Denials/CDM Coordinator

It is the mission of Graham Health System to provide compassionate, quality health services, in a responsible and charitable manner, to the people and communities we serve. We are the community’s choice for an exceptional healthcare experience. Graham Health System is seeking a great applicant to join our team. Graham Health System offers a great team atmosphere with multiple benefits. Our goal is to provide the very best in healthcare, state-of-the-art equipment, modern facilities, and a caring, compassionate staff, all close to home. We offer a great team atmosphere with a competitive wage and benefit package for our dedicated employees. Opportunely, we are always in search of great applicants to join our team.

The overall purpose of the position is to improve and optimize internal and external auditing processes, while also ensuring Graham Health System (GHS) adheres to all audit-related state and federal regulations. The position supports the system by reviewing claims for coding, documentation and billing accuracy, and root causes for all denials, as well as proposing process improvements to mitigate future denials. This includes, but is not limited to, overseeing the RAC response process and assisting in the coordination of effective appeals at all levels of escalation. In addition, the position is responsible for developing and reinforcing effective business practices within all areas of revenue cycle as well as completing regular financial analysis of GHS activities. This position reports to the Senior Director of Revenue Cycle.

Position Qualifications

Associate’s degree or equivalent training acquired through a minimum of 2 years of coding experience in an acute care setting required

RHIT, RHIA, CCS, CPC, COC, or CIC certification status preferred

ICD10CM/PCS training

Knowledgeable regarding ICD-10, CPT and HCPCS coding principles, government regulations, protocols and third-party payer requirements regarding billing and billing documentation.

Course in medical terminology and human anatomy and physiology required

Computer proficiency in Electronic Medical Record, Coding Software, Microsoft Office

Benefits of working at GHS:

2.5% Cost of Living Adjustment every July

3% Retention bonus every February

Potential/up to GHS $1,200 Payout in July

Student Loan Forgiveness Assistance

Daycare Assistance

Rental Assistance

First Time Home Buyer Down Payment Assistance

Vehicle Down Payment Assistance

The pay grade assigned to this position is 3500; the link provided shows the pay range. Compensation InformationAll wages are determined by experience and skills; wage information will be discussed further upon interview selection.

The position status type is full-time. Benefits associated with the employment status can be found in the link provided. Benefit Package