UASI is seeking an experienced Denials Specialist with coding expertise to join the team. This role is responsible for reviewing documentation, resolving claim denials related to coding and billing issues, and ensuring compliance with payer policies. The position focuses on identifying coding errors, modifier issues, bundling conflicts, and billing discrepancies to recover underpaid or denied revenue and reduce future denials.
The role also requires charge corrections, claim updates, and trend analysis to support ongoing process improvement.
Requirements & Qualifications
Qualifications
- Professional coding certification such as CPC, CCS, CIC, or COC
- 1 year of experience in a coding-related denials management role
- Experience with complex surgical specialties and interventional radiology is a plus
- Familiarity with Athena is preferred
- Experience handling denial types such as:
- Medical necessity
- Timely filing
- Incorrect modifier usage
- Unbundling of procedure codes
- Strong working knowledge of:
- CPT®
- HCPCS
- ICD-10-CM/PCS
- Modifiers and NCCI edits
- Medicare and commercial payer billing rules
- Strong attention to detail and analytical skills
- Knowledge of payer contracts and reimbursement methodologies
Benefits & Perks
Benefits
- Competitive pay
- Excellent benefits package
- Supportive environment that encourages professional development
Location
N/A
Employment Type
Not specified
Experience Level
Entry Level
Remote work allowed
Yes
Posted
3 weeks ago
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