Medical Coding Specialist: Denials & Clean Claims Expert

Innovaccer Inc.; United States; Remote; USD 52,000 - 75,000; Full time

Benefits offered by this job

20 days paid time off

Best-in-Class parental leave

Recognition & rewards

Insurance coverage

Job summary

Innovaccer Inc. is hiring a Medical Coding Specialist to independently review and resolve front-end holds and denied claims, ensuring accurate coding and timely payments.

You will apply CPT/ICD-10-CM guidelines, payer policies, and HIPAA standards while collaborating with revenue cycle partners to reduce rejections. The role requires 3+ years of professional coding experience, AAPC/AHIMA certification, and strong attention to detail.

Qualifications

• Current AAPC or AHIMA coding certification for a minimum of 3 years.
• Minimum of 3+ years of professional coding experience.
• Strong CPT, ICD-10-CM knowledge and medical terminology.
• Experience reviewing front-end coding errors and insurance denials.
• Familiar with insurance guidelines and EOBs.
• Excellent written and verbal communication; professional documentation.
• Ability to research, analyze data, and resolve coding issues.
• Understand policies, procedures, laws and HIPAA compliance.

Responsibilities

• Review and resolve all front-end holds/denials to ensure timely payment.
• Submit corrected claims and appeal denied claims with supporting docs.
• Assign ICD-10-CM and CPT codes with appropriate modifiers.
• Review medical records to determine accurate codes for services.
• Ensure diagnosis codes meet medical necessity guidelines.
• Utilize coding resources and payer guidelines to stay compliant.
• Maintain HIPAA privacy and confidentiality; keep up with CEUs.
• Escalate trends and questions to Coding Manager; participate in meetings.

Skills

Attention to detail

Independent judgment

Communication skills

Analytical reasoning

Research & data analysis

HIPAA compliance awareness

Microsoft Office proficiency

Education

AAPC or AHIMA Coding Certification

Tools

Microsoft Office Suite

Job description

Innovaccer Inc. is hiring a Medical Coding Specialist to independently review and resolve front-end holds and denied claims, ensuring accurate coding and timely payments.

You will apply CPT/ICD-10-CM guidelines, payer policies, and HIPAA standards while collaborating with revenue cycle partners to reduce rejections. The role requires 3+ years of professional coding experience, AAPC/AHIMA certification, and strong attention to detail.