Information Technology Careers at Lifespan

Coding Claims Edit DB Analyst Job

Job Number: LCS12283

Job Title: Coding Claims Edit DB Analyst

Department: Third Party Follow-Up - 0014661

Facility: Corporate Headquarters

Location: Providence, RI

Associates Degree with emphasis in healthcare/business management/accounting or a combination of relevant education and experience

CPC or COC (or equivalent), ICD-10 Certifications required

EXPERIENCE:

Minimum 3 years experience in healthcare billing, coding, collections, payment processing or denials management (denials management & coding experience preferred)

Minimum 3 years experience using computer programs for tracking denials and appeals


Under the supervision of the Denials Manager, responsible for resolving, appealing and managing claim edit denials. Ensures accounts are resolved quickly and accurately, reducing financial risk and exposure caused by concurrent and retrospective denial of claims. Responsible for ensuring that all health plan guidelines are met. Identifies, documents, and shares data trending with Management.