image
  • Snapboard
  • Activity
  • Reports
  • Campaign
Welcome ,
loadingbar
Loading, Please wait..!!

CPC Denials and Escalation Analyst

  • ... Posted on: Aug 01, 2025
  • ... Allied Digestive Health
  • ... West Long Branch, New Jersey
  • ... Salary: Not Available
  • ... Full-time

CPC Denials and Escalation Analyst   

Job Title :

CPC Denials and Escalation Analyst

Job Type :

Full-time

Job Location :

West Long Branch New Jersey United States

Remote :

No

Jobcon Logo Job Description :

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health - US News & World Report. We are excited to announce that we are looking for a Full-Time, CPC Denials and Escalation Analystat Allied Digestive Health's Corporate Office in West Long Branch, NJ. The CPC Denials and Escalation Analyst responsibilities are: Conducting medical coding audits to evaluate compliance with regulatory guidelines. Conducts coding, billing, and documentation compliance audits within established timeframe. Identifies need for new policy development/changes to meet regulatory requirements.Prepares a report of findings and recommendations for improvement for each audit. Serves as a subject matter expert on coding/billing topicsMust be able to create SOPs and lead Vendors The CPC Denials and Escalation Analyst must have the following qualifications and experience:High School Diploma or equivalent3+ years of relevant experience in a professional audit capacity required. CPC, CRC, CGIC, CGOC from AAPC required or equivalent. Must have strong technical knowledge of Institute of Internal Auditing (IIA) standards and Centers for Medicare & Medicaid Services (CMS) regulatory guidelines, including ICD-10 CM, CPT, and HCPCS Procedure Coding.Proficiency in MS Office products - intermediate to advanced knowledge of MS Excel.Knowledge of Denials and Escalation. We offer competitive base salary, generous benefits, including Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits. Job Type: Full-Time

View Full Description

Jobcon Logo Position Details

Posted:

Aug 01, 2025

Employment:

Full-time

Salary:

Not Available

Snaprecruit ID:

SD-APP-a548d75c89878f7c4c3027157dc035c173a322f37957265ab9fa1773b1d82ad4

City:

West Long Branch

Job Origin:

APPCAST_CPA

Share this job:

  • linkedin

Jobcon Logo
A job sourcing event
In Dallas Fort Worth
Aug 19, 2017 9am-6pm
All job seekers welcome!

CPC Denials and Escalation Analyst    Apply

Click on the below icons to share this job to Linkedin, Twitter!

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health - US News & World Report. We are excited to announce that we are looking for a Full-Time, CPC Denials and Escalation Analystat Allied Digestive Health's Corporate Office in West Long Branch, NJ. The CPC Denials and Escalation Analyst responsibilities are: Conducting medical coding audits to evaluate compliance with regulatory guidelines. Conducts coding, billing, and documentation compliance audits within established timeframe. Identifies need for new policy development/changes to meet regulatory requirements.Prepares a report of findings and recommendations for improvement for each audit. Serves as a subject matter expert on coding/billing topicsMust be able to create SOPs and lead Vendors The CPC Denials and Escalation Analyst must have the following qualifications and experience:High School Diploma or equivalent3+ years of relevant experience in a professional audit capacity required. CPC, CRC, CGIC, CGOC from AAPC required or equivalent. Must have strong technical knowledge of Institute of Internal Auditing (IIA) standards and Centers for Medicare & Medicaid Services (CMS) regulatory guidelines, including ICD-10 CM, CPT, and HCPCS Procedure Coding.Proficiency in MS Office products - intermediate to advanced knowledge of MS Excel.Knowledge of Denials and Escalation. We offer competitive base salary, generous benefits, including Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits. Job Type: Full-Time

Loading
Please wait..!!