Coding Appeals Analyst

TriHealth; Norwood (OH); On-site; USD 65,000 - 82,000; Full time

Benefits offered by this job

Medical, dental, vision

Tuition reimbursement

Retirement plans

Job summary

TriHealth in Norwood, OH is seeking a Coding Appeals Analyst to protect revenue by resolving denials and ensuring accurate hospital billing. You will apply expertise in ICD-9/ICD-10, DRG, CPT coding and CDI to craft effective appeals and support payer communications.

The role emphasizes collaboration with billing teams, staying current with coding guidelines, and maintaining compliant, high‑quality coding procedures across the organization.

Qualifications

• Minimum RHIT coding degree and current certifications.
• Attention to CDI processes and hospital billing.
• Knowledge of ICD-9/ICD-10, DRG and CPT guidelines.

Responsibilities

• Assist with denials review and payer follow-up.
• Ensure compliance with coding rules and regulations.
• Maintain standardized coding/billing procedures.
• Resolve coding issues with internal teams.
• Update knowledge of current coding revisions.
• Provide coding support to billing teams.
• Appeal denials and track outcomes.

Skills

CDI

ICD-9/ICD-10

DRG

CPT coding guidelines

Medical terminology

Physiology

Billing/payer knowledge

Education

Associate's Degree in Coding RHIT

CPC Certification

CCS Certification

CMC - Cardiac Medicine Certification

CCA - Certified Coding Associate

Job description

Join TriHealth as a Coding Appeals Analyst – Hospital Billing!

TriHealth offers Coding Appeals Analysts the opportunity to make a meaningful impact by protecting revenue, reducing financial loss, and ensuring accurate, compliant coding practices across the organization. In this role, you’ll apply your expertise in ICD‑9, ICD‑10, DRG, CPT, CDI, and hospital billing to resolve complex denials, collaborate with payers, and craft effective appeals that support maximum reimbursement. You’ll serve as a trusted resource to billing teams and internal partners, helping them navigate coding issues, interpret regulations, and maintain standardized, high‑quality coding and billing procedures.

As one of Cincinnati’s most respected healthcare employers, TriHealth provides a supportive, collaborative environment where your technical knowledge and problem‑solving skills are valued. You’ll work closely with multiple departments, stay current on evolving coding guidelines, and contribute to a culture committed to accuracy, compliance, and service excellence. TriHealth invests in its people - offering stability, professional growth, and the chance to build a rewarding career while advancing the organization’s mission of delivering exceptional care.

Apply today and grow your career with a team that truly values you.

Location:

TriHealth in Norwood at 4685 Forest Ave, Cincinnati, OH 45212

Work Schedule:

• Full-Time (80 hours biweekly)
• Day Shift
• No Weekend, Holiday or On Call Commitment

Benefits:

• In addition to a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement.
• Please view our benefits page https://careers.trihealth.com/what-we-offer/benefits

Job Requirements:

• Associate's Degree in Coding RHIT (Associates) (Required)
• 3 - 4 years experience in related field (Required)Billing/Payer knowledge of hospital billing
• Must be familiar and experienced with CDI. ICD-9, ICD-10, DRG
• CPT Coding guidelines
• Medical terminology
• Physiology
• Other Insurance\Certified Pension Consultant (CPC) Upon Hire Required
• Other CCS-Certified Coding Specialist Upon Hire Required
• Other CMC - Cardiac Medicine-Subspecialty Certification Upon Hire Required
• Other CCA - Certified Coding Associate Upon Hire Required

Job Overview:

Principal purpose is to expedite hospital coding denials to ensure maximum reimbursement and to reduce/eliminate financial loss to department customers. Contact payers regarding coding issues and using appeal letters to reduce fatal denials. Provides coding expertise to billing teams to assist in proper billing

Job Responsibilities:

• Assists with billing/coding questions from both internal and external customers which include, following up on denials, review of charts and coding issues.
• Backs up for team members within Payroll and all other special assignments from Payroll Director.
• Ensures understanding and compliance with coding protocols, rules and regulations from government agencies, insurance carriers, and other resources.
• Maintains a close working relationship with all departments and consolidates efforts to ensure appropriate and standardized coding/billing procedures are followed.
• Maintains knowledge of current coding revisions.
• Resolves coding issues that arise within the patient accounting departments and provides coding support.
• Works directly with the billing teams to ensure denials for coding are appealed and followed up on appropriately, and in a timely manner.

Working Conditions:

• Climbing - Rarely
• Concentrating - Consistently
• Continuous Learning - Consistently
• Hearing: Conversation - Frequently
• Interpersonal Communication - Frequently
• Kneeling - Rarely
• Lifting <10 Lbs. - Rarely
• Lifting 50+ Lbs. - Rarely
• Lifting <50 Lbs. - Rarely
• Pulling - Rarely
• Pushing - Rarely
• Reaching - Rarely
• Reading - Consistently
• Sitting - Consistently
• Standing - Rarely
• Stooping - Rarely
• Thinking/Reasoning - Consistently
• Use of Hands - Frequently
• Color Vision - Consistently
• Walking - Occasionally

TriHealth SERVE Standards and ALWAYS Behaviors

Serve: ALWAYS...

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS...

• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...

• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS...

• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community