Certified Professional Coder

Job Summary

A company is looking for a Certified Professional Coder I.

Key Responsibilities

• Analyze coding and denial information to identify issues causing claim denials and determine recovery steps
• Create detailed appeal letters for denials to support payment of patient claims
• Review and verify that diagnosis and inpatient DRG codes on bills adhere to medical records for reimbursement purposes

Required Qualifications

• Certified Professional Coder certification
• Minimum of 2 years' experience in a hospital, payer, or customer service position
• Preferred experience in healthcare insurance billing, medical coding, and claim adjudication
• Experience with patient accounting, payer adjuster roles, and filing accident claims is advantageous