Remote Inpatient Coding Denials Specialist

HCA Healthcare, Inc.; Nashville (TN); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) plan with match

Education support

Employee stock purchase plan

Tuition assistance

Job summary

HCA Healthcare is seeking an Inpatient Coding Denials Specialist to join our Work from Home team. You will act as a high‑level coding expert who investigates payer denials, supports accurate DRG assignment, and writes concise appeals to secure timely reimbursement for multiple facilities.

This role requires extensive ICD-10-CM/PCS knowledge, adherence to regulations, and the ability to identify root causes of denials while maintaining productivity and accuracy standards.

Qualifications

• Minimum 3 years of acute care hospital inpatient coding experience; 5 years preferred.
• RHIA, RHIT or CCS certification preferred.
• Undergraduate HIM/HIT degree preferred.

Responsibilities

• Analyze documentation to support codes/DRGs and abstract data for inpatient records using ICD-10-CM/PCS.
• Assign principal and secondary diagnosis codes and procedure codes; determine discharge disposition.
• Identify and write clear appeal letters using regulations and guidelines to defend billed claims.
• Identify root causes of denials using resources like EOBs, payer letters and CMS guidelines; escalate as needed.
• Maintain productivity and accuracy standards; may perform CIS-III or CARS-III duties as assigned.

Skills

Inpatient coding

Payer denial experience

Root cause analysis

Education

High School diploma or GED

HIM/HIT degree preferred

Job description

HCA Healthcare is seeking an Inpatient Coding Denials Specialist to join our Work from Home team. You will act as a high‑level coding expert who investigates payer denials, supports accurate DRG assignment, and writes concise appeals to secure timely reimbursement for multiple facilities.

This role requires extensive ICD-10-CM/PCS knowledge, adherence to regulations, and the ability to identify root causes of denials while maintaining productivity and accuracy standards.