Enterprise Denial Coding Analyst

Enterprise Denial Coding Analyst (Remote within Florida)

UF Health Shands Hospital

Gainesville, Florida

UF Health Shands Hospital is consistently ranked among the nation’s best hospitals. We’re recognized for delivering high-quality patient care, and we have enterprise denial coding analyst jobs open now. This is remote work within Florda. If you’re a coding analyst looking for a rewarding position where you’ll learn and grow, start a new chapter in your career with us.

Delivering the best patient care requires the best care for our team.

• You’ll earn competitive compensation.
• Our health and wellness benefits will empower you to live your life fully.
• Tuition reimbursement is available to help you grow.

Our patients — and our people — are the heart of what we do.

To make an impact as an enterprise denial coding analyst for UF Health Shands, you will:

• Report to the enterprise technical denial assistant manager to optimize hospital revenue by maintaining low denial rates and high reimbursement rates for UF Health Shands.
• Review technical denial claims and submit reconsiderations or appeals.
• Ensure all denied claims are accurately processed and collaborate with revenue cycle departments to establish best practices for maximizing reimbursement and minimizing write-offs.
• Serve as the dynamic denial management coding analyst, ensuring a minimal denial rate and maximizing reimbursement at the enterprise level to uphold a high coding standard across the organization.
• Conduct root cause analysis of denied payments by researching patient stays and treatments, reviewing payer contracts, analyzing historical denials and appeals, and examining emerging trends in payer practices.
• Maintain third-party payer relationships, including responding to inquiries, complaints and other correspondence.
• Work with the enterprise technical denial assistance manager and senior denial manager to maintain a strong relationship with the Enterprise Managed Care Department to escalate and resolve unusual denial issues.

To achieve excellence in this full-time role, we’re looking for:

• A minimum of four (4) years of coding or billing, insurance follow-up, collections or denial management in a hospital/clinical setting.
• An associate’s degree or higher in a health or business-related field, plus three years of coding or billing, insurance follow-up, collections or denial management in a hospital/clinical setting is strongly preferred.
• Demonstrated knowledge of hospital billing and reimbursement, denials and appeals, third-party contracts and federal and state laws that relate to contracts and the appeals process.
• Excellent critical thinking and analytical skills.
• Ability to prioritize and manage time effectively.
• Attention to detail and ability to complete the job with minimal errors and work independently.
• Excellent writing and communication skills.
• Proficiency in Microsoft Office products such as Outlook, Word and Excel.
• Knowledge of HIPAA guidelines.
• Ability to read and interpret EOBs.
• Strong research and problem-solving skills.
• A high level of comfort with computer systems.

Schedule: Full-time

Shift: 8 a.m. – 5 p.m., Monday – Friday

Location: Remote within the state of Florida

Discover the many reasons UF Health Shands has earned accolades as a medical provider and as an employer.

For full job requirements and to apply: https://jobs.ufhealth.org/jobs/37831?lang=en-us

UF Health is an Equal Opportunity Employer M/F/D/V and a drug-free workplace.