Full-time, 40 hours/week
Monday-Friday, 8:00 AM-4:30 PM
Remote
The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and identifying root causes for coding-related denials. The role also helps propose process improvements to reduce future denials and works closely with the Physician Advisor, providers, and the Revenue Recovery team to resolve missing documentation and promote coding best practices.
Key responsibilities include retrospective account reviews, denial analysis, daily review of EPIC work queues, coding changes based on medical documentation, follow-up with providers for additional documentation or diagnosis information, coordination of appeals with payors, reporting on denial trends, and supporting coding and documentation process improvements. The position also provides feedback and education to staff and providers.
Technical expertise
- Experience in CPT and ICD coding is required.
- Experience working with all levels within an organization is required.
- Experience with an electronic medical record system is preferred.
- Experience in healthcare is preferred.
- Proficiency in MS Office (Outlook, Excel, Word) or similar software is required.
Education and experience
- High school diploma or equivalent required; bachelor's degree preferred.
- AAPC or AHIMA coding certification required.
- 0 to 2 years of relevant experience preferred.
- No supervisory experience required.
Credentials
- American Academy of Professional Coders
- American Health Information Management Association
- Certified Provider Credentialing Specialist
- Certified Coding Specialist
- Registered Health Information Technician
- Certified Coding Associate
Location
Ohio, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 month ago