Coding Denial and Resolution Specialist - Remote

Overview

The Coding Denial and Resolution Specialist is responsible for reviewing and resolving post-billed coding-related denials and rejections for hospital and medical group claims to ensure accurate reimbursement and prevent denials.

In Short

• Remote position available for specific states.
• Responsible for managing coding-related denials and appeals.
• Requires expertise in ICD-10, CPT, and HCPCS coding.
• Collaboration with coding, billing, and clinical teams.
• Preparation and submission of payer appeals.
• Three years of coding experience required.
• Strong Microsoft Office skills needed.
• Education and training on coding best practices.
• Regular attendance and possible overtime required.
• Maintaining patient confidentiality and professionalism is essential.

Requirements

• Associate’s Degree in Health Information Management or related field.
• Current coding certification (CCA, CPC, CCS, etc.).
• Three years of experience in advanced coding.
• Knowledge of coding guidelines and regulations.
• Proficient in Microsoft Office applications.
• Preferred Bachelor’s Degree in a related field.
• Experience in denial management and appeals.
• Familiarity with Epic and 3M systems.
• Strong communication skills.
• Ability to analyze and prioritize tasks effectively.

Benefits

• Opportunity to work remotely.
• Engagement in a supportive work environment.
• Commitment to community health and wellness.
• Continuous learning and development opportunities.
• Competitive salary and benefits package.