UF Health · 2 days ago
Enterprise Denial Coding Analyst
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Responsibilities
Serve as the dynamic denial management coding analyst, maintaining a minimal denial rate and maximizing reimbursement at the enterprise level to uphold a high coding standard across the organization.
Plan and organize projects aimed at enhancing the efficiency of dynamic coding, boosting reimbursement rates, and reducing appeal turnover rates.
Conduct analyses to improve denial trends, covering areas such as Epic system edits, coding validation, CDM processes impacting reimbursement, authorization trends, performance enhancement, and payer denial trends.
Educate departments on correct procedures for charging, billing, and coding to uphold regulatory standards.
Collaborate with managed care and compliance teams to address issues with departments and payers.
Qualification
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Required
A high school graduate with CPC, COC, RHIT, RHIA, CCS, plus one to two years of coding experience, insurance experience and denial experience.
Demonstrated knowledge of hospital billing and reimbursement, denials and appeals, third-party contracts and federal and state regulations governing the health care industry.
Excellent critical thinking and analytical skills.
Ability to prioritize and manage time effectively.
Attention to detail and ability to complete the job with minimal errors and work independently.
Excellent written and communication skills.
Proficiency in Microsoft Office products such as Outlook, Word and Excel.
Knowledge of HIPAA guidelines.
Ability to read and interpret EOBs.
Strong research and problem-solving skills.
A high level of comfort with computer systems.
Preferred
An associate’s degree or higher in a health or business-related field, plus three years of coding or billing, insurance follow-up, collections or denial management in a hospital/clinical setting is strongly preferred.
Benefits
Competitive compensation
Health and wellness benefits
Tuition reimbursement
Company
UF Health
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.
Funding
Current Stage
Late StageRecent News
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