Certified Coding Claims Specialist

Job Summary

A company is looking for a Coding Claims Specialist who will support Revenue Cycle Operations by reviewing documentation and managing denials for third-party payers.

Key Responsibilities

• Review electronic and written documentation to convert into diagnostic and procedure codes
• Manage denials for third-party payers and identify workflow improvement opportunities
• Communicate with clinical staff for accurate translation of medical record documentation

Required Qualifications, Training, and Education

• High School Diploma or GED required
• 3 years of coding or billing experience with current AAPC or AHIMA certification, or 5 years without certification
• Completion of college-level courses in anatomy and physiology and medical terminology required; Associate Degree preferred
• Completion of coding course in ICD, CPT4, and HCPCS required
• Experience in ICD-10 and CPT coding preferred