Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from select states: WI, FL, MN, NC, TN, & TX
- Engage in meaningful work that impacts lives for the better
- Collaborate with a supportive and innovative team focused on process improvement
- Competitive salary and benefits package

What to Expect (Job Responsibilities):
- Research payer denials related to coding, documentation, and billing to resolve issues
- Conduct comprehensive reviews of claim denials and determine necessary actions
- Write and submit professionally crafted appeals based on clinical documentation
- Collaborate with the prior authorization team to secure retro-authorizations
- Identify denial patterns and escalate issues to management for resolution

What is Required (Qualifications):
- Advanced knowledge of CPT and ICD-10 coding
- Proficiency with EMR systems, particularly EPIC, and Microsoft Office
- Minimum of 3 years of experience in coding denials management or a related field
- Strong communication skills and writing capabilities
- Ability to manage multiple tasks efficiently in a fast-paced environment

How to Stand Out (Preferred Qualifications):
- Experience with payer policies and claims requirements
- Familiarity with Medicare and Medicaid guidelines
- Demonstrated ability to identify process improvement opportunities
- Previous experience in a healthcare-related coding or billing role

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