Coding Denial Management Associate

Coding Denials Management Associate Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. We are looking for a Coding Denials Management Associate to join the Denials Management team. In this role, the associate will use coding skills to diagnose and resolve claim denials, rejections, and edits across our network. The position involves analyzing denial trends, identifying root causes, and developing workflow improvements to support the performance of our service offering. The associate partners closely with Product, Analytics, and Operational teams and reports to the Manager of Service Effectiveness – Denials Management. Job Responsibilities Lead detailed claim adjudication analysis to triage rejections, denials, and payer edits; convert adjudication scenarios into consumable, effective processes that identify true root causes and lead to successful outcomes. Prepare accurate workflows and procedures: claim corrections, resubmissions, appeals, or configuration updates; partner with multiple stakeholders to execute. Track denial trends, quantify financial impact, and deliver actionable insights and dashboards to stakeholders. Recommend and validate configuration or workflow changes that prevent repeat denials. Manage multiple remediation projects by urgency/financial impact and present findings to partners and leadership. Proficiency with project management and analytical tools; ability to operate in an agile environment. Typical Qualifications Bachelor’s degree or equivalent professional experience. CPC and/or CCS certification (AAPC or AHIMA) is required. 3+ years in medical coding with demonstrated experience in claims adjudication, denials, or revenue cycle operations. Preferred: Revenue cycle experience working with denials, rules, payer edits, 835/ERA or EOB review, appeals/resubmissions, and claim reprocessing workflows. Preferred: Experience using SQL or Sigma to extract data and leverage analytical tools to generate insights and actionable recommendations. Expected Compensation $50,000 - $86,000 #J-18808-Ljbffr athenahealth