Denials & Appeals Coder

CommonSpirit Health; Omaha, Northern (NE, KY); Hybrid; USD 60,000 - 75,000; Full time

Job summary

Alegent Creighton Clinic is seeking a Denials Coder to address and resolve outstanding insurance balances and complex denials. You will review medical records, submit supported appeals, and collaborate with providers to correct claim errors, ensuring accurate reimbursement and minimizing revenue leakage.

With strong ICD-10 and CPT knowledge, you will work with automated coding systems and billing platforms to maintain data integrity and regulatory compliance.

Qualifications

• At least 1 year of coding experience.
• Foundation in medical insurance and reimbursement methodologies.
• Detail-oriented with strong problem-solving and communication skills.
• Comfortable with automated coding/billing systems.
• Ability to prioritize tasks under pressure and maintain data integrity.

Responsibilities

• Research denial reasons and review medical records.
• Submit well-supported appeals to payers (commercial/government).
• Compare documentation against billed services and adjust codes/modifiers/place of service as needed.
• Manage active work queues and collaborate with providers to rectify errors.
• Resubmit claims electronically and identify recurring denial trends for staff training.
• Ensure billing processes remain compliant and efficient.

Skills

ICD-10 coding

CPT coding

Regulatory compliance

Analytical thinking

Communication

Education

Certified Professional Coder (CPC)

Certified Coding Associate (CCA)

Registered Health Information Technician (RHIT)

CCS Certification

Tools

Automated coding systems

Billing software

Payer portals

Job description

Alegent Creighton Clinic is seeking a Denials Coder to address and resolve outstanding insurance balances and complex denials. You will review medical records, submit supported appeals, and collaborate with providers to correct claim errors, ensuring accurate reimbursement and minimizing revenue leakage.

With strong ICD-10 and CPT knowledge, you will work with automated coding systems and billing platforms to maintain data integrity and regulatory compliance.