HIM Denial Audit Tech

This position supports the Release of Information process, including managing audits and denials, while assisting the HIM Manager and HIM Coordinator to improve efficiency, tracking, and monitoring within the Revenue Cycle. Strong organizational and computer skills, attention to detail, and a collaborative mindset are essential. The role upholds Covenant HealthCare’s Vision, Mission, and Values through exceptional customer service and a commitment to Extraordinary Care for Every Generation.

Responsibilities

• Assists with mail processing.
• Tracks and monitors denial/audit release requests from billing, denials, and coding teams across mail, email, and fax.
• Prepares appeals, including mailing, faxing, and uploading to provider portals.
• Submits and monitors medical record requests for specific payor requirements (e.g., Predictive Modeling) to ensure timely responses.
• Adheres to HIPAA and Covenant Values while demonstrating excellent customer service.
• Works with spreadsheets, graphs, Microsoft Office, and other documents.
• Participates in Process Improvement activities and the Denials Audit Committee, including compiling analytics and providing feedback.
• Collaborates with outside vendors, payer contacts, and others to improve processes.
• Completes additional projects or tasks as assigned.

Requirements

• Associate degree required; RHIA/RHIT or eligibility for accreditation preferred.
• Medical terminology required.
• Knowledge of healthcare, HIM, Coding, and Epic strongly desired.
• Experience in a healthcare setting preferred, with preference given to those with acute care medical record experience.
• Positive and enthusiastic attitude in all interactions.

Skills

• Excellent time management and ability to prioritize workload to meet deadlines.
• Independent, self-motivated, and capable of reasoning and problem-solving.
• Initiative and technical skills to stay updated on legal developments regarding confidentiality, privacy, and release of information.
• Strong verbal and written communication with patients, attorneys, physicians, government agencies, healthcare facilities, insurers, and the public.
• Exceptional customer service and attention to detail.

Working Conditions / Physical Demands

• Ability to maintain regular, punctual attendance consistent with ADA, FMLA, and other federal, state, and local standards.
• Constant sitting, handling, fingering, feeling, talking, and hearing.
• Constant near, midrange, and far vision.
• Constant lifting of 0–10 lbs.
• Frequent depth perception, color vision, field vision, standing, walking, and sitting.
• Occasional lifting, pushing, pulling, stooping, kneeling, crouching, crawling, twisting, or reaching.
• Occasional lifting up to 50 lbs.

Benefits

• Comprehensive medical, dental, and vision coverage.
• Retirement plans with employer match.
• Paid time off to support work-life balance.
• Employee wellness programs and mental health support.
• Tuition reimbursement, university discounts, and professional development opportunities.