise in reading and interpreting commercial payer medical policies
- Certification as a Certified Coding Specialist-Professional (CCS-P) or Certified Professional Coder (CPC)
How to Stand Out (Preferred Qualifications):
- Bachelor’s degree in Health Information Management (HIM)
- 7+ years of coding-related experience
- Experience with Epic systems, particularly Resolute Physician Billing
- Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)
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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
M Health Fairview is the newly expanded academic health system that represents a collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The partnership combines the university’s deep history of clinical innovation and training with Fairview’s extensive roots in community medicine.
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