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Fully Remote - Coding Denials Specialist

Southern Illinois Hospital Services
6 days ago
Full-time
Remote
Worldwide
$27.69 - $42.92 USD yearly
Medical & Pharmacy

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Position Summary

Responsible for reviewing and responding to denials associated with professional

fee coding issues.

Principal Accountabilities

Standards of Performance: Respect, Integrity, Compassion, Collaboration,

Stewardship, Accountability, Quality

Education

Associate degree in Health Information Technology preferred

Licenses and Certification

RHIT, CCS, CCS-P, CPC or CCA certification required.

Experience and Skills

Professional practice coding experience required.

Professional practice denials experience preferred.

Extensive knowledge and application of ICD, CPT, and HCPCS codes and

modifiers required.

Knowledge of health information management practices, Joint Commission

standards, and federal and state healthcare regulations required.

Physical Activities

Intermittent hand manipulation required

Intermittent lifting and carrying of 20 lbs.

Role Specific Responsibilities

o Review, research, and respond to all denied invoices sent to Coding Follow-up

work queues.

o Collaborate with Coding staff as necessary to determine if coding is correct.

o Work in close relationship with Patient Financial Services to determine the best

course of action for denials.

o Bring possible issues with Epic and potential improvements to Epic to the

attention of Professional Practice Coding Manager.

o Report opportunities for possible provider education to the Coding Educator as

issues with provider-assigned codes are identified.

o Report opportunities for possible coder education to the Professional Practice

Coding Manager as issues with coder-assigned codes are identified.

Compensation (Commensurate with experience):

$27.69 - $42.92

To access our Benefits Guide/Plan Information, please click the link below:

http://www.sih.net/careers/benefits