Inpatient Coding Denials Specialist
4 weeks ago
Position OverviewWe are seeking an experienced Inpatient Coding Denials Specialist to review and resolve inpatient coding-related denials and prevent lost reimbursement. The ideal candidate has strong inpatient coding expertise, DRG assignment experience, and the ability to write effective clinical/coding appeals.In this role, you will review medical documentation, ensure coding accuracy, validate DRG assignments, develop appeal letters, and collaborate with leadership to address denial trends and prevention strategies.Schedule: MondayFriday, Days (Core hours 8:00 AM4:00 PM EST; flexible after training; no weekends)Work Environment: Remote, office-basedKey ResponsibilitiesReview inpatient medical records and assign accurate diagnoses, procedures, DRGs, and discharge dispositionsAnalyze denials, validate DRGs, and develop clear and effective appeal lettersResearch payer policies and regulatory resources, including CMS and NCD/LCD guidelinesIdentify trends and recommend denial prevention strategiesMaintain productivity, accuracy, credentialing, and compliance standardsStay current with coding guidelines and participate in ongoing educationRequired QualificationsCCS, RHIT, or RHIA credential required3+ years acute care inpatient coding experience (5+ preferred)Experience with DRG assignment (denial/appeals experience preferred)Strong knowledge of ICD-10-CM, ICD-10-PCS, MS-DRGs, and inpatient coding guidelinesHigh level of accuracy, analytical ability, and communication skillsSkilled in Microsoft Office and able to work independently and meet deadlinesEducationHigh school diploma/GED requiredHIM/HIT degree preferredAdditional ExperiencePrior coding audit/denials experience a plusPhysical/Work RequirementsRemote work; requires sustained computer use and sittingAbility to lift up to 25 lbs occasionally
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Inpatient Coding Denials Specialist
2 weeks ago
Nashville, United States HHS, LLC Full timePosition OverviewWe are seeking an experienced Inpatient Coding Denials Specialist to review and resolve inpatient coding-related denials and prevent lost reimbursement. The ideal candidate has strong inpatient coding expertise, DRG assignment experience, and the ability to write effective clinical/coding appeals.In this role, you will review medical...
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Clinical Denial Coding Review Specialist
2 weeks ago
Nashville, United States HCA Healthcare Full timeDescription Introduction Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare. Benefits Parallon offers a total rewards package that supports the...
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Director, Denial Resource Center
4 weeks ago
Nashville, United States Nashville Staffing Full timeDirector, Denial Resource CenterThe Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists,...
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Coding Quality Review Specialist
3 days ago
Nashville, United States Cooperidge Consulting Firm Full timeCooperidge Consulting Firm is seeking a Coding Quality Review Specialist for a top healthcare client based in Nashville, TN (remote position).The CQR Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records. This role ensures adherence to national coding standards, HSC policies, and company...
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Coding Quality Review Specialist
1 week ago
Nashville, Tennessee, United States Cooperidge Consulting Firm Full time $60,000 - $120,000 per yearCooperidge Consulting Firm is seeking a Coding Quality Review Specialist for a top healthcare client based in Nashville, TN (remote position).The CQR Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records. This role ensures adherence to national coding standards, HSC policies, and company...
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Nashville, United States HCA Full timeDescription Introduction This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA). Experience the HCA Healthcare difference where colleagues are trusted, valued...
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Inpatient Coding Quality Auditor
4 days ago
Nashville, Tennessee, United States TriStar Health Full timeIntroductionDo you want to join an organization that invests in you as an Inpatient Coding Quality Auditor? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.BenefitsParallon offers a total rewards package that supports the health, life, career and...
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Inpatient Auth Review Services RN or LPN
9 hours ago
Nashville, United States HCA Full timeDescription Introduction This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA). Do you want to join an organization that invests in you as an Inpatient...
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Revenue Cycle Specialist II
3 weeks ago
Nashville, United States Aegis Sciences Corp Full timeThe Revenue Cycle Specialist II is responsible for analyzing and optimizing the financial processes within a healthcare organization, including patient registration, billing, coding, claims submission, and collections, by identifying areas for improvement, monitoring key performance indicators (KPIs), and implementing strategies to maximize revenue while...
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Nashville, United States HCA Full timeDescription Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:...
