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Coding Denial Specialist
Akron Children's Hospital —Akron, OH
- Full-time
- Remote
- Microsoft Outlook
- No experience needed
- High school diploma or GED
Accountant II
Akron Children's Hospital —Akron, OH
- Full-time
- Hybrid work
- Microsoft Word
- CPA
- ERP systems
Dietetic Assistant
Akron Children's Hospital —Akron, OH
- PRN
- Microsoft Outlook
- No experience needed
- Bachelor's degree
Behavioral Health Safety Specialist
Akron Children's Hospital —Akron, OH
- Full-time
- Inpatient
- Mid-level
- 3 years
Office Coordinator
Akron Children's Hospital —Cleveland, OH
- Full-time
- Microsoft Outlook
- No experience needed
- Research
11d
Speech Pathologist - Outpatient
Akron Children's Hospital —Akron, OH
- Part-time
- Microsoft Outlook
- Doctoral degree
- No experience needed
Payer Policy Coordinator
Akron Children's Hospital —Akron, OH
- Full-time
- Hybrid work
- Microsoft Word
- Nursing
- Mid-level
3d
Clinical Research Contract Administrator
Akron Children's Hospital —Akron, OH
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- 3 years
14d
Patient Service Representative
Akron Children's Hospital —Cleveland, OH
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Hospital
11d
Culinary Associate
Akron Children's Hospital —Akron, OH
- Full-time
- Microsoft Outlook
- ServSafe
- Customer service
Dietetic Student Assistant
Akron Children's Hospital —Akron, OH
- Part-time
- Microsoft Outlook
- No experience needed
- High school diploma or GED
Child Life Specialist- Surgery Department
Akron Children's Hospital —Akron, OH
- Full-time
- Microsoft Outlook
- Surgery
- BLS Certification
Cook
Akron Children's Hospital —Akron, OH
- Full-time
- ServSafe
- Customer service
- Café
Pathology Support Specialist
Akron Children's Hospital —Akron, OH
- Full-time
- Microsoft Excel
- Microsoft Outlook
- No experience needed
Environmental Services Technician II
Akron Children's Hospital —Akron, OH
- Full-time
- No experience needed
- Mid-level
- High school diploma or GED
5d
Behavioral Health Safety Specialist - Inpatient Unit
Akron Children's Hospital —Akron, OH
- 8 hour shift
- Inpatient
- Mid-level
- 3 years
Phlebotomist
Akron Children's Hospital —Akron, OH
- Full-time
- Microsoft Outlook
- Hospital
- No experience needed
Specialty Pharmacy Medication Access Coordinator
Akron Children's Hospital —Akron, OH
- Full-time
- No experience needed
- Mid-level
- Outpatient experience
11d
Senior Reimbursement Analyst
Akron Children's Hospital —Akron, OH
- Full-time
- Hybrid work
- Microsoft Outlook
- ERP systems
- No experience needed
Lab Assistant/Phlebotomist
Akron Children's Hospital —Akron, OH
- Full-time
- Microsoft Outlook
- Word processing
- No experience needed

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Coding Denial Specialist

Akron Children's Hospital -
Akron, OH

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Job Details

Full-time

Qualifications

Microsoft Outlook
High school diploma or GED
Technical Proficiency

Full Job Description

Job Description

Job Requisition Number 33895

Full-time, 40 hours/week

Monday-Friday 8am-4:30pm

Remote

Summary:

The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and root causes for coding-related denials, as well as proposing process improvements to mitigate future denials. Working closely alongside the Physician Advisor, the Denial Coding Specialist liaises between the Revenue Recovery team and providers, resolving queries for missing documentation and promoting departmental awareness of coding best practices. This position reports to the Revenue Recovery Supervisor.

Responsibilities:

Performs retrospective account reviews and resolves coding denials accordingly.
Analyzes coding-related denials (e.g., bundling issues and inappropriate CPT/diagnoses) to identify trends and root causes
Proactively maintains current knowledge of applicable regulations, requirements, changes, and best practices by following industry sources (e.g., Centers for Medicare & Medicaid Services, American Association of Professional Coders, and professional journals)
Reviews EPIC work queues daily for Denial management and makes necessary and appropriate coding changes based on medical documentation for both professional and technical charge revenue.
Follows up with providers to resolve outstanding queries for additional documentation or diagnosis information
Coordinates and/or completes appeals as applicable with payors.
Develops suggestions for coding and documentation process improvements, based on denial analysis and industry coding guidelines
Extracts data into clear reports to revenue recover and revenue cycle leadership, physician advisor, and providers
Partners with Revenue Cycle team leaders, physicians, and providers to develop and implement process improvements
Provides regular feedback and ad-hoc education to revenue recovery staff and providers to promote departmental knowledge of appropriate coding practices
Other duties as required.

Other information:

Technical Expertise

Experience in CPT and ICD coding is required.
Experience working with all levels within an organization is required.
Experience working in an Electronic Medical Record system preferred
Experience in healthcare is preferred.
Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.

Education and Experience

Education: High School Diploma or equivalent is required; Bachelor's degree is preferred.
Certification: AAPC or AHIMA Coding Certification is required.
Years of relevant experience: 0 to 2 years is preferred.
Years of experience supervising: None.

Credentials

Essential (minimum one as applicable):

American Academy of Professional Coders
American Health Information Management Association
Certified Provider Credentialing Specialist
Certified Coding Specialist
Registered Health Information Technician
Certified Coding Associate

Full Time

FTE: 1.000000

Status: Remote

Apply Now

Refine Your Search

akron children's hospital jobs

Coding Denial Specialist

Accountant II

Dietetic Assistant

Behavioral Health Safety Specialist

Office Coordinator

Speech Pathologist - Outpatient

Payer Policy Coordinator

Clinical Research Contract Administrator

Patient Service Representative

Culinary Associate

Dietetic Student Assistant

Child Life Specialist- Surgery Department

Cook

Pathology Support Specialist

Environmental Services Technician II

Behavioral Health Safety Specialist - Inpatient Unit

Phlebotomist

Specialty Pharmacy Medication Access Coordinator

Senior Reimbursement Analyst

Lab Assistant/Phlebotomist

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