Medical Coding Specialist – Denials & Clean Claims

Innovaccer Analytics; Oregon; Hybrid; USD 70,000 - 92,000; Full time

Benefits offered by this job

20 days PTO

Parental leave

Recognition program

Medical insurance

Job summary

Innovaccer Inc. is seeking a Coding Specialist to independently review and resolve front-end coding holds and denied claims, ensuring timely payments and adherence to coding guidelines and payer requirements. You will work with revenue cycle partners to reduce rejections and improve clean claim rates.

Candidate must have a current AAPC or AHIMA certification and at least 3 years of professional coding experience, with strong CPT/ICD-10-CM knowledge and familiarity with HIPAA privacy standards.

Qualifications

• Must hold a current AAPC or AHIMA coding certification for at least 3 years.
• Minimum of 3+ years of professional coding experience.
• Strong CPT and ICD-10-CM knowledge with modifiers.
• Experience reviewing front-end coding errors and denials.
• Ability to maintain HIPAA compliance and confidentiality.

Responsibilities

• Review and resolve front-end holds and denied claims.
• Resubmit corrected claims and prepare appeal letters.
• Assign ICD-10-CM and CPT codes with modifiers.
• Ensure coding accuracy meets guidelines and payor requirements.
• Collaborate with revenue cycle partners to improve clean claim rates.

Skills

CPT coding

ICD-10-CM coding

Medicare guidelines

HIPAA compliance

Documentation review

Communication skills

Microsoft Office

Education

AAPC or AHIMA certification

Tools

EHR systems

Job description

Innovaccer Inc. is seeking a Coding Specialist to independently review and resolve front-end coding holds and denied claims, ensuring timely payments and adherence to coding guidelines and payer requirements. You will work with revenue cycle partners to reduce rejections and improve clean claim rates.

Candidate must have a current AAPC or AHIMA certification and at least 3 years of professional coding experience, with strong CPT/ICD-10-CM knowledge and familiarity with HIPAA privacy standards.