Children's Mercy · 2 hours ago
Denials Prevention Analyst
Children's Mercy is a healthcare organization seeking a Denials Prevention Analyst responsible for analyzing denial data to identify trends and root causes. The role involves collaborating with internal stakeholders to implement resolutions and improve processes related to claim denials.
Responsibilities
Analyze and research claim denial trends utilizing denial reporting tools to identify root cause issues and collaborates with the Denials Prevention team leadership to identify potential resolution and offer potential process improvements
Performs all necessary duties related to the identification and tracking of denial trends/issues and monitors cross-departmental performance improvements to insure denial resolution and/or mitigation
Adheres to service excellence guidelines and CMH policies and procedures and demonstrates exceptional customer service delivery in daily interactions with internal and external colleagues
Qualification
Required
Must have a Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) at time of application
Bachelor's Degree and No Experience necessary / On-the-Job Training. For those with a CPC or COC as the qualifying certification, education experience while obtaining certification will be equated to related work experience
Associate's Degree and 1-2 years' experience in revenue cycle, plus CPC or COC Cert
High School diploma, or equivalent and 3-5 years' experience in revenue cycle, plus CPC or COC Cert
One of the following Required Upon Hire: Certified Professional Coder (CPC) or Certified Outpatient Coder (COC)
Preferred
Epic Experience Highly Preferred!
Company
Children's Mercy
We are pioneers in pediatric health care, dedicated to transforming the lives of children through exceptional care, groundbreaking research and innovative education.
H1B Sponsorship
Children's Mercy 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 (31)
2024 (44)
2023 (28)
2022 (29)
2021 (37)
2020 (45)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Baldrick's Foundation
2023-11-21Grant
Leadership Team
Recent News
Morningstar.com
2025-12-03
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