RCM Denial coordinator Position Available In Passaic, New Jersey

RCM Denial coordinator Hudson Regional Hospital – 2.5 Clifton, NJ Job Details Full-time $28 – $33 an hour 16 hours ago Qualifications Revenue cycle management Management Medical coding Healthcare Administration Mid-level Microsoft Office High school diploma or

GED ICD-10

Bachelor’s degree Medical billing CPT coding Communication skills Full Job Description Position Summary Analyze and resolve denied claims to maximize revenue recovery for healthcare providers. Job Duties Identify reasons for claim denials, analyze denial patterns, and track denial trends. Initiate and coordinate the appeals process for denied claims, ensuring proper documentation is provided and timely follow-up is conducted. Collaborate with relevant departments (e.g., billing, coding, insurance, clinical) to identify the root causes of denials and implement solutions to prevent future denials. Be available to meet face to face with departments at hospital locations. Properly track and document all denial and appeal activities, including logs, account notes, and system records. Establish and maintain relationships with payer representatives to facilitate claim resolutions. Act as a resource for staff questions related to claim denials and timely filing, and potentially train and mentor team members. Analyze denial trends and root causes, and prepare reports for management. Performs other duties as assigned Qualifications and Skills Strong understanding of healthcare billing processes and insurance regulations. Proficient knowledge of medical billing and coding (e.g., ICD-10, CPT). Excellent analytical and problem-solving skills. Strong communication and interpersonal skills. Proficiency in relevant software applications, such as Microsoft Office Suite and revenue cycle management software. Education, Experience and Certification/Licensure Requirements Previous experience in healthcare billing, collections or revenue cycle management with specific experience in denial management being highly preferred. High school diploma or GED required. Bachelors degree or equivalent experience in healthcare administration, business or finance preferred. Thorough understanding of CMS regulations as it relates to OP observation billing and use of code 44.