Certified Coder/Denial Analyst

Job Title

Collaborates with coding and billing department to perform a comprehensive review of the denied visit. The comprehensive review should ensure accurate billing and reimbursement and completed data capture. Stays within departmental guidelines, rules, regulations and all billing 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 Ability to assess and evaluate complex financial data Ability 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