Certified Claim Denial Coder

DaMar Staffing; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

DaMar Staffing is seeking a full-time Certified Claim Denial Coder in the United States to review and resolve coding edits, rejections, and denials within Epic. You will collaborate with multiple teams to ensure accurate claims and proper coding workflows.

Required qualifications include 2+ years of Medical Coding experience and CCS/CCS-P/CPC/RHIT/RHIA certifications. Epic proficiency and CPT/ICD-10/HCPCS knowledge are strongly preferred.

Qualifications

• Minimum of 2 years of Medical Coding experience.
• Certifications CCS, CCS-P, CPC, RHIT or RHIA required.
• Experience using Epic for claim edits and coding workflows preferred.

Responsibilities

• Review and resolve coding edits, claim rejections, and payer denials for multiple specialties within Epic.
• Validate coding elements by reviewing provider documentation and making necessary corrections in Epic.
• Document denial findings and coding rationale while identifying trends for process improvement.

Skills

Medical coding

Attention to detail

Education

CCS

CCS-P

CPC

RHIT

RHIA

Tools

Epic

CPT

ICD-10

HCPCS

Modifiers

Job description

To support accurate claims submissions, the full-time Certified Claim Denial Coder will review and resolve coding-related claims edits, rejections, and denials within Epic while collaborating with various teams.

Key responsibilities

• Review and resolve coding edits, claim rejections, and payer denials for multiple specialties within Epic
• Validate coding elements by reviewing provider documentation and making necessary corrections in Epic
• Document denial findings and coding rationale while identifying trends for process improvement

Required qualifications

• Minimum of 2 years of Medical Coding experience
• Certifications such as CCS, CCS-P, CPC, RHIT, or RHIA are required
• Experience using Epic for claim edit resolution and coding workflows is strongly preferred
• Proficiency in CPT, ICD-10, HCPCS, and Modifiers
• Experience with both Professional Fee Coding and Facility coding