Remote Denials Integrity Specialist - PB Coding Expert

Atrium Health; United States; Remote; USD 69,000 - 103,000; Full time

Job summary

Atrium Health seeks an experienced professional to analyze and resolve denials in professional coding and revenue cycle workflows. You will evaluate CPT, HCPCS, ICD-10-CM coding patterns and work with billing, coding, and payer teams to correct and resubmit denied claims.

Responsibilities include chart reviews, researching payer guidelines, and supporting appeals to ensure compliant coding and maximum reimbursement.

Qualifications

• Associate degree or equivalent education and experience required.
• AHIMA or AAPC certification with relevant experience required.

Responsibilities

• Analyze and resolve coding-related PB denials using CPT, HCPCS, ICD-10-CM, and modifiers.
• Identify root causes, patterns, and trends in denial codes.
• Collaborate with billing, coding, and payer teams to correct and resubmit denied claims.
• Conduct chart reviews to validate documentation against billed services.
• Prepare and support appeals by researching payer guidelines and coverage policies.
• Ensure accurate, compliant coding and sequencing per official guidelines.

Skills

Denials analysis

Coding accuracy

Revenue integrity

Data trends

Interdepartmental collaboration

Education

Associate degree or higher

Tools

Microsoft Office

EHR systems

Video conferencing

Job description

Atrium Health seeks an experienced professional to analyze and resolve denials in professional coding and revenue cycle workflows. You will evaluate CPT, HCPCS, ICD-10-CM coding patterns and work with billing, coding, and payer teams to correct and resubmit denied claims.

Responsibilities include chart reviews, researching payer guidelines, and supporting appeals to ensure compliant coding and maximum reimbursement.