Certified Appeals Coder, Remote, 8a-430p

UofL Health; Louisville (KY); Remote; USD 30,000 - 41,000; Full time

Job summary

UofL Health in Louisville, KY is seeking a Remote Claims Appeal Specialist to manage the appeal of unpaid claims in the Central Business Office and to work closely with insurance carriers to resolve denials and secure accurate payments.

The position requires CPC or AHIMA credentials and at least 3 years of medical coding/insurance experience, with remote work from Kentucky and a first shift. Education must include a high school diploma and professional certification through AAPC or AHIMA.

Qualifications

• Certified CPC or AHIMA credential required.
• 3 years of medical coding and insurance follow-up experience preferred.
• Experience handling denials and payer appeals.

Responsibilities

• Review and appeal unpaid claims daily.
• Complete follow-up work on appealed claims.
• Coordinate with insurers on appeal issues.
• Provide feedback to coding with errors or updates.
• Review remittance to ensure accurate payment.
• Verify denials for accuracy and action.
• Gather information to expedite appeals.
• Close and print daily batch proof.

Skills

CPC

CCS

CCS-P

Medical coding

Appeals

Education

AAPC CPC certification

AHIMA CCS/CCS-P or CCA

Job description

Primary Location:

Work from Home - KY

Address:

P.O. Box 909Louisville, KY 40201-0909

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:

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.