[Remote] CODING/CDI DENIALS ANALYST
Note: The job is a remote job and is open to candidates in USA. UT Southwestern Medical Center is a medical and research center committed to patient care, innovation, teamwork, and compassion. The Coding/CDI Denials Analyst reviews inpatient hospital coding and clinical denials, validates coding and documentation accuracy, prepares appeals, identifies denial trends and educational opportunities, and supports process improvement.
Responsibilities
- Review coding and/or clinical denials, ensuring all coding guidelines and conventions were followed, and ensuring all clinical evidence and provider documentation supports the assigned codes and DRG
- Compose an effective appeal utilizing appropriate coding guidelines, relevant and effective clinical documentation, current industry guidelines, evidence-based medicine, and local and national medical management standards and protocols
- Identify coding and/or documentation trends for root causes of denials
- Identify and communicate DRG changes and financial impact
- Identify coding and clinical educational opportunities and report these to the Lead Denials Analyst
- Identify front-end activities that influence denial/appeals process
- Support the Quality Standards set by UTSW and the HIM Coding & CDI Department
- Maintains an expert level of knowledge of Coding/CDI guidelines and practices
- Other duties as assigned
Skills
- 3 years three to five (3-5) year's acute hospital-based Coding and/or CDI experience or
- An equivalent combination of education and experience may be considered
- Denials and Appeals experience in an acute Hospital setting and
- Experience working in a remote environment
- (RHIA) REGD HEALTH INFO ADMIN or
- (RHIT) REGD HEALTH INFO TECHNOLO or
- (CCS) CERT CODING SPECIALIST or
- (CCDS) Cert Clinical Documentation or
- (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC
- RN with CDI experience
Benefits
- Competitive and comprehensive benefits package for eligible employees
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare-no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
- Opportunities for career growth and development
Company Overview
Company H1B Sponsorship