Coding Denial Specialist

Job Summary

A company is looking for a Coding Denial Specialist to investigate and resolve coding-related denials.

Key Responsibilities

• Analyze coding-related denials to identify root causes and implement corrective actions
• Review accounts for necessary adjustments and update coding or account information as needed
• Prepare written appeals and communicate denial trends to leadership and team members

Required Qualifications

• High school diploma or GED diploma
• Minimum 2 years of professional billing, claim denials, appeals, and revenue cycle work
• Thorough knowledge of CPT, ICD-10, HCPCS, modifiers, and medical terminology
• Understanding of Medicare, Medicaid, and Commercial payers coding/billing guidelines
• Experience in follow-up processes