Department: Denials

Job Title: Revenue Cycle Denial Coordinator

Reports To: RN Clinical Appeals-Supervisor

Job Summary: The Revenue Cycle Denial Coordinator is responsible for maintenance of various
revenue cycle denial processes to support a variety of business units for CHS. These areas include
denial review triage and follow up, documentation and tracking of government and commercial audits
(Medicare Recovery Audits (RAC's), Additional Development Requests (ADR), Target Education and
Probe (TPE) and Commercial Audits). Provide support of various denial related process and worklists
within Meditech. Excellent interpersonal skills, communication skills, accurate typing skills, knowledge of
office procedures, and ability to work independently required.

General Job Responsibilities:
 Ensures all audit letters and request are scanned and posted into Meditech accurately and timely.
 Ensure that all audit requests details are added to the designated audit tracking sheets
 Follow up on appealed accounts to confirm status upon request
 Responsible for review and resolve of errors for selected work lists in Meditech, tracking and
trending errors for use as feedback to departments.
 Flexibility in assuming other appropriate responsibilities and duties not noted above
 Meets performance, productivity and quality goals metrics
 Attends and participates in department staff meetings and other meetings as assigned
 Responsible for escalating issues and trends to RN Clinical Appeals-Supervisor and/or Director,
CHS denials
 Special projects as assigned

Educational Requirements:
 Associate's degree (and Three (3) year of relevant experience)
 In lieu of an Associate's degree, a HS diploma (or equivalent) with four (4) years of relevant
experience

Experience:
 Minimum of five (5) years' revenue cycle experience in an institutional setting.
 Medical terminology with working knowledge of ICD-10, CPT and HCPCS codes.
 Experience using Microsoft Office suite including Word and Excel.
 Physical Requirements: Repetitive use of hands and fingers (i.e. use of computer keyboard).
May require use of lifting and carrying light loads (up to 10 pounds). Sitting or standing/walking
for long periods of time.
 Preferred: Experience working with denials and or managed care

Cayuga Health System Commitment to Diversity, Equity & Inclusion

Cayuga Health System commits to treat all people with dignity so that everyone who comes to us is safe, cared for, and respected. We will support the growth of our employees and the health of our community by embracing the rich diversity of social and cultural identities, needs, and life circumstances of all people. We strive to recognize and overcome personal biases and systemic policies that marginalize others and contribute to disparities in healthcare access, equitable care, and good health outcomes.