Outpatient Coding Denials Specialist (REMOTE)*

Employer Industry: Healthcare Services

Why Consider This Job Opportunity

• Competitive salary with potential for growth and advancement within the organization
• Generous benefits package including medical, dental, vision, life insurance, and retirement plans
• Opportunities for tuition reimbursement and early access to earned wages
• Collaborative work environment with a focus on education and training
• Essential role in securing reimbursement and minimizing revenue loss
  
  

What To Expect (Job Responsibilities)

• Perform research and submit appeals or re-bill claims to resolve coding denials
• Manage an extensive caseload of coding denials, prioritizing cases effectively
• Act as a liaison among department managers, staff, and physicians regarding coding denial issues
• Review and analyze medical records to ensure accurate coding and compliance
• Monitor coding trends and collaborate with revenue cycle teams to prevent avoidable denials
  
  

What Is Required (Qualifications)

• Minimum of 5 years of coding-related experience in coding, abstracting, or data quality
• At least 1 year of experience in managing and appealing denials
• Proficiency in reading and interpreting commercial payer medical policies
• Certification as one of the following: CCS-P, CPC, RHIA, or RHIT
• Strong understanding of ICD-10-CM and CPT coding guidelines
  
  

How To Stand Out (Preferred Qualifications)

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

#HealthcareServices #Coding #HealthcareCareers #RevenueCycleManagement #JobOpportunity

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