RCM Denial Claims Analyst Lead
2 weeks ago
We are excited to announce that we are looking for a Fulltime AR Denials and Escalation Analystat our Corporate office in West Long Branch NJ.
This position can be remote or hybrid
The AR Denials and Escalation Analyst responsibilities are
- Conducting medical coding audits to evaluate compliance with regulatory guidelines.
- Conducts coding, billing, and documentation compliance audits within established timeframe. Identifies need for new policy development/changes to meet regulatory requirements..
- Prepares a report of findings and recommendations for improvement for each audit.
- Serves as a subject matter expert on coding/billing topics
The AR Denials and Escalation Analyst must have the following qualifications and experience:
- 3+ years of relevant experience in a professional audit capacity required. Must have CPC, CRC, CGIC, CGOC from AAPC
- Strong technical knowledge of Institute of Internal Auditing (IIA) standards and Centers for Medicare & Medicaid Services (CMS) regulatory guidelines, including ICD-10 CM, CPT, and HCPCS Procedure Coding
- Proficiency in MS Office products - intermediate to advanced knowledge of MS Excel.
- Knowledge of Denials and Escalation
Job Type: Fulltime
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