Medical Coding Denials & Appeals Specialist

Dignity Health; Phoenix (AZ); On-site; USD 69,715,000 - 103,671,000; Full time

Job summary

Dignity Health is seeking a Coding Analyst Denials Appeals to review medical records, correct codes, and submit corrected claims for reimbursement. You will work across specialties to ensure accurate coding and timely denials appeals while staying compliant with payer policies and regulations.

The role emphasizes accuracy, attention to detail, and knowledge of coding standards within a healthcare setting, with opportunities to impact reimbursement outcomes and workflows.

Qualifications

• High School Graduate.
• Three years of medical coding and/or billing experience for physician offices.
• Ability to read and comprehend an EOB.
• Proficient in ICD-10-CM, CPT, HCPCS and modifiers.
• Research CPT/ICD-10 codes to bill appropriately.
• Understanding of payer reimbursement policies and regulatory rules.

Responsibilities

• Review records for coding errors and correct diagnostic and procedural codes in billing system.
• Submit corrected claims, reconsiderations and appeals to payers.
• Identify payer and system trends and communicate to management.
• Maintain knowledge of billing regulations and communicate with team.

Skills

Medical coding

ICD-10-CM

CPT/HCPCS

Modifiers

EOB interpretation

Google Workspace

Education

Associates degree

Tools

Google Workspace

Job description

Dignity Health is seeking a Coding Analyst Denials Appeals to review medical records, correct codes, and submit corrected claims for reimbursement. You will work across specialties to ensure accurate coding and timely denials appeals while staying compliant with payer policies and regulations.

The role emphasizes accuracy, attention to detail, and knowledge of coding standards within a healthcare setting, with opportunities to impact reimbursement outcomes and workflows.