Certified Appeals Coder, Remote, 8:00a-4:30p

UofL Health; Louisville (KY); Remote; USD 48,000 - 68,000; Full time

Job summary

UofL Health is seeking an experienced Medical Coder to manage appeals of unpaid claims in the Central Business Office. This role works closely with insurance carriers to resolve balances and ensure accurate payments.

The ideal candidate holds CPC or AHIMA credentials, has at least three years of coding experience, and is comfortable navigating a fast-paced health-system environment across multiple facilities.

Qualifications

• 3 years of medical coding experience, preferably with insurance.
• CPC certification through AAPC or AHIMA credentials.
• High School diploma or GED required.

Responsibilities

• Review and appeal unpaid claims daily.
• Completes follow-up work on appealed claims.
• Works with insurance carriers on appeal issues.
• Provides feedback to the coding department with coding errors or updates.
• Reviews remit to ensure accurate payment was received.
• Reviews denials for accuracy.
• Obtains all necessary information to expedite the appeal process.
• Closes and prints daily batch proof.
• Makes charge corrections as needed in the practice management system.
• Attends continue education programs for coding.
• Other duties as assigned.

Skills

Medical coding

Attention to detail

Communication

Education

High School diploma or GED

CPC certification (AAPC)

AHIMA certifications (CCA/CCS/CCS-P)

Job description

Job Description Summary

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.

Address

Home Office Remote, MA 02201

Shift

First Shift (United States of America)

Job Description Summary

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members-physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals-UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description

JOB SUMMARY

This position is responsible for managing the appeal of unpaid claims in the Central Business Office. This position will also work closely with insurance carriers in resolving unpaid claims.

Job Responsibilities

• Review and appeal unpaid claims daily.
• Completes follow-up work on appealed claims.
• Works with insurance carriers on appeal issues.
• Provides feedback to the coding department with coding errors or updates.
• Reviews remit to ensure accurate payment was received.
• Reviews denials for accuracy.
• Obtains all necessary information to expedite the appeal process.
• Closes and prints daily batch proof.
• Makes charge corrections as needed in the practice management system.
• Attends continue education programs for coding.
• Other duties as assigned.

Additional Job Description

• High School education or GED required.
• Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.

Experience

• 3 years of prior coding experience, preferred.
• Prior experience working with medical insurance.