Denials Prevention Analyst, Epic Preferred

Children's Mercy KC • Kansas City, MO

118d • $25

About The Position

The Denials Prevention Analyst is directly responsible for reviewing current denial data to determine denial trends and provide root cause analysis utilizing available CMH technology as well as expert colleagues and specific payor representation/information. This position will collaborate with internal stakeholders to review denial trends and assist in identifying and tracking implementation of root cause resolutions under the supervision of the Denials Prevention leadership within CMH. This position also adheres to the Shared Values and Service Excellence visions of the organization. This is a mostly remote role, but incumbent must reside within the KC Metro and may come onsite for meetings and training as required. Epic Experience Highly Preferred!

Requirements

• Bachelor's Degree and No Experience necessary / On-the-Job Training for those with a CPC or COC as the qualifying certification OR
• Associate's Degree and 1-2 years' experience, plus experience in revenue cycle, plus CPC or COC Cert OR
• High School diploma, or equivalent, and 3-5 years' experience, plus experience in revenue cycle, plus CPC or COC Cert
• One of the following Required: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), required upon hire

Responsibilities

• Analyze and research claim denial trends utilizing denial reporting tools to identify root cause issues and collaborates with the Denials Prevention team leadership to identify potential resolution and offer potential process improvements.
• Performs all necessary duties related to the identification and tracking of denial trends/issues and monitors cross-departmental performance improvements to insure denial resolution and/or mitigation.
• Adheres to service excellence guidelines and CMH policies and procedures and demonstrates exceptional customer service delivery in daily interactions with internal and external colleagues.

Benefits

• Market competitive pay starting at $25.52/hr
• Comprehensive benefits plans designed to meet the changing needs of employees and their families

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees