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Denials Manager Jobs in Nevada (NOW HIRING)

MJR Recruiting

Coding Services Manager

Las Vegas, NV · On-site

Now Hiring: Coding Services Manager We are seeking an experienced and detail-oriented Coding ... Monitor revenue cycle workflows including charge capture, denials, code edits, and documentation ...

United Future

Coding Services Manager

Las Vegas, NV · On-site

Now Hiring: Coding Services Manager We are seeking an experienced and detail-oriented Coding ... Monitor revenue cycle workflows including charge capture, denials, code edits, and documentation ...

Fusion HCR

Coding Services Manager

Las Vegas, NV · On-site

Revenue cycle workflows, including charge capture, code edits, auditing, denials management, and documentation improvement * Budget principles and operational planning * Information governance ...

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Denials Manager information

What is the difference between Denials Manager vs Claims Supervisor?

AspectDenials ManagerClaims Supervisor
CredentialsTypically requires healthcare administration, billing, or coding certificationsOften requires similar certifications, with additional supervisory or management training
Work EnvironmentManages denial appeals, reviews claim rejections, collaborates with billing and coding teamsOversees claims processing, supervises claims staff, ensures compliance with policies
Industry UsageCommon in healthcare, insurance, and hospital settingsCommon in healthcare organizations, insurance companies, and billing departments

While both roles focus on claims processing, the Denials Manager specializes in managing claim denials and appeals, whereas the Claims Supervisor oversees the entire claims process and staff. Both positions require healthcare billing knowledge and certification, but their primary responsibilities differ in scope and focus.

What are some common challenges faced by denials managers, and how can they effectively address them?

Denials Managers often encounter challenges such as identifying root causes of claim denials, staying updated with changing payer policies, and coordinating between billing, coding, and clinical teams. To address these challenges, Denials Managers typically implement robust tracking systems, conduct regular staff training, and foster open communication across departments. Proactively analyzing denial trends and collaborating on process improvements are key strategies to reduce future denials and enhance overall revenue cycle performance.

What is a denials manager?

A Denials Manager is a healthcare professional responsible for overseeing and managing the process of claim denials from insurance companies. Their primary role is to identify the causes of denied claims, implement strategies to reduce future denials, and ensure timely resolution and appeal of denied claims to maximize revenue for healthcare organizations. Denials Managers often collaborate with billing, coding, and clinical staff to ensure compliance with payer requirements and improve the overall reimbursement process. They play a crucial role in maintaining the financial health of medical practices or hospitals by minimizing lost revenue due to claim denials.

What are the key skills and qualifications needed to thrive as a denials manager?

To thrive as a Denials Manager, you need a deep understanding of medical billing, coding, insurance processes, and healthcare regulations, usually supported by a degree in healthcare administration or a related field. Familiarity with revenue cycle management systems, electronic health records (EHRs), and data analytics tools is essential, and certification like Certified Revenue Cycle Representative (CRCR) can be advantageous. Strong analytical thinking, problem-solving, and communication skills help in effectively leading teams and negotiating appeals with payers. These skills are critical for minimizing revenue loss, ensuring compliance, and optimizing reimbursement processes within healthcare organizations.
What are the most commonly searched types of Denials jobs in Nevada? The most popular types of Denials jobs in Nevada are:
What cities in Nevada are hiring for Denials Manager jobs? Cities in Nevada with the most Denials Manager job openings:
Denials Manager jobs near you

Coding Services Manager

Your Talent Team LLC

Las Vegas, NV • On-site

Other

Re-posted 5 days ago

Job description

Now Hiring: Coding Services Manager

We are seeking an experienced and detail-oriented Coding Services Manager to lead physician office and professional fee coding operations within a dynamic healthcare environment. This leadership role is responsible for ensuring accurate, compliant, and efficient coding practices while supporting operational excellence and regulatory compliance.

Position Summary: The Coding Services Manager oversees the daily operations of professional fee and physician office coding services, ensuring adherence to coding guidelines, billing regulations, and compliance standards. This role manages coding workflows, auditing initiatives, staff development, and operational strategy while serving as a key resource for coding quality and education.

Qualifications:

  • Bachelor's Degree in Health Information Management or related field preferred
  • Minimum 5 years of coding/auditing experience in an acute care setting
  • Minimum 3 years of supervisory or management experience
  • One of the following certifications required:
    • CPC (Certified Professional Coder)
    • CCS-P or CCS
    • RHIT or RHIA
    • Multiple AAPC specialty certifications

Key Responsibilities:

  • Manage daily physician office and professional fee coding operations
  • Ensure coding accuracy and compliance with ICD-10-CM/PCS, CPT/E&M, and HCPCS guidelines
  • Lead coding audits and provide education based on audit findings
  • Monitor revenue cycle workflows including charge capture, denials, code edits, and documentation improvement
  • Develop and implement operational priorities and performance standards
  • Supervise, mentor, and support coding staff
  • Collaborate cross-functionally with clinical, billing, and revenue cycle teams
  • Ensure compliance with Medicare, Medicaid, commercial payer, and regulatory requirements

Ideal Candidate: The ideal candidate is a strong coding leader with extensive professional fee coding expertise, auditing experience, and a solid understanding of healthcare revenue cycle operations. This individual should possess exceptional analytical skills, leadership capabilities, and the ability to drive process improvement in a fast-paced healthcare setting.

Technical & Operational Experience:

  • Experience with EHR systems and 3M 360 or similar encoder/CAC platforms
  • Strong knowledge of coding compliance, denials management, and documentation standards
  • Proven ability to analyze data, manage workflows, and improve coding quality metrics

Interested candidates are encouraged to apply or message directly for additional details.

Apply