Coding Denials Specialist

Employer Industry: Healthcare Revenue Cycle Management

• Eligible for performance-based incentive bonuses as part of the employer's Rewards & Recognition program
• Opportunity to earn referral bonuses by bringing in new team members
• Work in a dynamic and fast-paced environment
• Chance to contribute to improving healthcare reimbursement processes
• Supportive workplace culture that values diversity and inclusiveness

• Process accounts related to coding denial management, including rejections and bundling issues
• Resolve work queues based on priority and management direction
• Validate denial reasons to ensure accurate coding
• Generate appeals based on dispute reasons and payer contract terms
• Maintain a working knowledge of departmental workflows and tools

• High school diploma or equivalent
• 1-3 years of experience in physician medical billing with a focus on claim denials
• Current AAPC or AHIMA certification required
• Strong knowledge of health insurance, coding, and physician billing policies
• Proficient in computer skills, including basic Excel knowledge

• Experience with healthcare reimbursement guidelines and AHA Official Coding and Reporting Guidelines
• Strong organizational and analytical skills
• Ability to work independently and collaboratively towards shared goals
• Excellent oral, written, and interpersonal communication skills
• Familiarity with database software and advanced Excel features

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