Appeals Coordinator I - RRAL SS in Gadsden, AL at Riverview Regional Medical Center

Date Posted: 6/3/2018

Job Snapshot

Job Description

Summary:

JOB SUMMARY: The appeals coordinator essentially works to coordinate the denials and appeals management process. Appeals coordinator is also responsible for coordinating all audit correspondence, conducting oversight of all RAC/audit functions, and following all RAC/audit activity to closure. Appeals coordinator will help prepare medical records for Government/Commercial payer audits, timely filing of appeal correspondence, track and follow up of denials while working closely with the Corporate RAC team/ Facility Appeals coordinator. The Appeals coordinator will also serve as the primary contact and coordinate the work to maintain integrity of tracking government review audits (RAC, MAC, CERT, ADR, Pre/Post Probes, QIO and Medicaid/Commercial payers) as assigned. The Appeals coordinator will further support the department needs for Release of Information, or other duties as assigned.

EDUCATION, EXPERIENCE, TRAINING

1. Minimum one year denials management experience in acute care setting highly preferred.

2. Accurate alphabetic, numeric, and/or terminal-digit filing skills.

3. Knowledge of terminal digit filing and medical terminology; preferred.

4. Knowledge of State and Federal regulatory requirements for medical staff documentation; preferred.

5. Computer data entry with 10-key, with accurate typing speed of 35 wpm; preferred.

6. High School Diploma or equivalent.

7. Completion of a medical terminology course; preferred.

8. Background in business and office training; preferred.

   

Work Type: Full Time Employee    

Shift: 1

Legend: Shift 1=Day, 2=Evening, 3=Night, 4=Varied.

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact the Human Resources Department.

EEO is the law poster.