Certified Clinical Documentation Integrity (CDI) Specialist - RN or FMG Job at Sage Clinical RCM, LLC, Gulfport, FL

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  • Sage Clinical RCM, LLC
  • Gulfport, FL

Job Description

Job Description

Job Description

Description:

Sage Clinical RCM, LLC is seeking an experienced Denial Management Specialist with strong Athena (AthenaOne) expertise to support our revenue cycle operations. This role focuses on denial resolution, accounts follow-up, root-cause reporting, and performance improvement for our physician/ambulatory clients.

Requirements:

  • Manage and resolve Athena claim denials , including:
    • Coding-related denials
    • Eligibility / registration
    • Authorization / referral issues
    • Payer-specific edits
    • Timely filing
  • Conduct detailed A/R follow-up within Athena and payer portals.
  • Identify denial root causes and trends.
  • Prepare weekly and monthly denial reports for leadership and clients.
  • Collaborate with providers, coding, and front-end teams to correct upstream issues.
  • Work denials to completion to ensure maximum reimbursement.
  • Maintain documentation and notes within Athena according to RCM best practices.

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