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

University of Louisville Physicians; United States; Remote; USD 52,000 - 76,000; Full time

Job summary

UofL Health is seeking a Medical Billing Appeals Specialist to manage the appeal of unpaid claims in the Central Business Office. The role involves collaboration with insurance carriers to resolve unpaid claims and ensure timely, accurate payments. A CPC or AHIMA certification is required or in place, with prior coding experience preferred.

This position offers work-from-home potential within the United States. Education: High School or GED required; CPC/CCS certifications favored.

Qualifications

• High School education or GED required.
• CPC certification through AAPC or CCS/CCS-P certification through AHIMA preferred or must have and maintain.
• 3 years of prior coding experience, preferred.
• Experience working with medical insurance.

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 continuing education programs for coding.
• Other duties as assigned.

Education

High School education or GED

Job description

Primary Location

Work From Home - MA - ULP - AMG 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 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

• Education: 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.

About UofL Health

UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.