Coding Appeals Analyst — Maximize Reimbursement

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

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.