Franciscan Alliance, Inc. logo
Franciscan Alliance, Inc.

Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.

Coding Denial Analyst

Location

Indiana

Posted

8 days ago

Salary

$51.0K - $75.9K / year

Seniority

Mid Level

Medical Coding (cca, Ccs, CCS P, Cpc)

Job Description

Coding Denial Analyst

Franciscan Alliance, Inc.

Role Description The Hospital Inpatient Coding Denial Analyst is responsible for addressing coding related denials across Franciscan Alliance. Additionally, the Coding Denial Analyst monitors denial results and notifies Coding Leadership of any identified trends. - Develops and submits well-supported appeal letters related to coding denials utilizing excellent written and communication skills. - Reviews, researches, and responds to inquiries, denial management, and follow-up questions, according to Coding Department approved resources. - Reviews and processes claims and edits for accuracy and insurance and coding compliance. - Utilizes official coding guidelines and follows established policies and procedures, to determine accurate code selection based upon documentation in the medical record. - Acts as a subject matter expert for coding, billing and payer edits and denials. - Assesses and ranks denials priority to align with Rev Cycle goals. - Assesses denial and takes action to adjust claim data and resubmit corrected claim, prepare and coordinate appeal response, and prepare avoidable write off documentation. - Collaborates with coding leadership, to improve key performance indicators through trending denials. - Coordinates timely response to denials, reaching out to other Franciscan Alliance departments, as well as payers when necessary through denial resolution. - Recommends improvements/adjustments to workflow and system build in response to changes in reimbursement methodology, coding guidelines, regulatory standards, or department workflow changes to prevent denials. Qualifications - Associate's or Bachelor's Degree for Health Information Management - Preferred - High School Diploma/GED - Required - 3 years Coding - Required - 1 year Coding Denials/Payer Experience - Preferred - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Required - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Preferred - Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Preferred Requirements - TRAVEL IS REQUIRED: Never or Rarely - JOB RANGE: Coding Denial Analyst - Hospital Inpatient $51001.60-$75868.00 - INCENTIVE: Not Applicable Benefits Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

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