Outpatient Coding Denials Specialist (REMOTE)*

Employer Industry: Healthcare Services

Why Consider This Job Opportunity

• Opportunity for career advancement and growth within the organization
• Generous benefit package including medical, dental, vision plans, life insurance, and more
• Salary range for this position is competitive, reflecting experience and qualifications
• Chance to work with a collaborative team focused on minimizing denials and maximizing reimbursements
• Engaging role that directly impacts Physician reimbursement and overall revenue cycle management
  
  

What To Expect (Job Responsibilities)

• Perform research and submit appeals or re-bill claims to resolve coding denials
• Maintain an extensive caseload of coding denials and prioritize cases effectively
• Liaise among department managers, staff, and physicians regarding coding denial issues
• Review medical records and coding-related denials to ensure accuracy and compliance
• Compile training materials and conduct educational sessions related to coding denials
  
  

What Is Required (Qualifications)

• 5+ years of coding-related experience, including coding and abstracting
• 1+ years of experience 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)
  
  

How To Stand Out (Preferred Qualifications)

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

#HealthcareServices #Coding #CareerOpportunity #MedicalBilling #RevenueCycleManagement

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