Remote Coding Denial Specialist

Job Summary

A company is looking for a Coding Denial and Resolution Specialist.

Key Responsibilities

• Review and resolve post-billed coding denials and rejections for hospital and medical group claims
• Prepare, submit, and track payer appeals and reconsiderations while maintaining complete documentation
• Collaborate with various departments to reduce avoidable denials and provide education on coding best practices

Required Qualifications

• Associate's Degree in Health Information Management, Business, or related field, or equivalent experience
• Current coding certification: CCA, CPC, CCS, CCS-P, CPMA, RHIA, or RHIT
• Three years' experience in advanced hospital and professional coding
• Knowledge of ICD-10, CPT, HCPCS, and coding guidelines
• Proficiency with Microsoft Office applications, including advanced Excel skills