Overview:

We are seeking a detail-oriented Denials Specialist to join our team. The ideal candidate will have a strong background in medical coding, medical billing, and medical office procedures.

Responsibilities:

• Responsible for researching and resolving claim denials, ADR requests and certs, submitting and tracking appeals, noting trends and providing monthly reports. Responds to audit requests (including RAC) from payors.
• Maintains a Library of Payer reference material regarding requirement for pre authorization, medical necessity and documentation requirements.
• Works with the Revenue Cycle stakeholders (e.g. Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials and opportunities for future denials.

Experience:

- Proven experience in medical coding and billing
- Knowledge of medical office operations
- Proficiency in various coding systems such as ICD-10, ICD-9
- Strong understanding of DRG coding
- Experience with medical collections

If you are a dedicated Specialist with expertise in medical coding and billing, we encourage you to apply.

Job Type: Contract

Pay: $19.21 - $28.09 per hour

Expected hours: 40 per week

Benefits:

• Employee assistance program

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Hospital

Ability to Commute:

• Folsom, CA 95630 (Required)

Ability to Relocate:

• Folsom, CA 95630: Relocate before starting work (Required)

Work Location: In person