HB Inpatient Denials Integrity Specialist

Department: 13246 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Denials Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: First Shift Hospital Based INPATIENT Coding Experience Required. Denials related experience preferred May work remote for this opportunity out of the following states: AL, AK, AR, AZ, DE, FL, GA, IA, IL, ID, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range: $33.05 - $49.60 Major Responsibilities Analyze and resolve coding-related PB and HB denials using CPT, HCPCS, ICD-10-CM, and modifiers. Identify root causes, patterns, and trends in denial and rejection codes. Collaborate with billing, coding, and payer teams to correct, resubmit, and prevent denied claims. Conduct chart reviews to validate documentation against billed services. Prepare and support appeals by researching payer guidelines, coding standards, and coverage policies. Ensure accurate, compliant coding and sequencing aligned with official guidelines and payer requirements. Track, document, and report denial resolutions, appeal outcomes, and coding quality issues. Support compliance, quality assurance, and revenue integrity initiatives through issue monitoring and escalation resolution. Educate clinicians, coders, and staff by sharing findings and supporting targeted training based on denial trends. Contribute to operational and strategic initiatives, inclu