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Role Description

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 documentation supports the assigned codes and DRG.

• Compose and submit appeal letters as appropriate
• Identify coding trends/opportunities for root causes of denials
• Report trends/opportunities to the Lead Denials Analyst
• Identify and communicate front-end activities that influence the denials/appeals process
• Seek opportunities for process improvement

Qualifications

• 3 to 5 years of acute hospital-based Coding and/or CDI experience
• An equivalent combination of education and experience may be considered
• Denials and Appeals experience in an acute Hospital setting
• Experience working in a remote environment
• Licenses and Certifications:
  • (RHIA) Registered Health Information Administrator
  • (RHIT) Registered Health Information Technician
  • (CCS) Certified Coding Specialist
  • (CCDS) Certified Clinical Documentation Specialist
  • (CDIP) Certified Documentation Improvement Practitioner

Requirements

• RN with CDI experience (preferred)

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare - no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer