CPC Certified Coding Associate

Job Summary

CPC Certified Coding Associate, this full-time position involves analyzing and resolving claim denials, rejections, and edits while collaborating with various teams to improve workflows and enhance service performance.

Key Responsibilities

• Conduct detailed analysis of claim adjudication to identify root causes of denials and develop effective processes
• Prepare workflows and procedures for claim corrections, resubmissions, and appeals while collaborating with stakeholders
• Track denial trends, quantify financial impacts, and provide actionable insights and recommendations to prevent repeat denials

Required Qualifications

• Bachelor's degree or equivalent professional experience
• CPC and/or CCS certification (AAPC or AHIMA) is required
• 3+ years of experience in medical coding with a focus on claims adjudication and denials
• Preferred experience in revenue cycle operations related to denials and claims reprocessing workflows
• Preferred familiarity with SQL or Sigma for data extraction and analysis