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Appeals and Denials Assistant

Overview

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Assignment: Denial and Appeals Assistant
Specialty: IP Hospital Coding and Denials
Engagement Type (FT/PT): PT
Remote or Travel: Remote
Length of Assignment: 6 mos; ongoing
Required Credentials: CCS, RHIA, or RHIT; three years experience
Systems:

  • Denials Software MRO: enter denials information for tracking  
  • EPIC and 3M: to review documentation  
  • EPIC: communicate status   
  • Health Logic: pull denial letters   
  • Word: formulate feedback to coder in the event analyst agrees with payer
  • Fax: (remote) to send appeal letters
  • TEAMS: tracking worksheets, logging time

Additional Details:

  • Identifies and reviews inpatient denials (in the form of an appeal letter if disagrees with payer or feedback to coder if agrees with payer)  
  • Must now the difference between clinical v. coding denial, as this person will forward those denials that are identified as clinical to coding assurance department
  • Must be computer savvy and able to quickly learn multiple software systems (no experience required- just the ability to learn quickly and use efficiently)

Location: remote,
Type: Contract
Pay: Apply for details

1793

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