Certified Coding Denials Specialist

Job Summary

A company is looking for a Coding Denials Specialist to manage health plan denials and ensure accurate coding.

Key Responsibilities

• Process accounts related to coding denial management, including rejections and bundling issues
• Resolve work queues as per management direction and departmental policies
• Generate appeals based on denial reasons and payer guidelines

Required Qualifications

• High school diploma or equivalent
• One to three years of experience in physician medical billing with a focus on claim denials
• Current AAPC or AHIMA certification required
• Knowledge of health insurance coding and physician billing policies
• Familiarity with healthcare reimbursement guidelines and coding standards