Certified Claim Denial Coder

Job Summary

To support accurate claims submissions, the full-time Certified Claim Denial Coder will review and resolve coding-related claims edits, rejections, and denials within Epic while collaborating with various teams.

Key responsibilities

• Review and resolve coding edits, claim rejections, and payer denials for multiple specialties within Epic
• Validate coding elements by reviewing provider documentation and making necessary corrections in Epic
• Document denial findings and coding rationale while identifying trends for process improvement

Required qualifications

• Minimum of 2 years of Medical Coding experience
• Certifications such as CCS, CCS-P, CPC, RHIT, or RHIA are required
• Experience using Epic for claim edit resolution and coding workflows is strongly preferred
• Proficiency in CPT, ICD-10, HCPCS, and Modifiers
• Experience with both Professional Fee Coding and Facility coding