As a Denials Coder, you will play a critical role in the revenue cycle by addressing and resolving outstanding insurance balances and complex coding denials.
You will research denial reasons, review medical records, and submit well-supported appeals to commercial and government payers. In this role, you will use ICD-10 and CPT coding knowledge to compare documentation against billed services, make coding adjustments, manage active work queues, collaborate with providers, and communicate with payer representatives.
You will also help identify recurring denial trends and support proactive staff training to improve compliance, efficiency, and reimbursement outcomes for the clinic.
Required / Preferred Qualifications
- High school diploma or General Studies diploma with 1+ years of coding experience, or
- Associate degree in a related field with insurance follow-up experience
- Completion of college-level courses in:
- Medical terminology
- Anatomy and physiology
- Disease processes
- Pharmacology
- Certified Professional Coder (CPC), upon hire, or
- Certified Professional Coder Hospital Apprentice (CPC-A), upon hire, or
- Registered Health Information Technician (RHIT), upon hire
- Strong knowledge of medical insurance and reimbursement methodologies
- Ability to troubleshoot complex billing issues and work under pressure
- Strong critical thinking and professional communication skills
- Comfort working with automated coding and billing systems
Location
Omaha, Nebraska, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago