Claims Denials Coding Analyst - Day Shift

sluhn; Allentown (Lehigh County); On-site; USD 60,000 - 85,000; Full time

Job summary

St. Luke's University Health Network in Allentown, PA is seeking an experienced Medical Coder to maintain current coding guidelines, resolve edits and denials, and provide guidance to providers and staff. This role requires knowledge of ICD-10-CM, CPT and HCPCS, with 2+ years in E/M or surgical coding.

The position emphasizes accuracy, collaboration with payors, and ongoing training participation to stay current with industry changes.

Qualifications

• CPC or CCA certification required.
• At least 2 years of active E&M and/or Surgical Coding experience.
• Knowledge of ICD-10-CM, CPT and HCPCS coding.
• Experience dealing with third party insurers related to claim processing and denials.

Responsibilities

• Maintain current knowledge of coding, compliance, and documentation guidelines
• Resolve Charge Review and Claim Edit CCI/LCD edits, diagnosis coding errors and MUE frequency for clean claim submission
• Resolve coding denials through claim correction or appeal. The appeals process may include collaboration with stakeholders
• Provide coding guidance to providers and charge entry staff for single or low volume errors
• Attend coding conferences, workshops, and in-house sessions to receive updated coding information
• Assist with training new staff in all aspects of the Analyst role

Skills

E/M Coding

Surgical Coding

ICD-10-CM

CPT Coding

HCPCS

Education

CPC or CCA certification

Tools

Epic Resolute

Job description

St. Luke's University Health Network in Allentown, PA is seeking an experienced Medical Coder to maintain current coding guidelines, resolve edits and denials, and provide guidance to providers and staff. This role requires knowledge of ICD-10-CM, CPT and HCPCS, with 2+ years in E/M or surgical coding.

The position emphasizes accuracy, collaboration with payors, and ongoing training participation to stay current with industry changes.