Denials & Appeals Coding Analyst

CommonSpirit Health; Phoenix (AZ); On-site; USD 60,000 - 80,000; Full time

Job summary

Dignity Health Medical Group (DHMG) is seeking a Coding Analyst Denials Appeals to review records for coding accuracy and correct diagnostic and procedural codes in the billing system to ensure proper reimbursement. You will analyze complex data daily and stay current with coding standards and healthcare regulations.

Responsibilities include investigating denials across specialties, submitting corrected claims and appeals, and communicating trends to management while ensuring compliant billing

Qualifications

• Three years of medical coding and/or billing experience for physician office services
• Proficiency assigning ICD-10-CM, CPT, HCPCS, and modifiers
• Ability to read and comprehend an explanation of benefits (EOB)
• Proficiency with guidelines, CCI, LMRP, coding, and modifiers
• Ability to research CPT/ICD-10 codes to bill appropriately
• Understanding of reimbursement processes and payer policies

Responsibilities

• Review records for coding errors and correct codes for reimbursement
• Submit corrected claims, reconsiderations and appeals to health plans
• Identify payer and system trends and communicate to management
• Maintain knowledge of payer contracts, regulations, and billing laws
• Communicate with coworkers and leadership to meet departmental goals

Skills

ICD-10-CM coding

CPT/HCPCS coding

Modifier assignment

EOB interpretation

Research CPT/ICD10 codes

Reimbursement knowledge

Google Workspace

Education

High School Diploma

Associate degree

Tools

Google Workspace

Job description

Dignity Health Medical Group (DHMG) is seeking a Coding Analyst Denials Appeals to review records for coding accuracy and correct diagnostic and procedural codes in the billing system to ensure proper reimbursement. You will analyze complex data daily and stay current with coding standards and healthcare regulations.

Responsibilities include investigating denials across specialties, submitting corrected claims and appeals, and communicating trends to management while ensuring compliant billing