Denials Analyst

Job Description RemX has an exciting opportunity for a Denials Analyst in Rancho Mirage, CA! This is for a large Healthcare Organization! Schedule Monday - Friday 8am - 5pm Duration 13 weeks w/ potential for 3 months extension Job Responsibilities Responsible for researching and resolving claim denials, ADR requests and certs, submitting and tracking appeals, noting trends and providing monthly reports. Responds to audit requests (including RAC) from payors. Maintains a Library of Payer reference material regarding requirement for pre authorization, medical necessity and documentation requirements. Works with the Revenue Cycle stakeholders (e.g. Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials and opportunities for future denials. Qualifications Education Required: High School diploma or equivalent Licensure/Certification Preferred: Certified coder or currently enrolled in a coding program Skills Strong Analytical skills, Proficient in Microsoft Windows with emphasis on Excel. Ability to prioritize and coordinate workflow and attention to detail. Knowledge of CPT, HCPC and ICD 10 coding requirements with emphasis on modifiers and diagnosis association. Working knowledge of LCDs, NCCI and MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims, authorization and documentation requirements. #J-18808-Ljbffr 6AM City, LLC