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Michigan Licensed Denials Specialist

7/12/2025

No location specified

Job Summary

A company is looking for a Denials Prevention/Appeals Specialist.

Key Responsibilities
  • Ensure accuracy and integrity of coding and billing processes
  • Develop and execute denials prevention programs and conduct regular audits
  • Provide continuous training to staff and ensure compliance with regulations
Required Qualifications
  • CCS, RHIT, or RHIA coding certification required; RN certification is acceptable
  • Minimum of three years of inpatient coding experience or equivalent as a clinical documentation specialist
  • Extensive knowledge of ICD-10 coding guidelines and clinical criteria
  • Familiarity with inpatient reimbursement methodologies and denials management
  • Proficiency in EHR and coding software applications

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