Coding and CDI Denials Analyst - CCDS

Job title: Coding and CDI Denials Analyst - CCDS in Dallas, TX at reputed company Company: reputed company Job reputed company: WHY reputed company? With over 75 years of reputed company in Dallas-reputed company Worth, Texas, reputed company is committed to reputed company, innovation, teamwork, and reputed company. As a world-reputed company medical and research center, we reputed company to reputed company the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-reputed company Worth according to , we invest in you with opportunities for career reputed company and development to reputed company with your reputed company goals. Our highly competitive benefits package offers reputed company, PTO and reputed company holidays, on-site childcare, wage, reputed company increases and so much more. We invite you to be a part of the reputed company team where you'll discover a culture of teamwork, professionalism, and a rewarding career!JOB reputed company The Coding/CDI Denials Analyst primary responsibilities are to review coding denials for inpatient hospital medical records, for accuracy of assigned codes, and ensure reputed company Official Coding Guidelines and conventions were followed. Also, to ensure the clinical evidence and provider documentation supports the assigned codes and DRG. Compose and submit appeal letters as appropriate, identify coding trends/opportunities for reputed company causes of denials, which would be relevant for additional education to individual Coders/CDI Specialist's and/or the entire Coding/CDI Teams. Report these trends/opportunities to the reputed company Denials Analyst to ensure education is developed and provided to the Coders and/or CDI Teams. Identify and communicate reputed company-end activities that influence the denials/appeals process, seeking opportunities for process improvement.BENEFITS reputed company is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive reputed company-no copay
• reputed company Time Off, available day one
• Retirement Programs through the reputed company System of Texas (TRS)
• reputed company Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) reputed company Employer

EXPERIENCE AND EDUCATION Required

• Experience

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 and Denials and Appeals experience in an acute Hospital setting and Experience working in a remote environment

• Licenses and Certifications

(RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLO or (reputed company) CERT CODING SPECIALIST or (CCDS) Cert Clinical Documentation or (CDIP) CERT DOCUMNTATN IMPROVMNT PRACPreferred

• Experience

RN with CDI experienceJOB DUTIES

• Review coding and/or clinical denials, ensuring reputed company coding guidelines and conventions were followed, and ensuring reputed company clinical evidence and provider documentation supports the assigned codes and DRG.
• Compose an effective appeal utilizing appropriate coding guidelines, relevant and effective clinical documentation, reputed company industry guidelines, evidence-based medicine, and local and national medical management standards and protocols.
• Identify coding and/or documentation trends for reputed company causes of denials.
• Identify and communicate DRG changes and financial reputed company.
• Identify coding and clinical educational opportunities and report these to the reputed company Denials Analyst.
• Identify reputed company-end activities that influence denial/appeals process.
• Support the reputed company Standards set by reputed company and the HIM Coding & CDI Department.
• Maintains an expert level of knowledge of Coding/CDI guidelines and practices.
• Other duties as assigned.

reputed company AND EEO STATEMENT reputed company This position is reputed company-sensitive and subject to Texas Education reputed company 51.215, which authorizes reputed company to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have reputed company to critical infrastructure as defined in reputed company 113.001(2) of the Texas Business and reputed company reputed company, the ability to maintain the reputed company or reputed company of the critical infrastructure is a minimum qualification to be reputed company and to continue to be employed in the position.EEO Statement reputed company is committed to an educational and working environment that provides equal opportunity to reputed company members of the University community. As an equal opportunity employer, reputed company prohibits unlawful discrimination, including discrimination on the reputed company of race, reputed company, religion, national reputed company, sex, sexual orientation, gender identity, gender reputed company, age, disability, genetic information, citizenship status, or veteran status.Benefits reputed company is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive reputed company - no copay
• reputed company Time Off, available day one
• Retirement Programs through the reputed company System of Texas (TRS)
• reputed company Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) reputed company Employer

Expected salary: Location: Dallas, TX Apply for the job now! Apply for this job