Denials Coder

CommonSpirit Health; Omaha (NE); On-site; USD 28,000 - 39,000; Full time

Job summary

CommonSpirit Health is seeking a Denials Coder to strengthen our revenue cycle by researching denials, reviewing medical records, and submitting well-supported appeals to commercial and government payers. You will use ICD-10 and CPT knowledge to compare documentation with billed services, adjust codes, and manage active work queues while collaborating with providers and payer representatives.

The role requires at least one year of coding experience and a strong foundation in medical

Qualifications

• At least 1 year of medical coding experience.
• Strong knowledge of ICD-10 and CPT coding.
• Understanding of medical terminology and reimbursement methodologies.
• Ability to review records and submit well-supported appeals.
• Detail-oriented with a focus on compliance and accuracy.

Responsibilities

• Address and resolve outstanding insurance denials and balances.
• Research denial reasons, review medical records, and submit appeals.
• Manage active work queues and collaborate with providers.
• Resubmit claims electronically and identify denial trends for staff training.
• Ensure compliant and efficient billing processes.

Skills

ICD-10 coding

CPT coding

Attention to detail

Communication skills

Prioritization under pressure

Education

High School Diploma

Associate degree in related field

Medical terminology & anatomy courses

Tools

Automated coding & billing systems

Job description

Job Summary and Responsibilities

As our Denials Coder you will play a critical role in our revenue cycle by addressing and resolving outstanding insurance balances and complex coding denials. You will leverage your analytical expertise to research denial reasons, review medical records, and submit well-written, supported appeals to both commercial and government health insurance payers. By ensuring accurate reimbursement and minimizing revenue leakage, you will directly contribute to the financial health and operational success of the Alegent Creighton Clinic.

Every day you will utilize your deep knowledge of ICD-10 and CPT coding to compare documentation against billed services, making necessary adjustments to diagnosis codes, modifiers, and place-of-service information. You will manage active work queues, collaborate with providers to rectify claim errors, and serve as a key point of contact for payer representatives. Whether resubmitting claims electronically or identifying recurring denial trends to conduct proactive staff training, your work will ensure that our billing processes remain compliant and efficient.

To be successful in this role, you will bring at least one year of coding experience and a strong foundation in medical insurance and reimbursement methodologies. We are looking for a detail-oriented professional who excels at critical thinking, possesses the ability to troubleshoot complex billing issues, and demonstrates clear, professional communication skills. You should be comfortable working with automated coding and billing systems, capable of prioritizing tasks under pressure, and committed to upholding the highest standards of data integrity and regulatory compliance.

Job Requirements (Preferred)

• High School Graduate General Studies and 1+ years coding experience, upon hire or
• Associates Other in related field and Insurance follow up experience, upon hire and
• Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology., upon hire and
• Certified Professional Coder, upon hire or
• Certified Professional Coder Hospital Apprentice, upon hire or
• Registered Health Information Technician, upon hire

Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Pay Range

$19.87 - $28.06 /hour