Denials & Appeals Coder - Boost Reimbursements

DaMar Staffing; United States; On-site; USD 52,000 - 70,000; Full time

Job summary

CHI Health Clinic is seeking a Denials Coder to support revenue cycle by addressing and resolving outstanding insurance balances and complex denials. You will analyze denial reasons, review records, and submit well-written appeals to payers to ensure accurate reimbursement and reduce revenue leakage.

You will utilize ICD-10 and CPT coding knowledge to compare documentation against billed services, adjust codes as needed, and manage queues while collaborating with providers to rectify errors.

Qualifications

• High school diploma and 1+ year coding experience.
• Associates degree in a related field.
• College-level courses in medical terminology, anatomy and physiology, disease processes and pharmacology.
• Certified Professional Coder (CPC).
• Certified Professional Coder Hospital Apprentice.
• Registered Health Information Technician (RHIT).

Responsibilities

• Address and resolve outstanding insurance balances and denials.
• Research denial reasons and review medical records.
• Submit well-written appeals to commercial and government payers.
• Manage active denial work queues and prioritize tasks.
• Collaborate with providers to rectify claim errors and improve revenue cycle.

Education

High School Diploma

Associates Degree in related field

Medical terminology coursework

Certified Professional Coder

Certified Professional Coder Hospital Apprentice

Registered Health Information Technician

Job description

CHI Health Clinic is seeking a Denials Coder to support revenue cycle by addressing and resolving outstanding insurance balances and complex denials. You will analyze denial reasons, review records, and submit well-written appeals to payers to ensure accurate reimbursement and reduce revenue leakage.

You will utilize ICD-10 and CPT coding knowledge to compare documentation against billed services, adjust codes as needed, and manage queues while collaborating with providers to rectify errors.