Denials Management Coordinator

JOB SUMMARY

In an environment of continuous quality improvement, the Denials Management Coordinator is responsible for the review of all denials to determine patterns in errors, payors, and internal processes to improve our denial rate. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.

MINIMUM QUALIFICATIONS

Education: 

Preferred BSN or ADN of nursing.

Experience:

Minimum of two years of previous experience in a healthcare-related position required.

Experience in coding, medical necessity, registration, insurances, and precertification processes and/or denials preferred.

Minimum of 2 years of experience or formal education in basic ICD10 coding, medical terminology, Anatomy/pathophysiology, and disease process preferred.

Depending on healthcare-related experience, may require coding certification within 2 years of date of hire. Experience reviewing ambulatory claim denials preferred.