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
Comments