Denials Coder

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

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.

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