Certified Coder - Appeal Specialist

Job Summary

A company is looking for a Coder - Appeal Denial Specialist.

Key Responsibilities

• Resolve patient account balances related to insurance denials and manage claims through the billing system
• Obtain and review supporting documentation to ensure accurate coding and compliance with regulations
• Monitor and follow up on denied claims and aging reports to ensure timely resolution

Required Qualifications

• Current medical coding certification (CPC, CCS-P, RHIA, or similar)
• 2+ years of experience as a medical coder, preferably with Professional Physician coding
• Expertise in ICD-10-CM, CPT, and HCPCS coding
• Proficiency in medical information systems and Microsoft Office applications
• Understanding of third-party reimbursement rules and regulations