Remote Part-Time Denials Coding Specialist

Gundersen Health System; Wisconsin; Hybrid; USD 33,000 - 39,000; Part time

Benefits offered by this job

401(k) with matching

Paid time off

Health insurance

Wellness programs

Tuition reimbursement

Career Development Center

Job summary

Gundersen Health System seeks a Denials Coding Specialist to join a remote, part-time Revenue Cycle team. You will review denials, apply CPT/HCPCS/ICD-10-CM guidelines, and partner with prior authorization and billing teams to reduce denials.

Candidates should have 3-4 years of healthcare coding experience, CPC/COC/CCS/RHIT/RHIA certifications, and strong analytical and communication skills. On-site training begins in La Crosse, WI. Remote work available for WI/MN/IA residents.

Qualifications

• Completion of a Health Information Technician program, Health Information Administrator program, equivalent allied health education, or other post-high school training in a related field
• 3-4 years of healthcare coding experience in a multi-specialty clinic or hospital setting
• Experience with coding denials, payer rejections, Medicare NCCI edits, and Medicare NCDs/LCDs
• Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding regulations, and payer policies
• Excellent analytical, problem-solving, and communication skills
• Ability to work independently while collaborating effectively with cross-functional teams

Responsibilities

• Review, analyze, and resolve coding-related professional and hospital billing denials using CPT, HCPCS, ICD-10-CM, and modifier guidelines
• Identify denial trends, root causes, and opportunities for coder, clinician, and departmental education to prevent future denials
• Collaborate with prior authorization, revenue integrity, billing, and insurance follow-up teams to support denial mitigation strategies
• Serve as a coding resource by interpreting coding regulations, payer policies, and industry updates while supporting Revenue Cycle leadership and coding staff
• Maintain expertise in coding guidelines, regulatory changes, and best practices through continuing education and professional certification requirements

Skills

Healthcare coding

Analytical

Communication

Education

Health Information Technician program / RHIT / RHIA

Tools

CPT

HCPCS

ICD-10-CM

NCCI edits

NCDs/LCDs

Job description

Gundersen Health System seeks a Denials Coding Specialist to join a remote, part-time Revenue Cycle team. You will review denials, apply CPT/HCPCS/ICD-10-CM guidelines, and partner with prior authorization and billing teams to reduce denials.

Candidates should have 3-4 years of healthcare coding experience, CPC/COC/CCS/RHIT/RHIA certifications, and strong analytical and communication skills. On-site training begins in La Crosse, WI. Remote work available for WI/MN/IA residents.