Denial Specialist, Part Time, Remote

The HIM Denials Specialist is responsible for managing claim denials, to include thoroughly reviewing the denial and supporting 

documentation (ie: Medical record, denial rationale, and appeal rationale) If warranted, the Denials Specialist will ensure that an appeal letter, is 

well written and submitted in a timely manner. The HIM Denials Specialist will also be responsible for maintaining the Denials database, 

perform follow-up, and process appeals timely. The HIM Denials Specialist has full access to patient health information.

HIM Denials Specialist will work on-site. 

Shift: Flex remote, 24 hrs. per week

• High School Diploma or equivalent required. Associate degree in related field preferred.
•  Current AHIMA or AAPC credential (RHIA / RHIT / CCS / CCA / CPC / CPC-H) preferred. 
•  Enrollment in accredited Health Information Management and/or medical coding program accepted.
•  At least 1 year of work experience in insurance, customer service, healthcare, or related field is preferred.
•  Excellent communication, computer and typing skills required.
•  Ability to tolerate viewing computer monitors for extended periods of time. 
•  Familiarity of medical terminology, anatomy, physiology, and various medical specialties preferred.
•  Familiarity of ICD-10 CM, ICD-10 PCS, CPT, and MS-DRG preferred.
•  Familiarity of insurance regulations, denial codes, and denial rationale preferred.
•  Detail oriented, and able to work with increasing independence.
•  Ability to handle difficult interactions with resilience and professionalism.
•  Able to identify problematic situations / issues and work with management to resolve or improve them.

Physical Demands: 

•  Must pass a basic FIT test to include bending, stooping, standing, and sitting for extended periods of time. 
•  Must be able to lift and carry up to 30 pounds.
•  Requires eye-hand coordination and manual dexterity.
•  Requires normal vision/hearing range (+/- assistive devices such as glasses or hearing aids).