Denials, Coding and Appeals Analyst is responsible for identifying denial trends based on medical necessity, underpayments and presenting resolutions with the goal of denials reduction. The duties and responsibilities of a Denials and Appeals Coding Analyst is to evaluate the coding, as it affects the claims that are not reimbursed, via collaboration with the inpatient and outpatient coding departments and auditing. Focus on the quality of the claims submitted to ensure quality and compliance according to CMS guidelines. Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Receiving and reviewing patients’ chart and documents for verification and accuracy. Review adverse determinations and claims to assist in the identification of denials and timely appeal referral with the goals of procuring reimbursement as well identifying denial root cause.