Certified Coder/Denial Analyst

Responsibilities

• Collaborates with coding and billing department to perform a comprehensive review of the denied visit.
• Ensures accurate billing and reimbursement and completed data capture.
• Stays within departmental guidelines, rules, regulations and all billing requirements.

Requirements

• High School Diploma or equivalent required.
• Current coding certification through AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders), or RHIT/RHIA with coding experience required.
• Thorough knowledge of the related prospective payments systems (PPS).
• Knowledge of ancillary testing (laboratory, x-ray, EKG).
• Knowledge of anatomy, physiology and medical terminology.
• Understanding of ethical coding practices and guidelines.
• Knowledge of applicable federal, state and laws and regulations.
• Knowledge of all aspects of third-party reimbursement policies and practices.
• Excellent analytical and problem-solving skills.
• Able to assess and evaluate complex financial data.
• Able to maintain cooperative, working relationships, maintain friendly positive attitude, and the ability to maintain confidentiality.
• Proficiency with computer applications, encoding system and ability to learn various software programs required.