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Job Details
Job Location: Medical Office Building (MOB) - Oklahoma City, OK 73114 Position Type: Full Time Job Shift: Days Definition
The Facility Denials/Appeals Specialist reviews and investigates facility denials, underpayment, audit and recoupment requests. Gathers information and researches payer policies and is responsible for all facility appeals and medical reviews, while ensuring compliance with organization standards and regulatory requirements. Qualifications
Minimum Requirements
High school diploma and equivalent GED, two to three years of Medical Billing. Facility Billing experience and knowledge of ICD-10-CM and ICD-10-PCS. To perform this job successfully, an individual must have intermediate computer skills. Preferred Qualification
Prefer two to three years of experience in Hospital Facility Denials, CPC Certified, Experience with Clinical Documentation Improvement (CDI) and Clinical Quality Measures.
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Job Location: Medical Office Building (MOB) - Oklahoma City, OK 73114 Position Type: Full Time Job Shift: Days Definition
The Facility Denials/Appeals Specialist reviews and investigates facility denials, underpayment, audit and recoupment requests. Gathers information and researches payer policies and is responsible for all facility appeals and medical reviews, while ensuring compliance with organization standards and regulatory requirements. Qualifications
Minimum Requirements
High school diploma and equivalent GED, two to three years of Medical Billing. Facility Billing experience and knowledge of ICD-10-CM and ICD-10-PCS. To perform this job successfully, an individual must have intermediate computer skills. Preferred Qualification
Prefer two to three years of experience in Hospital Facility Denials, CPC Certified, Experience with Clinical Documentation Improvement (CDI) and Clinical Quality Measures.
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