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2 results for Denials Specialist in Houston, TX

Reconciliation Specialist
  • Houston, TX
  • onsite
  • Temporary / Contract
  • 28.5 - 33 USD / Hourly
  • <p>Our client is seeking a detail-oriented <strong>Jr. Accountant</strong> to join their growing accounting team. This position plays a critical role in ensuring the accuracy and integrity of cash reporting, bank reconciliations, and balance sheet activity across multiple accounts and entities. The ideal candidate will have strong reconciliation experience, excellent analytical skills, and the ability to thrive in a high-volume environment.</p><p>Key Responsibilities</p><p>Bank Reconciliations &amp; Cash Accounting</p><ul><li>Prepare and complete accurate, timely bank reconciliations for multiple accounts and entities.</li><li>Investigate and resolve reconciling items, including outstanding checks, deposits in transit, unapplied cash, and other variances.</li><li>Analyze discrepancies and identify root causes while ensuring appropriate documentation and resolution.</li><li>Monitor daily banking activity, including ACH transactions, wire transfers, checks, and lockbox activity.</li><li>Ensure accurate posting of cash transactions to the general ledger.</li><li>Maintain reconciliation schedules and supporting documentation for audit and compliance purposes.</li><li>Partner with internal departments to research and resolve cash-related issues.</li><li>Support month-end close activities related to cash and balance sheet accounts.</li><li>Assist in improving processes and strengthening internal controls surrounding cash management and reconciliations.</li></ul><p><br></p>
  • 2026-07-22T00:00:00Z
Acute Coding Appeals Specialist
  • Houston, TX
  • remote
  • Temporary / Contract
  • 66000 - 66185.6 USD / Yearly
  • <p>We are seeking an experienced <strong>Acute Coding Appeals Specialist</strong> to join our team. In this role, you will leverage advanced inpatient coding expertise to review, analyze, and prepare appeals for Diagnosis Related Group (DRG) denials. The ideal candidate possesses extensive knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, CMS, NCCI, and regulatory guidelines, with the ability to develop well-supported coding appeals based on clinical documentation and industry standards.</p><p><br></p><p>Working with minimal supervision, the Acute Coding Appeals Specialist will evaluate coding and billing denials, identify documentation and coding opportunities, and prepare comprehensive appeal letters that support the validity of assigned diagnoses and procedures. This role requires exceptional analytical skills, attention to detail, and the ability to communicate coding rationale effectively.</p><p><br></p><p>Key Responsibilities</p><ul><li>Review and prepare appeals for inpatient DRG denials using clinical documentation, coding guidelines, and regulatory standards.</li><li>Apply advanced knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, CMG, and payer-specific guidelines to support coding determinations and appeal outcomes.</li><li>Analyze coding, billing, and documentation issues to identify root causes and recommend corrective actions.</li><li>Research governmental regulations, payer policies, hospital guidelines, Coding Clinic references, and industry standards to support appeal decisions.</li><li>Maintain detailed documentation, tracking spreadsheets, and reports related to appeals, denials, and identified trends.</li><li>Collaborate with coding, Clinical Documentation Integrity (CDI), and client teams to ensure accurate coding supported by clinical documentation.</li><li>Participate in client onboarding and education to gain knowledge of facility-specific coding practices and documentation requirements.</li><li>Assist in educating coding teams regarding appeal outcomes, documentation opportunities, and coding best practices.</li><li>Meet established productivity and quality standards for coding appeals while maintaining coding certification requirements.</li><li>Attend ongoing education sessions to remain current on coding updates, regulatory changes, and payer requirements.</li><li>Deliver exceptional customer service while maintaining professionalism, organization, and attention to detail.</li></ul><p><br></p>
  • 2026-07-21T00:00:00Z