Denials Management & Appeals:Root Cause Analysis: Lead a specialized team to thoroughly investigate claims denied for medical necessity on bedded patients, identify root causes (clinical documentation, coding, etc.), and develop corrective action plans to prevent future denials. This individual will support the pursuit of excellence in care coordination, discharge planning, resource stewardship, and regulatory compliance, ultimately contributing to improved patient outcomes, reduced lengths of stay, enhanced organizational efficiency, and maximized reimbursement through denial reduction and successful appeals.