It is the mission of Graham Health System to provide compassionate, quality health services, in a responsible and charitable manner, to the people and communities we serve. We are the community’s choice for an exceptional healthcare experience. Graham Health System is seeking a great applicant to join our team. Graham Health System offers a great team atmosphere with multiple benefits. Our goal is to provide the very best in healthcare, state-of-the-art equipment, modern facilities, and a caring, compassionate staff, all close to home. We offer a great team atmosphere with a competitive wage and benefit package for our dedicated employees. Opportunely, we are always in search of great applicants to join our team.
The Clinical Documentation & Denials Specialist ensures clinical medical records accurately reflect patient care to support precise medical coding and compliant reimbursement. This role focuses on reviewing clinical documentation, applying official coding guidelines, and analyzing complex claim denials to draft clinical appeals and prevent recurring revenue leaks. This position will report to the Health Information and Denials Management Director.
Position Qualifications
Associate degree in Health Information Management (HIM); or equivalent work experience
Active certification from AHIMA (such as CCS, RHIA, RHIT) or AAPC (such as CPC, CIC, COC)
Dedicated CDI or denial credentials such as CDIP, CCDS, or CDEO are highly preferred
Minimum of 2-3 years of experience in inpatient/outpatient medical coding, clinical documentation improvement, or healthcare denials management in a facility setting.
Understanding of MS-DRG. Strong knowledge of Emergency Room Evaluation, Infusion and injection, Observation hour calculation and Anesthesia codes; deep expertise in national coding guidelines, medical terminology, anatomy, and Electronic Health Record (EHR) systems
Working knowledge of Microsoft Word, Excel, Teams
Strong critical thinking skills to interpret insurance medical policies and write persuasive, evidence-based appeal letters.
We strongly encourage you to include an updated resume when submitting your application.
Benefits of working at GHS:
Cost of Living Adjustment every July
Financial Assistance and Loan Forgiveness may be available
Daycare Assistance
The pay grade assigned to this position is 2700; the link provided shows the pay range. Compensation InformationAll wages are determined by experience and skills; wage information will be discussed further upon interview selection.
The position status type is full-time. Benefits associated with the employment status can be found in the link provided. Benefit Package
...in all types of professional cleaning. Including but not limited to, Professional Carpet cleaning, Upholstery Cleaning, VCT tile floor stripping and waxing, Window washing, and Power Washing. Company Vehicle for a lead Tech. Competitive salary based on experience....
..., services, electronics, automotive, travel & more!~ Opportunities for Community Engagement. Responsibilities Assures quarrys production levels are maintained safely to schedule. Closely monitors all areas of production to ensure that extraction and processing...
...Job Title: SAP QM Consultant Location: Chattanooga TN 37403 (Onsite) Duration: 6-12 Months Important: Green Card Holders or US Citizens Only. Job Description: Minimum years of experience: 9+ 6 to 8 years SAP QM experience, including...
...About Shown Media We are an NYC based creative studio that partners with category-defining... ...data Collaborate with founders, marketing, and design teams to align content with brand... ...~1+ year experience in content writing, social media, or growth-focused roles ~ Proven...
...Job Details: Investment Tax Attorney A leading investment platform is seeking a tax attorney to support fund investments and related... ...s in Taxation) strongly preferred. Experience in a law firm or corporate legal department, ideally supporting private funds...