Physician Coding Denials 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
• Collaborate with coding and revenue management teams to provide feedback and improve clinical documentation
• Analyze trends in payer denials and develop training for charge capture specialists

Required Qualifications

• High school diploma or equivalent required
• AAPC or AHIMA professional coding certification required, or over 5 years of experience with certification within 90 days of employment
• Minimum 2 years of healthcare account resolution or physician billing experience, including professional coding experience
• Technical skills in Microsoft Office, EMR systems (Epic), and strong time management abilities
• Knowledge of medical terminology, ICD-10, and E/M coding, along with compliance regulations