Medical Coding & Denials Appeals Specialist

3M HEALTHCARE; St. Louis (MO); On-site; USD 34,853 - 52,266; Full time

Benefits offered by this job

Up to 22 days of vacation

Health insurance

Transit U-Pass

401(k) / Defined contribution

Tuition coverage at WashU

Job summary

Washington University in St.Louis seeks a skilled coder to perform advanced coding and appeals activities, investigate payer issues, and ensure timely filing of appeals to insurance companies. The role handles charge corrections and collaborates with physicians and staff to optimize documentation for accurate reimbursements.

Responsibilities include reviewing documentation, researching payer policies, and processing AR tasks in the Epic system.

Qualifications

• Education: A diploma, certification or degree is not required.
• Certifications/Professional Licenses: Must have one of the following coding credentials—AHIMA (CCA, CCS, or CCS‑P) or AAPC (CPC, CPC‑A, CPC‑H, CPC‑H‑A, or one of the AAPC specialty‑specific coding credentials).
• Work Experience: No specific work experience is required.
• Skills: None specified.
• Driver’s License: Not required.

Responsibilities

• Appeal claims denied by third‑party payers.
• Create appropriate letters and compile documentation to substantiate the validity of claims.
• Investigate and problem‑solve reimbursement issues in collaboration with other coding staff and faculty.
• Work directly with physicians and clinical staff to provide documentation feedback and develop appeals.
• Research payer policies and processes.
• Review clinical documentation to identify facts for accurate diagnoses and procedures.
• Code evaluation and management services to the CPT level; ensure ICD codes link to services.
• Handle charge corrections when necessary.
• Work Epic Work queues, CRM tasks, and review remittance advice for rejections and payment amounts.
• Perform AR functions in the Epic billing system, updating insurance information and demographics.
• Complete special projects as assigned.

Education

AHIMA CCS / CCA or AAPC CPC / CPC-A / CPC-H credentials

Associate degree in Medical Coding & Billing (preferred)

Tools

Epic

Epic Billing System

Job description

Washington University in St.Louis seeks a skilled coder to perform advanced coding and appeals activities, investigate payer issues, and ensure timely filing of appeals to insurance companies. The role handles charge corrections and collaborates with physicians and staff to optimize documentation for accurate reimbursements.

Responsibilities include reviewing documentation, researching payer policies, and processing AR tasks in the Epic system.