Denials Coder & Appeals Specialist

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

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.

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