The Professional Billing Coding Charge & Denial Outpatient Denial Specialist is responsible for coordinating and monitoring the coding specific clinical charges and denial management in a collaborative environment with Revenue Cycle and clinical partners at UHS. This position will be responsible for working assigned specialties that may include but are not limited to: primary care, general surgery, neurosurgery, neurology, orthopedics, cardiology, CV surgery, medicine, ENT, plastic surgery, and OB/GYN. The incumbent combines clinical, business, and regulatory knowledge and skill to reduce significant financial risk and exposure caused by front end claim edits and retrospective denial of payment for services provided.
Position Requirements
Education/Experience
Minimum Required:
High School Diploma or equivalent and CPC, CCA, CCS-P or CCS
1 year relative medical billing experience.
1 year of coding experience.
Ability to read and understand explanation of benefits and ANSI/remark codes.
CPT and ICD-10 coding knowledge.
Experience with Microsoft Office Software.
Preferred:
Associates Degree in HIT with RHIT certification or related area.
3 years of medical coding/billing experience.
License/Certification
Minimum Required:
See information above; level of education/experience is tied to certification.
Preferred:
See information above; level of education/experience is tied to certification.
United Health Services
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