Denials Coder
RemoteUnited States
United StatesRemoteFull TimeEnterprise
Full TimeEnterprise
Job Summary
Address and resolve outstanding insurance balances by researching denial reasons, reviewing medical records, and submitting supported appeals to commercial and government payers. Leverage ICD-10 and CPT coding expertise to compare documentation against billed services, adjusting diagnosis codes, modifiers, and place-of-service information as needed. Manage active work queues, collaborate with providers to rectify claim errors, and identify recurring denial trends for proactive staff training. Prioritize tasks under pressure while maintaining data integrity and regulatory compliance across all billing processes.
Required Qualifications
- at least one year of coding experience
- strong foundation in medical insurance and reimbursement methodologies
- detail-oriented
- critical thinking
- ability to troubleshoot complex billing issues
- clear, professional communication skills
- comfortable working with automated coding and billing systems
- capable of prioritizing tasks under pressure
- committed to upholding the highest standards of data integrity and regulatory compliance
Desired Qualifications
- High School Graduate General Studies
- 1+ years coding experience
- Associates Other in related field
- Insurance follow up experience
- Completion of college level courses in medical terminology
- Completion of college level courses in anatomy and physiology
- Completion of college level courses in disease processes
- Completion of college level courses in pharmacology
- Certified Professional Coder
- Certified Professional Coder Hospital Apprentice
- Registered Health Information Technician
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