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Denials Coder

CommonSpirit Health

As a Medical Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently.

You will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will help ensure compliance with legal, regulatory, and organizational standards.

The role includes reviewing explanation of benefits (EOBs) and remittance advices, communicating with providers and staff, resubmitting claims when needed, and escalating unresolved insurance balances appropriately.

Requirements & Qualifications
  • High school diploma or GED plus at least 1 year of coding experience, or an associate degree in a related field plus insurance follow-up experience
  • Completion of college-level courses in medical terminology, anatomy and physiology, disease processes, and pharmacology
  • Completion of an ICD-10 or CPT coding course
  • Certification preferred upon hire, such as:
    • Certified Professional Coder (CPC)
    • Certified Professional Coder Hospital Apprentice (CPC-A)
    • Certified Coding Associate (CCA)
    • Certified Coding Specialist (CCS)
    • Certified Coding Specialist - Physician Based (CCS-P)
    • Certified Health Care Compliance (CHC)
    • Registered Health Information Administrator (RHIA)
    • Registered Health Information Technician (RHIT)
  • Strong knowledge of coding standards, reimbursement, payer requirements, and healthcare regulations
  • Ability to communicate effectively by phone and in writing

Location

Omaha, Nebraska, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

2 months ago

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