Denials Management Specialist - Medical Coder

Ingenious Solutions Inc.; Pasig; On-site; PHP 334,800 - 558,000; Full time

Job summary

A healthcare solutions provider is seeking a skilled Medical Coder to join the Denials Management team. This role requires an active AAPC or AHIMA License, expertise in OP coding and claims denial management, and the ability to work onsite during night shifts. Candidates will be responsible for researching payer denials, writing appeals, and identifying patterns to improve efficiency. This position offers opportunities for professional development in a dynamic healthcare environment.

Qualifications

• Active AAPC or AHIMA License required.
• Experience in OP coding and denial management necessary.
• Willingness to work onsite during night shifts.

Responsibilities

• Research and analyze payer denials for various reasons.
• Write professional appeal letters independently.
• Submit detailed appeals based on medical record reviews.
• Manage retro-authorizations in response to denials.
• Identify denial patterns and report to management.
• Recommend improvements to claim processes.

Skills

AAPC or AHIMA License

OP coding

Claims Denial Management

Profee coding

Job description

A healthcare solutions provider is seeking a skilled Medical Coder to join the Denials Management team. This role requires an active AAPC or AHIMA License, expertise in OP coding and claims denial management, and the ability to work onsite during night shifts. Candidates will be responsible for researching payer denials, writing appeals, and identifying patterns to improve efficiency. This position offers opportunities for professional development in a dynamic healthcare environment.