Coding Denials Specialist

Job Summary

A company is looking for a Coding Denials Specialist to manage claim edits and resolve health plan denials.

Key Responsibilities

• Process accounts related to coding denial management, including rejections and bundling issues
• Generate appeals based on denial reasons and payer guidelines
• Maintain compliance with departmental production and quality standards

Required Qualifications and Education

• High school diploma or equivalent
• One to three years of experience in physician medical billing with a focus on claim denials
• Knowledge of health insurance coding and physician billing policies
• Familiarity with healthcare reimbursement guidelines and coding standards
• Proficient in computer skills, including Excel and other relevant software