UT Southwestern Medical Center

The specialist will review, research, and resolve professional claims denials related to coding, service place, and payer policies, preparing and submitting appeals based on payer guidelines. This role involves contacting payers regarding denied claims, reconciling payments, and providing feedback on denial trends to leadership.

The specialist will review, research, and resolve professional claims denials related to CPT codes, service place, modifiers, and payer policies, including preparing and submitting appeals based on payer guidelines. They must also contact payers regarding denied claim reimbursement, reconcile payments, and provide feedback on denial trends to leadership.

The Coding/CDI Denials Analyst primary responsibilities are to review coding denials for inpatient hospital medical records, for accuracy of assigned codes, and ensure all Official Coding Guidelines and conventions were followed. Also, to ensure the clinical evidence and provider...

This role involves abstracting patient data from patient charts to determine billable charges based on physician's treatment and diagnosis, generating charges to patients and third-party carriers, and generating maximum revenue for services rendered. Demonstrates a working knowle...