Senior Coding Denials Analyst

Job not on LinkedIn

🔥 0 minutes ago

❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $26 - $41 / hour

⏰ Full Time

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Sanford Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1894

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Sanford Health is the largest rural health system in the United States, dedicated to transforming the healthcare experience and providing access to world-class healthcare in America's heartland. Headquartered in Sioux Falls, South Dakota, Sanford Health serves over 1. 4 million patients and nearly 200,000 health plan members across 250,000 square miles. The integrated health system includes 48 medical centers, 211 clinic locations, and more than 160 senior living centers, employing 2,900 physicians and advanced practice providers. Sanford Health is committed to offering compassionate care through its Centers of Excellence, focusing on specialties such as cancer, orthopedics, women’s health, and genetics. Additionally, it provides affordable health insurance, engages in extensive clinical trials, and supports personalized genetic medicine.

📋 Description

• Research and analyze coding-related claim edits, denials, internal edits, PFS questions and concerns, and coding compliance software audit messages • Optimize reimbursement for Sanford • Call payers to identify issues with particular denials and articulate solutions for final resolution • Identify trends in edits, errors, and coding denials • Abstract diagnoses and treatments from documentation to support appropriate ICD-10 and CPT/HCPCS coding • Provide findings and trend information to enterprise coding denial leadership for coder education and communications • Request development of coding edits for real-time front-end alerts during coding • Provide feedback and direction on software edits, denial issues, reimbursement trends, and billing/coding errors to Coding Denial Leadership • Train others to achieve maximum accuracy

🎯 Requirements

• Associate degree in Health Information Technology or Certification in Coding required • Extensive knowledge of diagnostic and procedural terminology, ICD-10, CPT-4, and HCPCS coding schemes • Qualifications usually acquired through RHIA, RHIT, LPN, CPC, CPC-H, CCS, or CCS-P programs or certification • Maintain certification in RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H by fulfilling continuing education requirements • Working knowledge of anatomy, physiology, and pathophysiology required • Current knowledge of coding schemes, prospective payment systems, clinical practices, and technology • Knowledge of payer Remark and Reason codes and remittance advice • Computer skills and information systems knowledge • Ability to effectively train others • Knowledge of state and federal laws, rules, and regulations • At least two years of coding experience for professional charges preferred • At least two years of experience with Medicare and other third-party reimbursement preferred