Denials and Appeals Coder

Job Summary

To ensure timely processing of invoices, the full-time Denials and Appeals Coder will review carrier denials, submit necessary corrections based on medical records and coding policies, and maintain accuracy and production standards in a remote setting.

Key responsibilities

• Review and correct carrier denials for assigned billing groups daily
• Maintain quality assurance standards and required production levels for denials and appeals
• Collaborate with other departments to resolve coding rejections and claim processing issues

Required qualifications

• High school diploma or equivalent; college coursework in a healthcare-related field preferred
• Extensive knowledge of medical terminology, regulatory requirements, and physician billing
• Proficiency in ICD-10 coding and CPT procedural coding
• Minimum of two years of medical coding experience
• CPC, RHIT, or CCS-P certification preferred