Remote Jobs at Regions Hospital

JOB DESCRIPTION The Coding Denial and Appeals Specialist plays a vital role in the operations and activities of a centralized denial recovery team, ensuring that process/workflows and data meet regulatory/payer requirements and policies. This role is responsible for reviewing and resolving clinical/medical necessity denials related to outpatient professional/facility services by evaluating and rectifying coding errors and ensuring compliance with healthcare regulations. This role corrects CPT/HCPCS coding discrepancies to ensure accurate and compliant billing and reimbursement, and collaborates with and assists internal stakeholders to support code accuracy on post-billed accounts and post payment audits. This position requires strong coding expertise, analytical skills, and a deep understanding of healthcare reimbursement processes, and will partner with revenue cycle leaders to use data/trends to inform prevention, reduce preventable denial inventory, and maximize recovery goals/tar ...