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.
You will use your knowledge of ICD-10 and CPT coding to compare documentation against billed services, make necessary adjustments to diagnosis codes, modifiers, and place-of-service information, and manage active work queues. You will also collaborate with providers, communicate with payer representatives, and help identify denial trends to support proactive staff training and maintain compliant, efficient billing processes.
This role contributes directly to accurate reimbursement, reduced revenue leakage, and the overall financial health of the clinic.
- High School Diploma or GED plus 1+ years of coding experience
- Associate's 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
- Strong knowledge of medical insurance and reimbursement methodologies
- Ability to troubleshoot complex billing issues and communicate professionally
- Comfortable working with automated coding and billing systems
- Detail-oriented with strong critical thinking, prioritization, and data integrity skills
- Certifications preferred or accepted: Certified Professional Coder (CPC), Certified Coding Associate (CCA), Cardiology Coding, Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT)
Location
Omaha, Nebraska, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago