Inpatient Coding Denial Specialist

4 days ago


Waco, United States TEKsystems Full time
Job DescriptionJob Description

Job Summary:

The Inpatient Coding Denials Specialist is a high-level coding expert responsible for investigating and resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist serves as an internal auditor and educates on findings to ensure timely, accurate, and thorough appeals for all accounts assigned and apply critical thinking skills to ascertain root cause of denials.

Job Duties:

* Accurately and efficiently audits and analyzes medical records, charge sheets and reports to ensure in the coordination of proper coding/billing.

* Analyzes documentation in our work que to support codes/DRGs and abstracted data (e.g., discharge disposition) for inpatient records for multiple facilities

using ICD-10- CM and ICD-10-PCS

* Identifies and writes clear and concise appeal letters utilizing all available documentation, regulations and guidelines to defend the billed claim

* Utilize the following resources to identify the root cause of the denial/downgrade

* Explanation of Benefits/Remittance Advice

* Payer denial/DRG downgrade letters

* Complex NCD/LCD guidelines, CMS/AHCA policies and regulations

* Supports the integrity of the coding and accurate reimbursement, quality scores, benchmark data and statistical reporting.

* Escalates problem accounts/processes/trends and report opportunities to supervisor for denial prevention and coding education opportunities

* Maintains or exceeds established productivity standards

* Maintains or exceeds established accuracy standards

Pay and Benefits

The pay range for this position is $25.00 - $30.00

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position will be accepting applications until Jan 17, 2025.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.



  • Waco, Texas, United States Baylor Scott & White Health Full time

    Baylor Scott & White Health is proud to offer an exciting career opportunity for a highly skilled Hospitalist Physician to join our team. As a PRN physician, you will be part of our multidisciplinary Inpatient Medicine Care Program, working alongside experienced professionals to deliver exceptional patient care.We are seeking a BC/BE physician with a passion...

  • VA Billing Expert

    2 weeks ago


    Waco, Texas, United States Axis Care Full time

    Job DescriptionThe VA Billing Specialist will be responsible for processing VA claims, reviewing claims for completeness, and investigating discrepancies for prompt resolution. This role requires a solid understanding of VA claims requirements and exceptional attention to detail.As a VA Billing Specialist, you will process VA billing claims, monitor claim...


  • Waco, Texas, United States Axis Care Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented VA Billing Specialist to join our team at AxisCare. As a VA Billing Specialist, you will process VA claims, review claims for completeness, and investigate discrepancies for prompt resolution. This role requires a solid understanding of VA claims requirements and exceptional attention to...


  • Waco, Texas, United States Axis Care Full time

    Job OverviewThe VA Billing Specialist plays a crucial role in processing VA claims and ensuring accurate, timely billing. This position requires a solid understanding of VA claims requirements, exceptional attention to detail, and a proactive approach to issue resolution.In this role, you will process VA billing claims, review claims for completeness, and...


  • Waco, Texas, United States Axiscare Full time

    Job Overview:Axiscare is seeking a skilled VA Billing Specialist to join our remote team. As a key member of our RCM team, you'll play a critical role in processing VA claims and ensuring accurate, timely billing. We offer a competitive salary range of $60,000 - $80,000 per annum, depending on experience, and a comprehensive benefits package.Key...


  • Waco, Texas, United States Ascension Full time

    Company Overview: Ascension Providence, a leading non-profit health system, is seeking an experienced Occupational Therapist to join our inpatient rehabilitation team. With over 130 years of experience, we provide high-quality patient care and offer a supportive work environment.">Job Summary: We are looking for a skilled Occupational Therapist to evaluate...


  • Waco, United States URS Medical Full time

    Pediatric Home Service is a friendly and professional leader in home health care with a singular passion for and commitment to taking care of the child. As a leader in home health care, we help kids achieve their best lives at home and in their communities while providing our employees a fun and rewarding place to work. Position: Order Confirmation...

  • Nurse Specialist

    3 weeks ago


    Waco, Texas, United States Ascension Providence Hospital Full time

    Job SummaryWe are seeking a skilled Nurse Specialist - Wound Care to join our team at Ascension Providence Hospital in Waco, Texas.About the JobThis is a part-time position with 12 hour shifts, working days from 7am-7pm. As a Nurse Specialist - Wound Care, you will provide direct nursing care in accordance with established policies and protocols of the...

  • Nurse Care Specialist

    2 weeks ago


    Waco, Texas, United States Ascension Full time

    Job OverviewWe are seeking a skilled Nurse Care Specialist to join our team at Ascension Providence in Waco, Texas.Estimated Salary: $85,000 - $110,000 per yearBased on the national average salary for Registered Nurses in Texas, we estimate this position will offer a competitive salary range of $85,000 to $110,000 per year, depending on experience and...


  • Waco, Texas, United States Brookshire's Grocery Company Full time

    The Grocery Store Cash Handling Specialist is a vital position within Brookshire's Grocery Company. In this role, you will be responsible for managing cash handling duties, including operating a cash register, making change, and processing transactions. You will earn an estimated $12-$18 per hour and enjoy a competitive benefits...

  • Respiratory Therapist

    3 weeks ago


    Waco, Texas, United States Ascension Full time

    Job Title: Respiratory Therapist - Pulmonary Care SpecialistWe are seeking a skilled Respiratory Therapist to join our team at Ascension Providence. As a Pulmonary Care Specialist, you will be responsible for providing high-quality patient care and developing personalized treatment plans to improve respiratory health.Job Summary:This is a rewarding...


  • Waco, United States Ascension Full time

    Details * Specialty: Pulmonary * Subspecialty Interest: Critical Care/Intensivist * Call Schedule: 1 in 5 * Practice Detail: Come join our team of 4 physicians * EMR System: Athena Inpatient / Epic Outpatient * Facility: Ascension Providence * Location: Waco, Texas This job location is not currently located in a Health Professional Shortage Areas (HPSAs)...


  • Waco, Texas, United States Ascension Health Full time

    Transform Lives as a Physical Medicine and Rehabilitation PhysicianWe are seeking a highly skilled Physician - Rehabilitation Medicine Specialist to join our team at Ascension Providence in Waco, Texas.About the RoleThis is an exceptional opportunity for a medical professional to serve as the Medical Director for our new inpatient rehabilitation unit,...


  • Waco, Texas, United States Ascension Full time

    Ascension Providence is a leading healthcare provider in Waco, Texas, offering advanced surgical care and emergency services. We are seeking a skilled Operating Room Nurse Specialist to join our team on a full-time basis.About the RoleThis position offers a unique opportunity to work in a fast-paced environment, providing exceptional patient care and...


  • Waco, Texas, United States Ascension Providence Hospital Full time

    About the RoleWe are seeking a highly skilled RN Fellow Neurology/Ortho Surgical Specialist to join our team at Ascension Providence Hospital in Waco, Texas.This is a Full-time opportunity with a competitive salary of $120,000 - $150,000 per year, depending on experience and qualifications.Job SummaryThe RN Fellow Neurology/Ortho Surgical Specialist will...


  • Waco, Texas, United States Baylor Scott & White Health - Central Texas Full time

    At Baylor Scott & White Health, we are seeking a highly skilled Dermatology Physician to join our esteemed team in the thriving city of Waco, Texas. Our comprehensive dermatology clinic provides exceptional medical and surgical care to patients, and we believe this opportunity will be a perfect fit for a dedicated professional like yourself.We offer a...


  • Waco, Texas, United States Ascension Full time

    Company OverviewAscension Providence has been a leading provider of healthcare services in Waco, Texas since 1905.We operate over 30 primary and specialty care clinics, inpatient and outpatient behavioral health programs, and a full-service hospital with advanced surgical care and 24/7 emergency services.Estimated Salary: $65,000 - $85,000 per yearThis...

  • Specialist, Contracts

    1 month ago


    Waco, United States L3Harris Full time

    Job Title: Specialist, Contracts Job Code: 18137 Job Location: Waco, TX Schedule: 9/80 Job Description: L3Harris is actively seeking a talented Specialist, Contracts with our Modifications and Modernization (MMG) business area in Waco, Texas. This position will be responsible for a diverse business area, with defense customers from various USG...


  • Waco, United States Ascension Health Full time

    Details Specialty: Physical Medicine & RehabilitationSubspecialty Interest: Inpatient RehabilitationSchedule: 36 clinical hours per weekPractice Detail:Interdisciplinary practiceEMR System: EpicFacility: Ascension ProvidenceLocation: Waco, TXThis job location is not currently located in a Health Professional Shortage Areas (HPSAs) and/or Medically...


  • Waco, Texas, United States Pilgrim's Full time

    **Job Summary:**Pilgrim's is seeking an experienced Electrical Automation Specialist to join our team. In this role, you will be responsible for troubleshooting electrical systems throughout the plant and maintaining electrical equipment through preventative maintenance procedures.Main Responsibilities:Troubleshoot electrical systems to identify and resolve...