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

UofL Health; United States; Remote; USD 50,000 - 90,000; Full time

Job summary

UofL Health seeks a dedicated coding professional to manage the appeal of unpaid claims within the Central Business Office. You will collaborate with insurance carriers to resolve claims, provide coding feedback, and ensure accurate remittance processing.

The role requires CPC/CCS/CCS-P or AHIMA credentials, 3 years of coding experience, and a strong focus on audit accuracy and timely follow-up with payers.

Qualifications

• 3 years of coding experience required or preferred.
• Experience working with medical insurance.
• Certified Professional Coder (CPC) or AHIMA credentials preferred.

Responsibilities

• Review and appeal unpaid claims daily.
• Complete follow-up work on appealed claims.
• Coordinate with insurance carriers on appeal issues.
• Provide feedback to coding department on errors or updates.
• Review remits to confirm accurate payments.
• Review denials for accuracy and resolve issues.
• Obtain information to expedite appeals.
• Close and print daily batch proof.
• Make charge corrections in the practice management system.
• Attend continuing education programs for coding.

Skills

Medical coding

Attention to detail

Time management

Education

High School diploma or GED

CPC/CCA/CCS/CCS-P certification

Tools

Practice management system

Job description

Job Title

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.

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.