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UF Health · 3 weeks ago

Denial Recovery Coding Analyst | Enterprise Denial Management | Full Time | Day Shift

Jacksonville, FL

Full-time

Onsite

Entry Level

1+ years exp

UF Health is seeking a Denial Recovery Coding Analyst who will focus on reducing denials and improving reimbursement through high coding standards. The role involves analyzing denial trends, collaborating with various departments, and educating teams on compliant practices to enhance coding effectiveness and resolve reimbursement issues.

Health CareMedical

Growth Opportunities

Responsibilities

Serves as the enterprise-level dynamic denial management coding analyst, supporting low denial rates and optimal reimbursement

Maintains high coding standards across the organization to ensure accuracy and compliance

Organizes, plans, and leads projects aimed at improving dynamic coding effectiveness, reimbursement performance, and appeal turnaround times

Performs detailed denial trend analyses, including:

Epic system edits

Coding validation

Charge Description Master (CDM) processes impacting reimbursement

Authorization trends and performance improvement

Payer-specific denial trends

Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance

Collaborates with Managed Care and Compliance teams to resolve coding, billing, and reimbursement issues with internal departments and external payers

Qualification

CPC certificationCCS certificationHospital billing knowledgeDenial management experienceMicrosoft Office proficiencyAnalytical skillsAttention to detailCommunication skillsProblem-solving skillsTime-management skills

Required

High School Diploma or GED

At least one of the following coding certifications is required: CPC, COC, CCS, CCS-P, CCA, CIC, RHIA, RHIT

1-2 years of coding experience

1-2 years of denial management and insurance experience

Demonstrated knowledge of: Hospital billing and reimbursement, Medicare and Medicaid denials and appeals, Third-party payer contracts, Federal and state healthcare regulations

Strong critical thinking and analytical skills

High attention to detail with the ability to work independently and minimize errors

Proficient organizational and time-management skills

Excellent written and verbal communication skills

Proficiency in Microsoft Office applications (Outlook, Word, Excel)

Knowledge of HIPAA guidelines

Ability to read and interpret Explanation of Benefits (EOBs)

Strong research and problem-solving skills

High level of comfort working with computer systems

Preferred

Experience in coding, medical record review, auditing, and insurance processes

Company

UF Health

Glassdoor3.9

University of Florida Health is a world-class academic health center in Florida, encompassing hospitals, physician practices, colleges, centers, institutes, programs and services across northeast and north-central Florida.

Founded in 1958

Gainesville, Florida, USA

10001+ employees