Georgia Licensed Coding Specialist

Job Summary

A company is looking for a Physician Coding Denials Specialist.

Key Responsibilities

• Review and appeal coding denials for professional service claims related to Evaluation and Management coding
• Analyze trends in payer denials and provide feedback to improve clinical documentation
• Maintain communication with internal and external contacts to facilitate the denial/appeals process

Required Qualifications

• High school diploma or equivalent required
• 5 years of experience with certification within 90 days of employment
• Minimum 2 years of Healthcare Account Resolution or Physician billing experience required
• Technical skills in Microsoft Office and EMR systems (Epic) required
• Knowledge of medical terminology, ICD-10, and E/M coding required