Coding Denial Management Associate

athenahealth, Inc.

Columbia, SC

JOB DETAILS
SALARY
$50,000–$86,000 Per Year
SKILLS
Adjudication, Analysis Skills, Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Computer Programming, Data Analysis, Denials Management, Ecosystems, Financial Trend Analysis, Healthcare Quality, Identify Issues, Leadership, Medical Coding, Multitasking, Operational Audit, Patient Care Denials, Project Management Software, Project/Program Management, Reporting Dashboards, Root Cause Analysis, SQL (Structured Query Language), Trend Analysis
LOCATION
Columbia, SC
POSTED
Today

Coding Denials Management AssociateJoin us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.We are looking for a Coding Denials Management Associate to join the Denials Management team. In this role, the associate will use coding skills to diagnose and resolve claim denials, rejections, and edits across our network. The position involves analyzing denial trends, identifying root causes, and developing workflow improvements to support the performance of our service offering. The associate partners closely with Product, Analytics, and Operational teams and reports to the Manager of Service Effectiveness – Denials Management.Job ResponsibilitiesLead detailed claim adjudication analysis to triage rejections, denials, and payer edits; convert adjudication scenarios into consumable, effective processes that identify true root causes and lead to successful outcomes.Prepare accurate workflows and procedures: claim corrections, resubmissions, appeals, or configuration updates; partner with multiple stakeholders to execute.Track denial trends, quantify financial impact, and deliver actionable insights and dashboards to stakeholders. Recommend and validate configuration or workflow changes that prevent repeat denials.Manage multiple remediation projects by urgency/financial impact and present findings to partners and leadership.Proficiency with project management and analytical tools; ability to operate in an agile environment.Typical QualificationsBachelor's degree or equivalent professional experience.CPC and/or CCS certification (AAPC or AHIMA) is required.3+ years in medical coding with demonstrated experience in claims adjudication, denials, or revenue cycle operations.Preferred: Revenue cycle experience working with denials, rules, payer edits, 835/ERA or EOB review, appeals/resubmissions, and claim reprocessing workflows.Preferred: Experience using SQL or Sigma to extract data and leverage analytical tools to generate insights and actionable recommendations.Expected Compensation$50,000 - $86,000#J-18808-Ljbffr

About the Company

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athenahealth, Inc.