Job Details

A company is looking for a Coding Denial Specialist to investigate and resolve coding-related denials.Key ResponsibilitiesAnalyze coding-related denials to identify root causes and implement corrective actionsReview accounts for necessary adjustments and update coding or account information as neededPrepare written appeals and communicate denial trends to leadership and team membersRequired QualificationsHigh school diploma or GED diplomaMinimum 2 years of professional billing, claim denials, appeals, and revenue cycle workThorough knowledge of CPT, ICD-10, HCPCS, modifiers, and medical terminologyUnderstanding of Medicare, Medicaid, and Commercial payers coding/billing guidelinesExperience in follow-up processes