Coding Denial Specialist - St. Luke's Health System

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great place to work.

What you can expect from this role:

The Coding Denial Specialist is responsible for providing support in the function areas of Revenue Cycle. Ensures adherence to coding guidelines, company policies, procedures, and related government regulations.

• Under limited supervision, performs professional level support activities in one or more functional areas of revenue cycle. Uses established procedures to perform assigned tasks.
• Researches and consolidates information required for analysis of revenue cycle operations. Prepares reports in conformance with legal requirements or organization needs.
• May serve as a resource to others in the resolution of complex problems and issues.
• Prepares special projects as assigned. Assists in the development and implementation of revenue cycle policies and procedures.
• Performs special analysis, reconciles designated accounts, etc. within assigned functional areas.
• Analyzes and interprets coding guidelines, company policies, procedures and state and federal regulations affecting the assigned functional area.
• Maintains a broad and high level knowledge of contracts, regulatory and benefit terms related to various commercial payers, workers compensation, liability, or various governmental payers.
• Conducts testing of system updates related to Revenue Cycle processes and provides feedback. Identifies and recommends solutions for system or process improvements.
• Performs other duties as assigned.

Minimum Qualifications for this Role:

• Education: High School Diploma or equivalent
• Experience: 3 year's experience.
• Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), or any American Health Information Management Association (AHIMA) coding credential, or any American Academy of Professional Coders (AAPC) coding credential. The CCA (Certified Coding Associate) and CPC-A (Certified Professional Coder Apprentice) certifications are excluded from satisfying this requirement.

What’s in it for You:

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team.  We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings.  We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

^*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.