Certified Coder- Appeals, Remote, First Shift, Full Time [C] Dominique Galloway

UofL Health; Louisville (KY); Remote; USD 50,000 - 65,000; Full time

Job summary

UofL Health is seeking a Certified Coder for the Appeals role. In this position, you will manage the appeal of unpaid claims and work closely with insurance carriers to resolve issues. Candidates should have a strong coding background, relevant certifications, and the ability to communicate effectively. This is a full-time remote position that emphasizes knowledgeable handling of medical billing and coding.

Qualifications

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

Responsibilities

• Review and appeal unpaid claims daily.
• Provide feedback to the coding department with errors or updates.
• Obtain necessary information to expedite the appeal process.

Skills

Knowledge of medical terminology

Strong oral and written communication skills

Basic Microsoft Office knowledge

Education

High School education or GED

Certified Professional Coder (CPC) certification

CCA, CCS or CCS-P certification

Job description

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About Us

UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient.

Primary Location:

Work From Home - KY - ULP - AMG

Address

Home Office Remote, KY 40601

Shift

First Shift (United States of America)

Job Description Summary

Job Description:

WE ARE HIRING!

Location: REMOTE

About Us

UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient.

With more than 13,000 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.

Our Mission

As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

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

• 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

MINIMUM EDUCATION & EXPERIENCE

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

Knowledge, Skills, & Abilities

• Knowledge of medical terminology.
• Strong oral and written communication skills.
• Basic Microsoft Office knowledge.
• Ability to foresee projects from start to finish.
  
  

WORKING CONDITIONS

• Sedentary Work: Lifting 10lbs. maximum and occasionally lifting and/or carrying items as needed.
• Frequent Talking (Expressing or exchanging ideas by means of the spoken word.)
• Frequent Hearing (Perceiving the nature of the sounds by the ear.)
• Frequent Seeing (Visual acuity, depth perception, field of vision, color vision).
• Consistent use of hand movement for keyboarding purposes.
  
  

How To Apply

• Please follow the URL link to submit your resume:
• Only those candidates whose experience best meets our requirements will be contacted.
• University of Louisville Physicians is an Equal Opportunity Employer.
• Current UofL Physicians employees must follow the UofL Physicians Internal Transfer Policy.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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