Revenue Recovery Coder: Denials and Appeals

CommonSpirit Health; Omaha (NE); On-site; USD 28,000 - 39,000; Full time

Job summary

CommonSpirit Health is seeking a Denials Coder to strengthen our revenue cycle by researching denials, reviewing medical records, and submitting well-supported appeals to commercial and government payers. You will use ICD-10 and CPT knowledge to compare documentation with billed services, adjust codes, and manage active work queues while collaborating with providers and payer representatives.

The role requires at least one year of coding experience and a strong foundation in medical

Qualifications

• At least 1 year of medical coding experience.
• Strong knowledge of ICD-10 and CPT coding.
• Understanding of medical terminology and reimbursement methodologies.
• Ability to review records and submit well-supported appeals.
• Detail-oriented with a focus on compliance and accuracy.

Responsibilities

• Address and resolve outstanding insurance denials and balances.
• Research denial reasons, review medical records, and submit appeals.
• Manage active work queues and collaborate with providers.
• Resubmit claims electronically and identify denial trends for staff training.
• Ensure compliant and efficient billing processes.

Skills

ICD-10 coding

CPT coding

Attention to detail

Communication skills

Prioritization under pressure

Education

High School Diploma

Associate degree in related field

Medical terminology & anatomy courses

Tools

Automated coding & billing systems

Job description

CommonSpirit Health is seeking a Denials Coder to strengthen our revenue cycle by researching denials, reviewing medical records, and submitting well-supported appeals to commercial and government payers. You will use ICD-10 and CPT knowledge to compare documentation with billed services, adjust codes, and manage active work queues while collaborating with providers and payer representatives.

The role requires at least one year of coding experience and a strong foundation in medical