Denial Representative- Remote (FTE 1.0)

Job Description:
Responsible to resolve denials that are coding related which could include research and analysis of the denials. Works with ambulatory coding supervisor, coders, revenue integrity, billing staff, and customer service staff to denials are worked timely and accurately to best reflect the services that provided. This individual uses coding and billing guidelines along with awareness of state and federal billing regulations to resolve coding related denials Work Experience One year coding or billing experience. Requires a working knowledge of diagnostic and procedural terminology, CPT, ICD-10 and HCPC ’s coding, prospective payment systems and clinical practice/technology. Knowledge of applicable state and federal law, rules and regulations surrounding coverage and coding guidelines. Ability to interpret payer rules, policies, procedures and guidelines. Educational Requirements: Associates degree required with a preference in healthcare or business related field Required Qualifications: • 1 year of coding experience

Education Qualifications:

None

Licensure/Certification Qualifications:

One of the following required within 2 years of hire:

·AHIMA credential (RHIA (Registered Health Information Administrator), RHIT (Registered Health Information technician), CCS (Certified Coding Specialist), CPC -H (Certified Professional Coder – Hospital))

·AAPC credential (CPC (Certified Professional Coder)

Pay Range
$21.12 - $31.69 / hour

The approximate base compensation range is posted, but the actual offer will reflect our total compensation and benefits package. The offer will be determined by a number of factors including the selected candidate’s experience, knowledge, skills, abilities, FTE, as well as internal equity among our team.

Effective December 1, 2019: Job offers are contingent upon successful completion of a post-offer assessment, including a urine drug screen, immunization review, proof of required vaccinations, and background check. Essentia Health is committed to maintaining a work environment free from the influence of illegal drugs and alcohol.

Essentia Health EEO:
Essentia Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, sexual identity, national origin, disability, protected veteran status, or any other characteristic protected by law.