• HIS Denials Specialist (Inpatient)

    Saratoga Hospital (Saratoga Springs, NY)


    • HIS Denials Specialist (Inpatient)

    • Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866

    • Employment Type: Full Time

    • Shift/Schedule: 8a-4p

    • Department: Health Information services

    • Salary Range: $27.78-35.90 / hourly, based on experience

    • About Saratoga Hospital

     

    At Saratoga Hospital, we’ve built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach—creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people.

     

    • About the Role

     

    We’re looking for a dedicated HIS Denials Specialist to join our team and help us continue delivering the level of care our patients and families deserve. In this role, you’ll be a vital part of our team, ensuring excellent service, collaboration, and patient outcomes in a fast-paced healthcare environment. You'll ensure appropriate financial reimbursement for HIS inpatient services from payers. This position provides a vital link between inpatient coding, clinical documentation improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working with HIS Coders, payers, Department Directors, Clinical Managers, Case Management, Patient Access, and PFS

     

    • What You’ll Do

    + Uses software such as AUDAPRO, TRISUS, 3M, and Meditech. Conducts trend analysis to identify patterns and variances in denied accounts

    + Researches denied accounts to determine appropriate appeal/response to the denial notification to resolve claim.

    + Tracks denied and overturned accounts, compiling routine and ad hoc reports.

    + Develops and coordinates educational and training programs regarding trends in coding denials

    + Initiates corrective action to ensure resolution of problem areas identified during internal or external auditing and provides feedback and focused educational programs on the results of auditing and monitoring activities to affected staff and physicians.

    + Demonstrates competency in the use of computer applications and all coding convention and abstracting software and hardware currently in use by the Health Information Services Department.

    • What You Bring

    + Associates Degree required. Bachelors Degree preferred.

    + RHIT, RHIA, CCS, CPC, etc and 3 years of experience with coding, abstracting, or billing experience. (or other equivalent credential and experience.).

    • Why Saratoga Hospital

    + A caring, community-focused culture rooted in teamwork and trust

    + Supportive leadership that invests in your development and well-being

    + Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs. Click here to view our complete benefits guide. (https://www.albanymed.org/wp-content/uploads/sites/2/2025/10/2026-AMHS-Saratoga-Benefits-Guide\_vFINAL.pdf)

    + Opportunities to grow within the Albany Med Health System

    + Located in beautiful Saratoga Springs (https://www.discoversaratoga.org/) , known for its vibrant community, outdoor recreation, and cultural attractions

    • Our Commitment

     

    We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you’re passionate about healthcare and community service—even if you don’t meet every qualification listed—we’d still love to hear from you.

     

    • How to Apply

     

    Click the ‘apply’ button to submit your resume and complete our online application. Applications are reviewed on a rolling basis—apply today and discover what makes Saratoga Hospital a special place to grow your career.