HIS Denials Assistant

Summary of Position:#Under general oversight of the Director, Health Information Services and daily management of the HIS Manager, the Denials Assistant provides support to the HIS Denials Specialist to perform activities to ensure appropriate financial reimbursement for HIS outpatient services from third party payers.# This position provides a vital link physician practices, Patient Access (PA)and Patient Financial Services (PFS). The Denials Assistant is responsible for tracking denied HIS outpatient accounts, work with physician practices, HIS Coders, payers, Department Directors, Clinical Managers, Case Management, PA, and PFS.# Actively contributes to the morale and teamwork of the staff and facility always presenting a positive attitude and patient minded vision with patient satisfaction as the continuing goal. Qualifications:# HS diploma or GED with at least two years# experience working in a medical office setting.# CCA, CCS, CPC preferred.# Will at least need CCA, CCS, CPC within 1 year of start date.# Working knowledge of ICD-10-CM coding principles and guidelines, Medical Necessity edits, LCDs, NCDs, CARC codes, Remit Codes and Value Based Purchasing.# Thorough knowledge of medical terminology, pathophysiology, pharmacology, anatomy, and physiology.# Working knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and reimbursement or willingness to obtain this knowledge# Strong project and process management, leadership and interpersonal skills.# Excellent written and oral communication skills.# Critical thinking skills.

Salary Range: $19.47 - $32.10 Pay Grade: H Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.

Summary of Position: Under general oversight of the Director, Health Information Services and daily management of the HIS Manager, the Denials Assistant provides support to the HIS Denials Specialist to perform activities to ensure appropriate financial reimbursement for HIS outpatient services from third party payers.

This position provides a vital link physician practices, Patient Access (PA)and Patient Financial Services (PFS). The Denials Assistant is responsible for tracking denied HIS outpatient accounts, work with physician practices, HIS Coders, payers, Department Directors, Clinical Managers, Case Management, PA, and PFS. Actively contributes to the morale and teamwork of the staff and facility always presenting a positive attitude and patient minded vision with patient satisfaction as the continuing goal.

Qualifications:

HS diploma or GED with at least two years' experience working in a medical office setting. CCA, CCS, CPC preferred. Will at least need CCA, CCS, CPC within 1 year of start date.

Working knowledge of ICD-10-CM coding principles and guidelines, Medical Necessity edits, LCDs, NCDs, CARC codes, Remit Codes and Value Based Purchasing. Thorough knowledge of medical terminology, pathophysiology, pharmacology, anatomy, and physiology.

Working knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and reimbursement or willingness to obtain this knowledge Strong project and process management, leadership and interpersonal skills. Excellent written and oral communication skills. Critical thinking skills.

Salary Range: $19.47 - $32.10

Pay Grade: H

Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.