Enterprise Denial Coding Analyst (Remote from Florida and Georgia)| Enterprise Denials | Gainesville Job at UF Health Shands, Gainesville, FL

S0xLeENSMEtQRlVzclkweHdHRHBLM1ZyaXc9PQ==
  • UF Health Shands
  • Gainesville, FL

Job Description

Overview Serves as the dynamic denial management coding analyst to maintain a low denial rate and high reimbursement rate at an enterprise level. To maintain a high coding standard within the enterprise. Organizes and plans projects to improve effectiveness of dynamic coding, reimbursement rates, and appeal turnover rates. Performs analysis for denial trend improvement to include EPIC system edits, coding validation, CDM processes that affect reimbursement, authorization trends and performance improvement, and payer denial trends. Educates departments on appropriate charging/billing/coding issues to ensure regulatory compliance. Works with managed care and compliance to resolve issues with departments and payers. The option is available to work on-site in Gainesville or Jacksonville. Must live in Florida to work remote. Qualifications Minimum Education and Experience Requirements: High school graduate required with CPC, COC, RHIT, RHIA, CCS and 1-2 years coding experience, 1-2 years insurance experience, denial experience. � Prefer Associate�s degree or higher in a health or business-related field and 3 years coding or billing, insurance follow up, collections or denial management in a hospital /clinical setting. Knowledge, Skills, Abilities: � Demonstrated knowledge of: o Hospital billing and reimbursement o Denials and appeals o Third-party contracts o Federal and state regulations governing the healthcare industry � Excellent critical thinking and analytical skills � Attention to detail and ability to complete the job with minimal errors and work independently. � Proficient organizational skills � Excellent writing and communication skills � Ability to prioritize and manage time effectively. � Proficient in Microsoft Office Products such as: Outlook, Word, Excel � Knowledge of HIPPA guidelines � Ability to read and interpret EOB�s. � Strong research and problem-solving skills � High level of comfort with computer systems Motor Vehicle Operator Designation: Will not operate vehicles for an assigned business purpose. Licensure/Certification/Registration: None

Job Tags

Remote job,

Similar Jobs

Echostar

Tax Manager Job at Echostar

 ...income tax provision process for compliance with US GAAP/SEC reporting as required by ASC 740 Assist with federal and state income tax audits, as necessary Research developments in tax law to determine appropriate tax methods and identify tax savings opportunities for the... 

Sanford Health

Trauma Program Specialist - Full Time - Days Job at Sanford Health

 ...accountability to the department and organization. Proficient in computer software and demonstrate high personal and professional commitments. Other related duties as assigned for the needs of the program. Certain program objective and focus may be designed around grants... 

Huda Beauty

Trade Marketing Manager - Americas, Kayali Job at Huda Beauty

 ...Who We Are: Fueled by passion, KAYALI was founded in 2018 by beauty mogul and fragrance fanatic, Mona Kattan. Translating to 'my imagination' in Arabic, KAYALI provides a modern fragrance experience inspired by Mona's rich Middle Eastern heritage and the art of layering... 

Conviva

Cardiologist - Conviva - Jacksonville, FL Job at Conviva

 ...and is part of a clinical care team that focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention...  ...in cardiovascular disease Certified by the American Board of Nuclear Medicine with a certificate of special qualification in... 

ShiftCode Analytics

Snowflake ETL Engineer Job at ShiftCode Analytics

 ...hybrid from day-1 Description : Job Description: We are currently seeking a highly skilled and experienced ETL engineer with a strong background in Snowflake. This is an onsite position, requiring a minimum of 3 days per week in the office. The ideal candidate will...