Denials Management Analyst-Coding

Hourly Pay Range:

Position Highlights:

• Position: Denial Management Analyst-Coding
• Location: Warrenville IL
• Full Time/Part Time: Full Time
• Hours: Monday-Friday, 8am-430pm, hybrid

A Brief Overview:
The Denial Management Analyst-Coding is responsible for analyzing and resolving coding-related denials and rejections from payers. This role ensures accurate documentation and compliant coding practices to support timely reimbursement. The analyst collaborates closely with coding staff, clinical documentation specialists, billing teams, and payers to identify trends and develop solutions to reduce recurring denials.

What you will do:

• Review and analyze coding-related denials (e.g., CPT/ICD-10 mismatches, Incorrect/Invalid Modifier, medical necessity denials).
• Conduct root cause analysis of denial trends and provide feedback to coding and documentation teams.
• Prepare appeal letters with appropriate clinical and coding references to support claims.
• Track denial metrics and generate regular reports for leadership.
• Assist in development and delivery of education to coding and clinical teams regarding denial trends and prevention strategies.
• Participate in cross-functional denial management meetings.
• Ensure compliance with federal regulations (e.g., CMS guidelines) and payer-specific requirements.
• Utilize electronic health records (EHR), coding software (e.g., Epic, Encoder Pro, Optum), and denial management tools (e.g., Epic Work queues).
• Support audits and assist in pre- and post-bill coding reviews as needed.

What you will need:

• Education: Associate's or comparable years of experience
• Certification: CPC or other AAPC credentials or RHIA, RHIT or CCS

Benefits:

• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, and Vision options
• Tuition Reimbursement
• Free Parking at designated locations
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off and Holiday Pay
• Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit https://www.endeavorhealth.org/careers.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website (https://www.endeavorhealth.org/careers) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.