Work remotely in a full-time role supporting enterprise denial management and coding accuracy across the health system.
The role focuses on reducing denial rates, improving reimbursement outcomes, and strengthening appeal turnaround times. Responsibilities include analyzing denial trends, reviewing coding validation and charge description master processes, and collaborating with Managed Care, Compliance, and operational teams to resolve complex reimbursement issues.
The position also supports regulatory compliance by educating departments on appropriate charging, billing, and coding practices and by identifying opportunities for process improvement across clinical denial work queues.
Qualifications
- High school diploma or GED required
- One of the following coding certifications required: CPC, COC, RHIT, RHIA, or CCS
- 1 to 2 years of coding experience required
- 1 to 2 years of denial management and/or insurance-related experience required
- Must reside in an approved state: FL, GA, PA, NC, SC, TN, or TX
Core Skills
- Experience with Epic system edits and denial work queues
- Knowledge of ICD-10, CPT, HCPCS, NCCI, and CMS coding guidelines
- Ability to review coding, modifiers, diagnosis sequencing, and charge adjustments
- Familiarity with authorization, payer denials, medical necessity, and appeals processes
- Strong analytical, auditing, and root-cause analysis skills
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago