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Coding Denial Analyst Jobs in Nebraska (NOW HIRING)

Faith Health

Cash & Remittance Processor

Norfolk, NE · On-site

$15.75 - $20.25/hr

Must post denial reason codes, remark codes, and contractual adjustments. The position will work directly with the appropriate Clearinghouse and IT analysts to research and resolve missing remittance ...

Quantum Medical Solutions LLC

Billing Specialist

Omaha, NE · On-site

$18.50 - $24.75/hr

... coding regulations through regular audits and reviews. * Assist with denial management and work ... Strong analytical and problem-solving skills, proficiency in financial analysis tools, and ...

Community Action Partne

Billing Specialist

Gering, NE · On-site

$15.75 - $18.42/hr

... coding guidelines, payment posting, account receivables management, rejection, and denial ... Routinely analyze and work claims that are rejected or denied. * Assure adjustments and payments ...

WoodmenLife

Claims Examiner I or II

Omaha, NE · On-site +1

$17 - $25/hr

... and analyzing claim information to determine the approval or denial of claims related to Life ... Enters and codes all new deaths or health claims into administrative systems * Mails claim ...

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Coding Denial Analyst information

What is the difference between Coding Denial Analyst vs Medical Coder?

AspectCoding Denial AnalystMedical Coder
Primary RoleInvestigates and resolves insurance claim denials related to coding issuesAssigns medical codes to patient diagnoses and procedures for billing
CertificationsOften requires coding certifications (e.g., CPC, CCS)Typically requires coding certifications (e.g., CPC, CCS)
Work EnvironmentInsurance companies, healthcare providers, or billing departmentsHospitals, clinics, physician offices, billing companies
FocusDenial resolution, claim auditing, complianceMedical coding accuracy, documentation review

The main difference between a Coding Denial Analyst and a Medical Coder is that the analyst focuses on resolving claim denials related to coding errors, while the coder assigns the initial medical codes. Both roles require similar certifications and work in healthcare settings, but their primary responsibilities differ in claim resolution versus coding accuracy.

What does a coding denial analyst do?

A coding denial analyst reviews insurance claim denials related to medical coding errors, identifying reasons for rejection and determining necessary corrections. They analyze medical records, ensure compliance with coding guidelines, and communicate with healthcare providers to resolve issues, often using coding software and staying updated on coding standards. Their work helps improve claim approval rates and revenue cycle management.

What cities in Nebraska are hiring for Coding Denial Analyst jobs?

Cities in Nebraska with the most Coding Denial Analyst job openings:

Patient Accounts/Insurance Follow-up | Full-time

Omaha, NE

Think Whole Person Healthcare
Retail • 201 - 500 employees
Learn more about Think Whole Person Healthcareexternal

$17 - $21.75/hr

Full-time

Re-posted 11 days ago

Job description

Patient Accounts | Customer Service | Insurance Follow-up

Our Values:

In common mission, our teams work together with our patients at Think. We strive to continuously improve. We value one another’s diversity of talent, experience, and perspective. We each contribute to something bigger than ourselves while promoting integrity, belonging, and collaboration.

Position Details:

  • Schedule: Full-time, 40 hours/week
  • Shifts: Days Monday thru Friday. 8:00 am - 4:30pm.
  • Training: Flexible hours for the first 4-6 weeks.
  • Work Location: Onsite position

Job Summary

Responsible for accounts receivable coordination on behalf of patients. This position will work as an advocate for patients by responding to questions and provide resolution for unpaid claims.

Key Responsibilities

  • Prepare and submit claims to the insurance companies and patients’ compliance with payer requirements and HIPAA regulations.
  • Refile failed and rejected claims by verifying accuracy of charges, coding, and patient information.
  • Monitor aging reports and follow up on unpaid claims and patient balances.
  • Communicate with insurance carriers to resolve denials, underpayments and discrepances. Refile claims as required if correction or adjustment are made.
  • Assist patients with billing inquiries and establish payment plans when necessary.
  • Generate and analyze AR aging reports, identifying trends and recommending solutions.
  • Ensure adherence to healthcare regulations, payer contracts, and internal policies.
  • Collaborate with clinical staff, coding teams, and patient services to resolve billing issues.
  • Answer calls and emails received from patients and payors regarding statement inquiries and research issues as necessary.

Essential Skills:

  • Knowledge of CPT, ICD-10, and HCPCS coding standards
  • Strong understanding of insurance verifications, claim submission, and denial management.
  • Skill in using a computer and a variety of software, including Electronics Health Records (EHR) software, scheduling software, Word, Excel, Access, and Outlook.
  • Skill in communicating in a professional manner, both verbally and in writing.
  • Skill in managing multiple priorities and delegating as needed.
  • Ability to act as a good representative of the Company.
  • Ability to maintain confidentiality regarding sensitive issues, patient care, privacy, confidentiality, and employee safety.
  • Ability to work independently and in a team environment.

Education & Experience

  • High School diploma or GED required. Associate’s degree in accounting, finance, healthcare administrations, or equivalent experience preferred.
  • Three years of accounts receivable experience in a healthcare setting (hospital, clinic, or physician practice), medical billing and insurance claims/denials.

Think Whole Person Healthcare is an Equal Opportunity Employer.