Coding Denial Management Coordinator Resume

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Built strong working relationships with clinical teams to streamline the coding of specialty services, achieving a denial decrease of 80% on such procedures.
Oversaw the delivery of framework project by method team, which resulted in system.
Achieved results within 12 months.
Achieved a 11% improvement in claims tracking efficiency.
Analyzed denial reasons and payer-specific trends.
Achieved a year-over-year reduction in denial rates by 58%.
Collaborated with program customers to determine their needs and deliver procedure service.
Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
Assisted in the audit of denial trend reports.
Assisted in the audit of denial trend reports to ensure that all denial codes were correctly applied, minimizing the risk of future denial replication.

Accomplished Coding Denial Management Coordinator.
Consistent quality assurance checks and reporting.
Accomplished Coding Denial Management Coordinator with expertise in root cause analysis, team leadership, and cross-functional collaboration, driving a 70% improvement in operational efficiency and revenue cycle performance.
Adept at developing and implementing denial prevention strategies, identifying trends in denied claims that improved first-pass rates by 38% and contributed to overall workflow optimization.
Consistently exceeded revenue recovery goals.
Addressed unresolved claims.
Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
Bilingual achiever with experience scanning and indexing medical records to the correct chart.
Conducted strategic root cause analysis.
An expert in appeals process management, reducing denial rates and successfully recovering over $18 in denied charges through strategic root cause analysis and corrective action.

Designed and implemented a comprehensive denial management process that reduced denial rates by 84% within one year.
Enhanced payer relationships through regular communication, resulting in faster claim resolution and a 56% reduction in denials.
Created a comprehensive training program for coding staff which resulted in 51% decrease in appeals related to coding issues.
Initiated a quarterly review system to audit multiple denial categories, leading to a 69% reduction in repetitive errors.
Worked directly with clinical staff to ensure accurate coding, reducing unnecessary denials by 17%.
Collaborated with cross-functional teams to streamline denial tracking and appeal processes, reducing appeal turnaround by 4 days.
Supervised team of 5 coders, achieving a consistent monthly reduction in claim denial rates by 56%%.
Created a knowledge-sharing platform that facilitated ongoing education on denial management, reducing revenue loss by $18 annually.
Documented and resolved initiative which led to process.
Developed a streamlined appeal system tying denial reasons to appropriate payer responses, increasing overall approval rates by 77%.