Denials Coder & Appeals Specialist

CommonSpirit Health; Omaha (NE); In loco; USD 55.000 - 75.000; Tempo pieno

Descrizione del lavoro

CommonSpirit Health in Omaha seeks a Denials Coder to play a critical role in our revenue cycle by addressing and resolving outstanding insurance balances and complex denials. You will apply ICD-10 and CPT coding to compare documentation against claims, adjust codes, manage work queues, and collaborate with providers to rectify errors while submitting well-supported appeals to payers.

This role emphasizes regulatory compliance, data integrity, and clear communication under pressure, with a

Competenze

• One year of coding experience required
• Foundation in medical insurance and reimbursement methodologies
• Detail-oriented with strong troubleshooting and communication skills
• Comfort with automated coding and billing systems and strict data integrity

Mansioni

• Address and resolve outstanding insurance balances and denials.
• Research denial reasons, review records, and submit well-written appeals to payers.
• Collaborate with providers to rectify claim errors and maintain compliant, efficient billing processes.
• Identify denial trends and participate in staff training to reduce leakage

Conoscenze

ICD-10 coding

CPT coding

Denials management

Revenue cycle

Analytical thinking

Formazione

CPC certification

RHIT/CPHIT preferred

Medical terminology certificate

Associates degree in related field

Descrizione del lavoro

CommonSpirit Health in Omaha seeks a Denials Coder to play a critical role in our revenue cycle by addressing and resolving outstanding insurance balances and complex denials. You will apply ICD-10 and CPT coding to compare documentation against claims, adjust codes, manage work queues, and collaborate with providers to rectify errors while submitting well-supported appeals to payers.

This role emphasizes regulatory compliance, data integrity, and clear communication under pressure, with a