Job Description
PURPOSE OF THIS POSITION The purpose of the Denials Management Specialist is to review the initial denial notifications for claims that have been received by the insurance but have been partially or fully denied for reimbursement from the provider. The specialist is expected to identify the root cause of the denial in a timely fashion and appropriately respond to the denial with a response that wi
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15–25 charts per…
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (the…
10:30 AM
Encounter a complex chart — a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eve…
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