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 supported appeals to commercial and government payers. In this role, you will ensure accurate reimbursement, reduce revenue leakage, and support the financial and operational success of the clinic.
You will also use your knowledge of ICD-10 and CPT coding to compare documentation against billed services, update diagnosis codes, modifiers, and place-of-service information, manage active work queues, collaborate with providers to correct claim errors, and communicate with payer representatives. You may also identify recurring denial trends and help support proactive staff training to improve billing accuracy and compliance.
Preferred qualifications:
- High school diploma or GED with 1+ years of coding experience
- Associate degree in a related field with insurance follow-up experience
- Completion of college-level coursework in medical terminology, anatomy and physiology, disease processes, and pharmacology
- Completion of an ICD-10 or CPT coding course
- Certification as one of the following:
- Certified Professional Coder (CPC)
- Certified Coding Associate (CCA)
- Cardiology Coding credential
- Certified Coding Specialist (CCS)
- Registered Health Information Technician (RHIT)
Additional skills and experience:
- Strong foundation in medical insurance and reimbursement methodologies
- Ability to troubleshoot complex billing issues
- Detail-oriented with strong critical thinking skills
- Clear, professional communication skills
- Ability to work with automated coding and billing systems
- Ability to prioritize tasks under pressure
- Commitment to data integrity and regulatory compliance
Location
Omaha, Nebraska, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago