Denials Coder

CHI

Omaha (NE)

On-site

USD 28,000 - 39,000

Full time

3 days ago
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Job summary

CHI Health Clinic seeks a Denials Coder to support our revenue cycle by researching denial reasons, reviewing medical records, and submitting well‑written appeals to commercial and government payers. You will ensure accurate reimbursement and help minimize revenue leakage for Alegent Creighton Clinic.

Daily tasks include applying ICD‑10 and CPT knowledge to adjust codes, managing work queues, and coordinating with providers to fix claim errors.

Qualifications

  • At least one year of coding experience
  • Strong foundation in medical insurance and reimbursement methodologies
  • Detail‑oriented with strong critical thinking and communication skills
  • Comfortable with automated coding and billing systems and prioritizing under pressure

Responsibilities

  • research denial reasons by reviewing documentation and codes
  • Submit well‑written, supported appeals to commercial and government payers
  • Adjust diagnosis codes, modifiers, and place‑of‑service information
  • Manage active work queues and collaborate with providers to rectify claim errors
  • Identify recurring denial trends to support staff training and improve billing efficiency

Education

High School Graduate
High School GED
Associates Degree in related field
College level courses in medical terminology, anatomy and physiology, disease processes and pharmacology
ICD-10 or CPT coding course
Certified Professional Coder
Certified Coding Associate
Cardiology Coding
Certified Coding Specialist
Registered Health Information Technician

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.

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.

Preferred
Job Requirements
  • High School Graduate General Studies and 1+ years coding experience, upon hire or
  • High School GED Generals Studies and 1+ years coding experience, upon hire and
  • 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
  • Completion of ICD-10 or CPT coding course., upon hire
  • Certified Professional Coder, upon hire or
  • Certified Coding Associate, upon hire or
  • Cardiology Coding, upon hire or
  • Certified Coding Specialist, 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

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