CPC Certified Ambulatory Coder

Job Summary

A company is looking for an Ambulatory Coder Denials to validate coding and facilitate the appeals process for denied professional service claims.

Key Responsibilities

• Validate coding and facilitate the appeals process for denied claims
• Communicate with providers regarding coding denial issues and trends
• Utilize coding software and resources to determine correct codes and submit appeals

Required Qualifications, Training, and Education

• High School Diploma or equivalent; Associate degree preferred
• Five (5) years of professional coding and/or billing experience
• Certified Professional Coder (CPC) certification required
• CPMA or Specialty Coding Certification for assigned specialty preferred
• Knowledge of governmental and commercial payer guidelines