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Northside Hospital · 3 weeks ago

HIS Coding Denial Analyst

Atlanta, GA

Full-time

Onsite

Senior Level

5+ years exp

Northside Hospital is an award-winning healthcare institution focused on expanding the quality and reach of care. The HIS Coding Denial Analyst is responsible for evaluating and resolving denied claims, providing training, and ensuring compliance with coding regulations.

CommunitiesFitnessHealth CareLeisure

Growth Opportunities

H1B Sponsor Likely

Responsibilities

Performs timely and accurate review of coding related denials, appeal and submission, including tracking findings

Reviews medical record and coded information to determine if coding needs to be changed or if an appeal is needed for resolution

Reviews all denial accounts for categorization, level of appeal, special requirements for initiating appeals

Utilizes denial reports to assess root causes and identify trends

Monitors and tracks denial trends to help identify education/feedback opportunities

Maintains working knowledge of coding and billing regulations for all payers. Keeps current on regulatory updates, local payer policies and procedures to ensure charge accuracy, compliance and optimization

In an environment of continuous quality improvement, the HIS Coding Denial Coordinator is responsible for the review of all denials to determine patterns in errors, payers, and internal processes to improve our denial rate

Serves as the subject matter expert in the development and implementation of workflows within the Audit Manager software tool

Work with Coding Assurance Coordinator to create and/or arrange training for coding staff regarding denials and insurance payers

Performs other Coding functions as appropriate, including assisting with coding backlogs as necessary

Qualification

Coding guidelines knowledgeDenial management experienceAudit Manager softwareRHIT/RHIA/CCS/CPC certificationCQI tools experienceTrainingEducation skillsMedical record reviewData analysis skills

Required

RHIT/RHIA/CCS/CPC with 5 years experience in coding for an acute care hospital

Experience in CQI tools and techniques

Preferred

Master's Degree

5-10 years experience in acute care coding

Clinical Document Specialist/Clinical validation of coding experience

I-10 certified

Company

Northside Hospital

Glassdoor4.2

State-of-the-art facilities with skilled, caring professionals dedicated to the health and wellness of the communities they serve.

Founded in 1970

Atlanta, Georgia, USA

10001+ employees

http://www.northside.com

H1B Sponsorship

Northside Hospital has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (3)

2024 (1)

2023 (3)

2022 (3)

2020 (1)