Denials Coding Specialist (Full-time)

Résumé du poste

Manage payor DRG denials by reviewing inpatient medical records to ensure coding accuracy. Support the appeal process and ensure appropriate ICD-10-CM coding to reflect patient severity and level of care.

Détails du poste

LOVE + MEDICINE IS WHO WE ARE, IT'S WHAT WE DO, IT'S WHY PEOPLE WANT TO WORK HERE. IF YOU’RE LOOKING FOR A JOB TO LOVE, APPLY TODAY. Scheduled Weekly Hours: 40 We’re not just filling positions, we’re building careers. At Emplify Health, we care for our teams, while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future. Join us and find out how a little empathy changes everything. The Denials and Coding Specialist – DRG Hospital Inpatient primarily manages payor DRG denials across Gundersen and Bellin regions. This role reviews inpatient medical records to assess coding accuracy, supports appeal processes, and ensures appropriate ICD-10-CM coding and DRG assignment to reflect the patient’s severity of illness and level of care. Job Specifics: * 1.0 FTE (40 hours weekly), Full-time * Remote eligible after first day on-site in La Crosse (must reside in WI, IA, or MN) * Shift: Monday-Friday, dayshift * Focus: DRG Hospital Inpatient What You Need: * Post-high school education in a specialized field (Health Information Technician, Health Information Administrator, or equivalent allied health program), preferred associates degree in Health Information Technology * 2 years of hospital coding experience (emergency, outpatient, professional services, or inpatient coding) required, DRG experience is preferred Required: One of the following: * Certified Inpatient Coder (CIC) * Certified Coding Specialist (CCS) * Registered Health Information Technician (RHIT) * Registered Health Information Administrator (RHIA) * OR Certified Outpatient Coder (COC) with 2 years of inpatient coding experience What You’ll Get * Starting pay of $24.36/hour + more for experience! * Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more * Career Growth: Access to growth opportunities and Emplify Health’s Career Development Center to help you navigate your career Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan's Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities. If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org [HR-Recruitment@gundersenhealth.org] or call 608-775-0267. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values — belonging, respect, excellence, accountability, teamwork and humility — our pillars set our foundation and our future. Equal Opportunity Employer

Ce que vous ferez

Manage payor DRG denials by reviewing inpatient medical records to ensure coding accuracy. Support the appeal process and ensure appropriate ICD-10-CM coding to reflect patient severity and level of care.

Exigences

Requires 2 years of hospital coding experience and a certification such as CIC, CCS, RHIT, or RHIA. A post-high school education in a specialized health information field is required, with an associate degree preferred.

Avantages

• 401(k) With Matching • Paid Time Off • Health Insurance • Wellness Programs • Tuition Reimbursement • Career Development Center

Compétences indiquées

• caring · Souhaitée
• Travail d’équipe · Souhaitée
• Recruitment · Souhaitée
• Sens de l’organisation · Souhaitée
• Souci du détail · Souhaitée
• Health · Souhaitée
• Teams · Souhaitée
• Process · Souhaitée
• Accuracy · Souhaitée
• Development · Souhaitée
• Time · Souhaitée

Autres compétences pertinentes

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• DRG Coding
• ICD-10-CM
• Medical Record Review
• Denials Management
• Inpatient Coding
• Appeal Processes
• Health Information Management

Domaines d’emploi

• Healthcare
• Finance & Accounting
• Administrative