Certified Coding Denials Specialist

Job Summary

A company is looking for a Coding Edits & Denials Specialist to investigate and resolve third-party insurance coding denials and edits.

Key Responsibilities

• Review and research coding denials for claims with no payment or denied responses
• Identify root causes of coding denials and resubmit claims as necessary
• Assist in developing preventative measures based on denial patterns

Required Qualifications, Training, and Education

• At least 3 years of coding experience preferred in various medical specialties
• National certification through AAPC or AHIMA is required
• All coders must be certified through AHIMA (CCS, RHIT, or RHIA)
• Advanced knowledge of EMR and billing systems is necessary
• Must possess current coding materials like CPT and ICD-10-CM references