Other Credentials: Knowledge and Skills: • Working knowledge of inpatient clinical denial categories, including medical necessity, patient status, and readmissions • Familiarity with utilization review processes and clinical documentation workflows • Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels • Strong organizational skills and attention to detail • Ability to identify root causes and recurring denial drivers • Strong written communication skills for documentation and internal coordination • Proficiency with hospital billing systems, EMR navigation, and payer portals • Proficiency with Microsoft Office applications, including Excel. Ensures inpatient clinical denial cases are properly triaged, routed, documented, tracked, and prepared for appeal in accordance with payer requirements, while partnering with clinical and operational resources to support timely resolution and denial prevention.