Certified Coding Denials Specialist

A company is looking for a Physician Coding Denials Specialist.

Key Responsibilities

Review and appeal coding denials for professional service claims related to Evaluation and Management coding

Analyze trends in payer denials and provide feedback to improve clinical documentation and charge capture

Communicate professionally with internal and external contacts regarding denial processes and appeals

Required Qualifications

High school diploma or equivalent required

5 years of experience with certification within 90 days of employment

Minimum 2 years of Healthcare Account Resolution or Physician billing experience, including professional coding experience

Technical skills in Microsoft Office and EMR systems, specifically Epic

Knowledge of medical terminology, ICD-10, and E / M coding