Job Title
Enterprise Denial Coding Analyst (Fully remote from most states)| Enterprise Denials | Gainesville
Job ID
94271
Location
UF Health Shands
Full/Part Time
1-Full-Time
Regular/Temporary
Regular
Job Title
Enterprise Denial Coding Analyst (Fully remote from most states)| Enterprise Denials | Gainesville
Posted FTE
1.00 = 40 Hours
Driver Status
Not a Driver
Pay Plan
SHE
Minimum Pay Rate-Hourly
23.410000
Midpoint Pay Rate-Hourly
32.410000
Department
Enterprise Denials
Shift Hours
8-5
Days of Week
M-F
Pay Grade
12E

Job Opening Summary

 

Serves as the dynamic denial management coding analyst to maintain a low denial rate and high reimbursement rate at an enterprise level. To maintain a high coding standard within the enterprise. Organizes and plans projects to improve effectiveness of dynamic coding, reimbursement rates, and appeal turnover rates.  Performs analysis for denial trend improvement to include EPIC system edits, coding validation, CDM processes that affect reimbursement, authorization trends and performance improvement, and payer denial trends.  Educates departments on appropriate charging/billing/coding issues to ensure regulatory compliance. Works with managed care and compliance to resolve issues with departments and payers.

The option is available to work on-site in Gainesville or Jacksonville.  Must live in Florida to work remote.

Job Opening Qualifications

 

Minimum Education and Experience Requirements:
High school graduate required with CPC, COC, RHIT, RHIA, CCS and 1-2 years coding experience, 1-2 years insurance experience, denial experience.
• Prefer Associate’s degree or higher in a health or business-related field and 3 years coding or billing, insurance follow up, collections or denial management in a hospital /clinical setting.

Knowledge, Skills, Abilities:
• Demonstrated knowledge of:
o Hospital billing and reimbursement
o Denials and appeals
o Third-party contracts
o Federal and state regulations governing the healthcare industry
• Excellent critical thinking and analytical skills
• Attention to detail and ability to complete the job with minimal errors and work independently.
• Proficient organizational skills
• Excellent writing and communication skills
• Ability to prioritize and manage time effectively.
• Proficient in Microsoft Office Products such as: Outlook, Word, Excel
• Knowledge of HIPPA guidelines
• Ability to read and interpret EOB’s.
• Strong research and problem-solving skills
• High level of comfort with computer systems

Motor Vehicle Operator Designation:
Will not operate vehicles for an assigned business purpose.

Licensure/Certification/Registration:
None