Remote Edits and Denials Coder

Job Summary

To support independent healthcare providers, the full-time Remote Edits and Denials Coder will review medical records for accurate billing codes, perform advanced coding and appeal activities, and collaborate with clinical staff to resolve reimbursement issues.

Key responsibilities

• Review documentation to identify pertinent facts for appealing claims denied by third-party payers
• Collaborate with facility liaisons to resolve coding issues and provide documentation feedback
• Research payer policies and review clinical documentation to ensure comprehensive coding of diagnoses and procedures

Required qualifications

• CCS, AHIMA, CCS-P, CPC, AAPC, CPC-A, or similar credentials
• Three or more years of coding experience
• Proficiency in ICD-10 and CPT coding
• Experience working in a remote environment
• Ability to maintain a 95% quality accuracy rate and meet productivity standards