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
- Tuition reimbursement and early access to earned wages
- Supportive and collaborative work environment
- Key role in securing reimbursement and minimizing write-offs

What to Expect (Job Responsibilities):
- Perform research and submit appeals or re-bill claims to resolve coding denials
- Maintain a caseload of coding denials and prioritize cases effectively
- Act as a liaison among department managers, staff, physicians, and administration regarding coding denial issues
- Review insurance coding-related denials and ensure compliance with coding regulations
- Collaborate with revenue cycle teams to prevent avoidable denials and reduce revenue loss

What is Required (Qualifications):
- 5+ years of coding-related experience in coding, abstracting, or data quality
- 1+ years of experience in 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) or Certified Professional Coder (CPC)

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

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