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Denial Claims Analyst RCM
2 months ago
Allied Digestive Health is a leading gastroenterology care network with over 200 providers and 60 locations in New Jersey and New York. As a physician-led organization, we prioritize personalized treatment plans and deliver high-quality care. Our board-certified doctors are recognized for their expertise and have been featured in publications such as Best Doctors in America and Top Doctors New Jersey.
We are seeking a Fulltime AR Denials and Escalation Analyst to join our Corporate office in West Long Branch, NJ. This role can be remote or hybrid.
The AR Denials and Escalation Analyst will be responsible for:
- Conducting medical coding audits to ensure compliance with regulatory guidelines.
- Identifying areas for improvement and developing recommendations for policy development.
- Serving as a subject matter expert on coding and billing topics.
The ideal candidate will have:
- 3+ years of experience in a professional audit capacity, with certifications such as CPC, CRC, CGIC, and CGOC.
- Strong technical knowledge of Institute of Internal Auditing (IIA) standards and Centers for Medicare & Medicaid Services (CMS) regulatory guidelines.
- Proficiency in MS Office products, particularly MS Excel.
Job Type: Fulltime
