Denials Coding Specialist (Part-time)

Gundersen Health System; United States; Remote; USD 50,000 - 56,000; Part time

Benefits offered by this job

401(k) with matching

Paid time off

Competitive health insurance

Wellness programs

Tuition reimbursement

Job summary

Emplify Health is seeking a detail-oriented Denials Coding Specialist to review and resolve coding-related denials for professional and hospital billing. Remote role with on-site training in La Crosse, WI, requiring residency in WI, MN, or IA.

You will analyze denial trends, educate teams, and support mitigation strategies across departments while staying current with coding guidelines and payer policies. Starting wage is competitive and benefits are provided.

Qualifications

• Completion of a Health Information Technician program or related post-high school training.
• 3–4 years of healthcare coding experience in a multi-specialty clinic or hospital setting.
• Experience with coding denials, payer rejections, NCCI edits, and NCDs/LCDs.
• Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding regulations, and payer policies.
• Excellent analytical, problem-solving, and communication skills.
• Ability to work independently while collaborating with cross-functional teams.

Responsibilities

• Review, analyze, and resolve coding-related professional and hospital billing denials using CPT, HCPCS, ICD-10-CM, and modifier guidelines.
• Identify denial trends, root causes, and opportunities for coder, clinician, and departmental education to prevent future denials.
• Collaborate with prior authorization, revenue integrity, billing, and insurance follow-up teams to support denial mitigation strategies.
• Serve as a coding resource by interpreting coding regulations, payer policies, and industry updates while supporting Revenue Cycle leadership and coding staff.
• Maintain expertise in coding guidelines, regulatory changes, and best practices through continuing education and professional certification requirements.

Skills

Healthcare coding experience

Analytical skills

Communication skills

Independent work

Education

Health Information Technician program or related education

Job description

Scheduled Weekly Hours:

20

We're not just filling positions, we're building careers. At Emplify Health, we care for our teams while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future. Join us and find out how a little empathy changes everything.

We are seeking a detail-oriented and analytical professional to join our team as a Denials Coding Specialist! If you are passionate about healthcare coding, denial prevention, and collaborating with teams to improve revenue cycle outcomes, we would love to hear from you!

What's Available:

• Hours: 20 hours/week (.5 FTE)
• Schedule: Part-time, Monday-Friday, daytime hours
• Department: Revenue Cycle
• Location: Remote (Must reside in WI, MN, or IA), first day of training will be on-site in La Crosse, WI

You'll Do:

• Review, analyze, and resolve coding-related professional and hospital billing denials using CPT, HCPCS, ICD-10-CM, and modifier guidelines.
• Identify denial trends, root causes, and opportunities for coder, clinician, and departmental education to prevent future denials.
• Collaborate with prior authorization, revenue integrity, billing, and insurance follow-up teams to support denial mitigation strategies.
• Serve as a coding resource by interpreting coding regulations, payer policies, and industry updates while supporting Revenue Cycle leadership and coding staff.
• Maintain expertise in coding guidelines, regulatory changes, and best practices through continuing education and professional certification requirements.

You'll Get:

• Starting wage of $24.36/hour + more for experience!
• Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
• Career Growth/CDC: Growth opportunities and access to Emplify Health’s Career Development Center to help you navigate your career
• Opportunity to work alongside an experienced revenue cycle team dedicated to continuous improvement and operational excellence

You'll Need:

• Completion of a Health Information Technician program, Health Information Administrator program, equivalent allied health education, or other post-high school training in a related field
• 3-4 years of healthcare coding experience in a multi-specialty clinic or hospital setting
• Experience with coding denials, payer rejections, Medicare National Correct Coding Initiative (NCCI) edits, and Medicare National and Local Coverage Determinations (NCDs/LCDs)
• Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding regulations, and payer policies
• Excellent analytical, problem-solving, and communication skills
• Ability to work independently while collaborating effectively with cross-functional teams

Required Certifications:

• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Certified Coding Specialist (CCS)
• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)

Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan’s Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities.

We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future.

Equal Opportunity Employer