Health Information Services Denials Specialist
4 weeks ago
Job Summary:
The Denials Specialist plays a vital role in ensuring accurate financial reimbursement for inpatient services provided by Saratoga Hospital. Working under the supervision of the Manager, Health Information Services, this position is responsible for tracking denied accounts, collaborating with coders, payers, and other departments to resolve claims, and contributing to the team's morale and patient satisfaction goals.
Key Responsibilities:
- Utilize software such as AUDAPRO, TRISUS, 3M, and Meditech to conduct trend analysis, research denied accounts, and track overturned claims.
- Develop and coordinate educational programs to address coding denials and provide feedback on auditing and monitoring activities.
- Initiate corrective actions to resolve problem areas identified during internal or external auditing.
Requirements:
- RHIT, RHIA, CCS, CPC, or equivalent credential and 3 years of experience in coding, abstracting, or billing.
- Associate's Degree Required, Bachelor's Degree Preferred.
Compensation:
$35.90 per hour, with compensation varying based on experience, shift, and location.
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