Certified Coder - Appeal Specialist

A company is looking for a Coder - Appeal Denial Specialist. Key Responsibilities Resolve patient account balances related to insurance denials and manage claims through the billing system Obtain and review supporting documentation to ensure accurate coding and compliance with regulations Monitor and follow up on denied claims and aging reports to ensure timely resolution Required Qualifications Current medical coding certification (CPC, CCS-P, RHIA, or similar) 2+ years of experience as a medical coder, preferably with Professional Physician coding Expertise in ICD-10-CM, CPT, and HCPCS coding Proficiency in medical information systems and Microsoft Office applications Understanding of third-party reimbursement rules and regulations

Jun 12, 2025 - 01:40

A company is looking for a Coder - Appeal Denial Specialist. Key Responsibilities Resolve patient account balances related to insurance denials and manage claims through the billing system Obtain and review supporting documentation to ensure accurate coding and compliance with regulations Monitor and follow up on denied claims and aging reports to ensure timely resolution Required Qualifications Current medical coding certification (CPC, CCS-P, RHIA, or similar) 2+ years of experience as a medical coder, preferably with Professional Physician coding Expertise in ICD-10-CM, CPT, and HCPCS coding Proficiency in medical information systems and Microsoft Office applications Understanding of third-party reimbursement rules and regulations