Certified Clinical Documentation Integrity (CDI) Specialist – RN or FMG presso Sage Clinical RCM, LLC

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.