Certified Clinical Documentation Integrity (CDI) Specialist - RN or FMG

Job Description

Job DescriptionDescription:

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.