Westerkamp Group, LLC is a Birmingham-based Revenue Cycle Management (RCM) company helping ... General Medical Coding concepts, extensive understanding of UB-04 claim concepts, among others.
Westerkamp Group, LLC is a Birmingham-based Revenue Cycle Management (RCM) company helping ... General Medical Coding concepts, extensive understanding of UB-04 claim concepts, among others.
Westerkamp Group, LLC is aBirmingham-based Revenue Cycle Management (RCM)company helping hospitals ... General Medical Coding concepts, extensive understanding of UB-04 claim concepts, among others.
Westerkamp Group, LLC is aBirmingham-based Revenue Cycle Management (RCM)company helping hospitals ... General Medical Coding concepts, extensive understanding of UB-04 claim concepts, among others.
Denials Analyst
Birmingham, AL · On-site
$15 - $25/hr
... medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers ... RCM leadership and clients. Required Qualifications: - 1+ years of direct, hands-on experience as ...
Denials Analyst
Birmingham, AL · On-site
$15 - $25/hr
... medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers ... RCM leadership and clients. Required Qualifications: - 1+ years of direct, hands-on experience as ...
Senior Claims Adjudicator
Birmingham, AL · On-site
Senior Claims Adjudicator Location US-AL-Birmingham ID 2026-30871 Category Accounting/Finance ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Senior Claims Adjudicator
Birmingham, AL · On-site
Senior Claims Adjudicator Location US-AL-Birmingham ID 2026-30871 Category Accounting/Finance ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
The Senior Medical Director will join Oak Street Health at a critical time in the history of our ... Participating in documentation and coding activities, including provider education and review ...
The Senior Medical Director will join Oak Street Health at a critical time in the history of our ... Participating in documentation and coding activities, including provider education and review ...
Senior Claims Adjudicator
Birmingham, AL · On-site
NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Senior Claims Adjudicator
Birmingham, AL · On-site
NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Senior Claims Adjudicator
Birmingham, AL · On-site
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Quick apply
Senior Claims Adjudicator
Birmingham, AL · On-site
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Senior Claims Adjudicator
Birmingham, AL · On-site
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Senior Claims Adjudicator
Birmingham, AL · On-site
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Senior Claims Adjudicator
Birmingham, AL · On-site
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Senior Claims Adjudicator
Birmingham, AL · On-site
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team ... CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with ...
General Summary The Director of Revenue Cycle Management (RCM) provides enterprise-level leadership ... C., including registration, charge capture, coding, billing, claims submission, payment posting ...
General Summary The Director of Revenue Cycle Management (RCM) provides enterprise-level leadership ... C., including registration, charge capture, coding, billing, claims submission, payment posting ...
Healthcare Client Account Representative
Birmingham, AL · On-site
$18/hr
... RCM team, and their duties may include one or more of the following: medical billing, claims ... Notify the supervisor of any problem accounts, CPT codes being denied by specific insurance ...
Quick apply
Healthcare Client Account Representative
Birmingham, AL · On-site
$18/hr
... RCM team, and their duties may include one or more of the following: medical billing, claims ... Notify the supervisor of any problem accounts, CPT codes being denied by specific insurance ...
... Coding - Senior Manager, you will specialize in enhancing the efficiency and effectiveness of ... PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation ...
... Coding - Senior Manager, you will specialize in enhancing the efficiency and effectiveness of ... PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation ...
... RCM team, and their duties may include one or more of the following: medical billing, claims ... Notify the supervisor of any problem accounts, CPT codes being denied by specific insurance ...
... RCM team, and their duties may include one or more of the following: medical billing, claims ... Notify the supervisor of any problem accounts, CPT codes being denied by specific insurance ...
MEDICAL ASSISTANT (HUNTSVILLE, AL)
Huntsville, AL · On-site
$15 - $17/hr
... codes in EMR, completing medication prior authorizations, and refilling prescriptions under ... Individuals may report concerns or questions to UAB's Assistant Vice President and Senior Title IX ...
MEDICAL ASSISTANT (HUNTSVILLE, AL)
Huntsville, AL · On-site
$15 - $17/hr
... codes in EMR, completing medication prior authorizations, and refilling prescriptions under ... Individuals may report concerns or questions to UAB's Assistant Vice President and Senior Title IX ...
Senior Quality Engineer
Huntsville, AL · On-site
$60/hr
Huntsville, AL Area Code: 938 ZIP Code: 35811 Start Date: Right Away Keywords: #HuntsvilleJobs ... Medical, Dental, Vision, Retirement savings options, tuition reimbursement, performance increases ...
Quick apply
Senior Quality Engineer
Huntsville, AL · On-site
$60/hr
Huntsville, AL Area Code: 938 ZIP Code: 35811 Start Date: Right Away Keywords: #HuntsvilleJobs ... Medical, Dental, Vision, Retirement savings options, tuition reimbursement, performance increases ...
Senior Engineer
Huntsville, AL · On-site
$130K - $150K/yr
... applicable codes, standards, and Army regulations. * Coordinate with the U.S. Army Corps of ... medical condition, legally protected genetic information, national origin, sex (including pregnancy ...
Senior Engineer
Huntsville, AL · On-site
$130K - $150K/yr
... applicable codes, standards, and Army regulations. * Coordinate with the U.S. Army Corps of ... medical condition, legally protected genetic information, national origin, sex (including pregnancy ...
Senior Engineer
Huntsville, AL · On-site
$130K - $150K/yr
... applicable codes, standards, and Army regulations. * Coordinate with the U.S. Army Corps of ... medical condition, legally protected genetic information, national origin, sex (including pregnancy ...
Senior Engineer
Huntsville, AL · On-site
$130K - $150K/yr
... applicable codes, standards, and Army regulations. * Coordinate with the U.S. Army Corps of ... medical condition, legally protected genetic information, national origin, sex (including pregnancy ...
Senior Engineer
$130K - $150K/yr
... applicable codes, standards, and Army regulations. * Coordinate with the U.S. Army Corps of ... medical condition, legally protected genetic information, national origin, sex (including pregnancy ...
Senior Engineer
$130K - $150K/yr
... applicable codes, standards, and Army regulations. * Coordinate with the U.S. Army Corps of ... medical condition, legally protected genetic information, national origin, sex (including pregnancy ...
Senior R1 Rcm Medical Coding information
What is the difference between Senior R1 Rcm Medical Coding vs Medical Coding Specialist?
| Aspect | Senior R1 Rcm Medical Coding | Medical Coding Specialist |
|---|---|---|
| Certifications | AHIMA/ACMEC certifications, CPC, CCS | Similar certifications, often CPC or CCS |
| Work Environment | Healthcare facilities, RCM companies, remote options | Hospitals, clinics, remote or onsite |
| Job Responsibilities | Complex coding, audits, mentoring | Standard coding, claim submission |
| Experience Level | Advanced, with years of experience | Entry to mid-level |
Senior R1 Rcm Medical Coders typically handle complex cases, audits, and mentoring, requiring more experience and advanced certifications. Medical Coding Specialists focus on standard coding tasks and claim submissions, often at entry or mid-level. Both roles share similar certifications and work environments but differ in complexity and responsibility.
Full-time
Posted 17 days ago
Job description
Westerkamp Group, LLC is a Birmingham-based Revenue Cycle Management (RCM) company helping hospitals across Alabama and the Southeast improve cash flow, reduce denials, and ensure accurate reimbursement. We are a trusted name in healthcare administration, built on a legacy of precision, transparency, and partnership.
We're currently hiring a Senior Denials Management Analyst to support a fast-growing hospital billing project. This on-site role is based at our Birmingham office at 200 Century Park South, with free parking and flexible scheduling options to help you commute outside of peak traffic times. It's an opportunity to make a meaningful difference in hospital financial health - and to grow your career in a stable and respected local organization.
Key Responsibilities
- Coordinate the Denial Management activities for Hospital Based denials from various government and third-party payers.
- Provide reporting support for standard monthly denial reporting and ad-hoc denial report requests.
- Develop a monthly Denial Management MOR report and present it in person to senior management (company and client) during the monthly client meeting.
- Analyze specific payer denials and recommend resolution.
- Communicate with the insurance follow-up team and the appeals team to recommend actions for specific denials.
- Contact insurance payers when appropriate to identify the true nature of the denials
- Identify underpayments on large balance claims and validate the correct reimbursement model that was used for payment.
- A broad understanding of complex revenue cycle management concepts and theories including reimbursement models (MS-DRG, APR-DRG, EAPGs, carveouts, fee schedule hierarchies), CMS Local Coverage Determinations and National Coverage Determinations, Medical Policies, General Medical Coding concepts, extensive understanding of UB-04 claim concepts, among others.
- Escalate complex denial issues to senior management with recommendations for further actions to resolve claim denial issues.
- Coordinate configuration updates in Epic related to denial classification and source/owning departments.
- Monitor payer denials for trends and new denial issues caused by changes in their authorization/pre-cert/notification/referral requirements.
Qualifications
- 8-10 years of experience in hospital denial management or revenue cycle operations
- Bachelor's degree required
- Strong working knowledge of reimbursement models (MS-DRG, APR-DRG, EAPGs, fee schedules) and payer medical policy (LCD/NCD)
- Proficient in UB-04 billing, denial trends analysis, and Epic configuration updates
- Confident communicator with experience presenting data to senior leadership
- Proven ability to work independently, solve complex problems, and lead data-driven decisions
What We Offer
- Competitive salary based on experience
- Performance-based bonus potential
- A professional, mission-driven team in our Birmingham office.
- Free on-site parking and flexible start times to help you avoid peak traffic
- Career growth within a respected, stable healthcare company
Our Recruitment Process
Qualified candidates will receive an email invitation to complete a brief video interview. We value your time and aim to make the process smooth and flexible based on your availability. If you are unable to complete the video interview, please contact us to request alternative interview options.
Equal Opportunity & Accommodations
Westerkamp Group, LLC, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, gender, national origin, disability, age, veteran status, or any other legally protected status.
If you need a reasonable accommodation during any stage of the application or interview process, please contact dbourgeois@wgrcm.com or call 985-655-0300.
About Westerkamp Group
Sourced by ZipRecruiter
Company size
201 - 500 Employees
Headquarters location
Oak Brook, IL, US
Year founded
2009