Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package including medical, dental, vision, life insurance, and retirement plans
- Competitive pay with a focus on pay equity and internal equity
- Engage in meaningful work that impacts physician reimbursement and minimizes revenue loss
- Collaborative work environment with opportunities for training and education

What to Expect (Job Responsibilities):
- Perform critical research and timely actions to prepare and submit appeals or re-bill claims to resolve coding denials
- Maintain an extensive caseload of coding denials and formulate strategies for case prioritization
- Act as a liaison among department managers, staff, physicians, and administration regarding coding denials
- Review insurance coding-related denials and ensure compliance with coding rules and regulations
- Monitor coding trends and work collaboratively with revenue cycle teams to prevent avoidable denials

What is Required (Qualifications):
- Minimum of 5 years of coding-related experience, including coding, abstracting, and data quality
- At least 1 year of experience in managing and appealing denials
- Minimum of 1 year of expertise in reading and interpreting commercial payer medical policies
- Certification as a Certified Coding Specialist-Professional (CCS-P) or Certified Professional Coder (CPC)

How to Stand Out (Preferred Qualifications):
- Bachelor’s Degree in Health Information Management (HIM)
- Over 7 years of coding-related experience in coding, abstracting, and data quality
- Experience with Epic systems, specifically Resolute Physician Billing
- Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)

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