Denial Recovery Coding Analyst | Enterpirse Denials

Overview Work remotely while using your denial management expertise to make a direct impact on healthcare operations. 💻 Work Style: Remote 📍 Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX) 🕒 FTE: Full-Time (1.0 FTE) Responsible for maintaining low denial rates and optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports initiatives to improve coding accuracy, reimbursement outcomes, and appeal turnaround times. Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies opportunities for performance improvement and implements strategies to enhance revenue cycle outcomes. Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance. Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention. Responsibilities Key Responsibilities Manages clinical denials from clinical denial work queues, including claim resubmission, authorization verification, payer claim reprocessing, claim reconsiderations, and appeals. Works closely with the Managed Care team and payers to reduce denials and increase reimbursement. Develops recommendations for coding and documen