Denials, Coding and Appeals Analyst - SBH Health System Bronx : Job Details

A. Requirements: Education Required Evidence of continuing education courses, conferences or seminars. Bachelors Degree preferred. License/ Certification/ Registration(s) Required Current New York State licenses if applicable. Experience/ Skills Required 3-5 years clinical coding experience, preferably in an acute care hospital. Case Management/ Denials and Appeals experience preferred. Managed Care experience is also preferred. Demonstrate effective communication and problem solving skills. Demonstrates strong organizational skills. B. Requirements Following up and clarifying any information that is not clear to other staff members Collecting information made by the Physician from different sources to prepare monthly reports Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results Analyzing and identifying the medical procedures, diagnosis or events that lead to the claims denials. Monitoring the Claim Fail Billing (CFB) and ...Appeals, Analyst, Technology, Healthcare