UF Health
Analyst Coding | Enterprise Denial Management | Full Time | Day Shift
UF Health, Jacksonville, Florida, United States, 32290
Analyst Coding | Enterprise Denial Management | Full Time | Day Shift
UF Health
Analyst Coding | Enterprise Denial Management | Full Time | Day Shift role at UF Health. Serves as an enterprise-level dynamic denial management coding analyst focused on reducing denials, improving reimbursement, and maintaining high coding standards. Analyzes denial trends, Epic system edits, coding and CDM processes, authorization performance, and payer behaviors to drive improvements. Leads initiatives to enhance coding effectiveness and appeal turnaround times while educating departments on compliant charging, billing, and coding practices. Collaborates with Managed Care and Compliance to resolve reimbursement and payer-related issues.
Responsibilities
Serve as the enterprise-level dynamic denial management coding analyst, supporting low denial rates and optimal reimbursement.
Maintain high coding standards across the organization to ensure accuracy and compliance.
Organize, plan, and lead projects aimed at improving dynamic coding effectiveness, reimbursement performance, and appeal turnaround times.
Perform detailed denial trend analyses, including:
Epic system edits
Coding validation
Charge Description Master (CDM) processes impacting reimbursement
Authorization trends and performance improvement
Payer-specific denial trends
Educate departments on appropriate charging, billing, and coding practices to ensure regulatory compliance.
Collaborate with Managed Care and Compliance teams to resolve coding, billing, and reimbursement issues with internal departments and external payers.
Qualifications
Required Education:
High School Diploma or GED
Required Licensure/Certification:
At least one of the following coding certifications is required: CPC, COC, CCS, CCS-P, CCA, CIC, RHIA, RHIT
Required Experience:
1-2 years of coding experience; 1-2 years of denial management and insurance experience
Preferred Experience:
Experience in coding, medical record review, auditing, and insurance processes
Necessary Skills:
Demonstrated knowledge of Hospital billing and reimbursement, Medicare and Medicaid denials and appeals, third-party payer contracts, Federal and state healthcare regulations; strong critical thinking and analytical skills; high attention to detail; proficient organizational and time-management skills; excellent written and verbal communication skills; proficiency in Microsoft Office (Outlook, Word, Excel); knowledge of HIPAA guidelines; ability to read and interpret Explanation of Benefits (EOBs); strong research and problem-solving skills; high level of comfort working with computer systems
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Analyst Coding | Enterprise Denial Management | Full Time | Day Shift role at UF Health. Serves as an enterprise-level dynamic denial management coding analyst focused on reducing denials, improving reimbursement, and maintaining high coding standards. Analyzes denial trends, Epic system edits, coding and CDM processes, authorization performance, and payer behaviors to drive improvements. Leads initiatives to enhance coding effectiveness and appeal turnaround times while educating departments on compliant charging, billing, and coding practices. Collaborates with Managed Care and Compliance to resolve reimbursement and payer-related issues.
Responsibilities
Serve as the enterprise-level dynamic denial management coding analyst, supporting low denial rates and optimal reimbursement.
Maintain high coding standards across the organization to ensure accuracy and compliance.
Organize, plan, and lead projects aimed at improving dynamic coding effectiveness, reimbursement performance, and appeal turnaround times.
Perform detailed denial trend analyses, including:
Epic system edits
Coding validation
Charge Description Master (CDM) processes impacting reimbursement
Authorization trends and performance improvement
Payer-specific denial trends
Educate departments on appropriate charging, billing, and coding practices to ensure regulatory compliance.
Collaborate with Managed Care and Compliance teams to resolve coding, billing, and reimbursement issues with internal departments and external payers.
Qualifications
Required Education:
High School Diploma or GED
Required Licensure/Certification:
At least one of the following coding certifications is required: CPC, COC, CCS, CCS-P, CCA, CIC, RHIA, RHIT
Required Experience:
1-2 years of coding experience; 1-2 years of denial management and insurance experience
Preferred Experience:
Experience in coding, medical record review, auditing, and insurance processes
Necessary Skills:
Demonstrated knowledge of Hospital billing and reimbursement, Medicare and Medicaid denials and appeals, third-party payer contracts, Federal and state healthcare regulations; strong critical thinking and analytical skills; high attention to detail; proficient organizational and time-management skills; excellent written and verbal communication skills; proficiency in Microsoft Office (Outlook, Word, Excel); knowledge of HIPAA guidelines; ability to read and interpret Explanation of Benefits (EOBs); strong research and problem-solving skills; high level of comfort working with computer systems
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