UF Health · 16 hours ago
Denial Recovery Coding Analyst | Full time | Day Shift - 7:30 am to 4:30 pm
Gainesville, FL
Full-time
Onsite
Entry Level
1+ years expUF Health is a healthcare organization seeking a Denial Recovery Coding Analyst to focus on reducing denials and improving reimbursement. The role involves analyzing denial trends and collaborating with various teams to enhance coding effectiveness and compliance.
HealthcareHealth CareMedical
Responsibilities
Serves as the enterprise-level dynamic denial management coding analyst, supporting low denial rates and optimal reimbursement
Maintains high coding standards across the organization to ensure accuracy and compliance
Organizes, plans, and leads projects aimed at improving dynamic coding effectiveness, reimbursement performance, and appeal turnaround times
Performs detailed denial trend analyses, including:
Epic system edits
Coding validation
Charge Description Master (CDM) processes impacting reimbursement
Authorization trends and performance improvement
Payer-specific denial trends
Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance
Collaborates with Managed Care and Compliance teams to resolve coding, billing, and reimbursement issues with internal departments and external payers
Qualification
Required
High School Diploma or GED
At least one of the following coding certifications is required: CPC, COC, CCS, CCS-P, CCA, CIC, RHIA, RHIT
1–2 years of coding experience
1–2 years of denial management and insurance experience
Demonstrated knowledge of: Hospital billing and reimbursement, Medicare and Medicaid denials and appeals, Third-party payer contracts, Federal and state healthcare regulations
Strong critical thinking and analytical skills
High attention to detail with the ability to work independently and minimize errors
Proficient organizational and time-management skills
Excellent written and verbal communication skills
Proficiency in Microsoft Office applications (Outlook, Word, Excel)
Knowledge of HIPAA guidelines
Ability to read and interpret Explanation of Benefits (EOBs)
Strong research and problem-solving skills
High level of comfort working with computer systems
Preferred
Experience in coding, medical record review, auditing, and insurance processes
Company
UF Health
University of Florida Health is a world-class academic health center in Florida, encompassing hospitals, physician practices, colleges, centers, institutes, programs and services across northeast and north-central Florida.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Robert Thornton
Senior Vice President and Chief Financial Officer
Lydia Hendrix BSN,CRRN,MS
Chief Operating Officer
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