CPC Certified E/M Denial Specialist

Job Summary

To support the Accounts Receivable Resolution team, the remote E/M Denial Research Specialist will review, analyze, and resolve Evaluation and Management coding denials to ensure accurate reimbursement and revenue integrity.

Key responsibilities:

• Research and analyze E/M coding denials for billing accuracy and compliance with guidelines
• Recommend claim write-offs and necessary corrections to coding based on clinical documentation
• Identify denial trends and collaborate with leadership to address recurring billing issues

Required qualifications:

• Certified Professional Coder (CPC) or Certified Evaluation and Management Coder (CEMC) credential required
• Bachelor's degree in a related field or 3-5 years of experience in medical practice billing
• Strong knowledge of medical terminology and human anatomy
• Demonstrated understanding of E/M coding guidelines and claims denial appeal processes
• Intermediate proficiency with PC software and billing or revenue cycle management systems