Outpatient Coding Denials Specialist (REMOTE)*

Employer Industry: Healthcare Services

Why Consider This Job Opportunity

• Salary up to $(amount)
• Generous benefits package including medical, dental, vision plans, life insurance, and retirement options
• Opportunity for professional growth and development within the organization
• Collaborative work environment that supports change management and continuous improvement
• Chance to make a significant impact on the reimbursement process and minimize avoidable write-offs
  
  

What To Expect (Job Responsibilities)

• Perform critical research and submit appeals or re-billing of claims to resolve coding denials
• Maintain an extensive caseload of coding denials and prioritize cases effectively
• Act as a liaison among department managers, staff, physicians, and administration regarding coding denials
• Review insurance coding-related denials and ensure compliance with relevant coding regulations
• Monitor coding trends and collaborate with revenue cycle teams to prevent avoidable denials
  
  

What Is Required (Qualifications)

• 5+ years of coding-related experience, such as coding, abstracting, or data quality
• 1+ years of experience in managing and appealing denials
• 1+ years of expertise in reading and interpreting commercial payer medical policies
• Certification as a Certified Coding Specialist-Professional (CCS-P), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT)
• Strong analytical skills to identify areas of risk and suggest documentation improvements
  
  

How To Stand Out (Preferred Qualifications)

• Bachelor’s Degree in Health Information Management (HIM)
• 7+ years of coding-related experience, including coding, abstracting, or data quality
• Experience with Epic, particularly in Resolute Physician Billing
  
  

#HealthcareServices #Coding #CareerOpportunity #Benefits #ProfessionalDevelopment

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