Denial Prevention Data Analyst

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

This is a hybrid position - must be in office 2-3 days per week. Local candidates prioritized.

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Denial Prevention Data Analyst today with HealthOne.

Benefits

HealthOne, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Come join our team as a Denial Prevention Data Analyst. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

The Division Denial Prevention Data Analyst is responsible for performing complex financial analysis of patient claims, specifically related to denial and reimbursement issues. The individual will partner with the facility, service lines, and management to follow identified issues through the revenue cycle, and assist in claim mitigation to receive payment.

• 
  Assesses business office, revenue cycle and/or clinical opportunities that link with denial reduction, focusing on patterns of new denials and analysis of write-off opportunities.
• Assist with developing, revising, and implementing HCA denial reduction or government compliance processes.
• Collaborate with payer escalations to identify resolutions for policies or procedures impacting denials.
• Disseminates information accurately and timely with multiple audiences
• Identifies process improvement opportunities; develops, implements, monitors, and revises action plans.
• Identifies and shares best-demonstrated practices; stays abreast of current practice standards
• Performs quality improvement activities to ensure data integrity relative to denial reduction activities, governmental compliance, and opportunities identified through the DMAT process.
• Fosters communication and facilitates collaboration between the facility Case Management, PAD, CFO, and other departments within HCA.
• Facilitates ongoing education within the division for identified areas and serves as a subject matter expert.
• Data analysis related to Denial Management, payer trends, etc.

• Assesses learning needs relating to denial reduction and government compliance and implements appropriate educational activities to expand the knowledge base.

What qualifications you will need:

• Bachelor’s Degree- Business, Healthcare, Nursing, Accounting
• Minimum of 3-5 years of Data Analytics, Healthcare Revenue Cycle
  
• Knowledge of medical insurance, billing, and reimbursement processes and methodologies
  
• Medical Coding Certificate Preferred
  
• This is a hybrid role - 2-3 shifts per week in office required

As part of HCA Healthcare, we at HealthONE® serve the metro Denver area as the largest healthcare system, with more than 11,000 employees. Our hospitals – The Medical Center of Aurora, North Suburban Medical Center, Presbyterian/St. Luke’s Medical Center, Rocky Mountain Hospital for Children, Rose Medical Center, Sky Ridge Medical Center, Swedish Medical Center and Spalding Rehabilitation Hospital work together to provide a higher level of care. In addition, our system includes eight hospital freestanding emergency departments and numerous ambulatory surgery centers, eight CareNow urgent care centers and occupational medicine clinics, physician practices, medical imaging centers and AirLife Denver, which provides critical care air and ground transportation serving Colorado and surrounding states.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Denial Prevention Analyst opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.