Job Description

Overview:
The Coder-Appeal Denial Specialist resolves patient account balances related to insurance denials, handles incoming calls regarding charges and billing, and ensures accurate medical coding (ICD10, CPT, HCPCS) based on clinical documentation.

Responsibilities:

• Manage medical billing processes including claim creation, submission, and payment posting.
• Obtain and review supporting documentation for claims.
• Monitor and resolve insurance denials and unpaid claims.
• Collaborate with various teams to address claim issues.
• Maintain compliance with coding standards and regulations.
• Continuously update knowledge of coding and reimbursement policies.

Qualifications:
Expertise in coding, proficiency in medical information systems, strong communication skills, and a solid understanding of third-party reimbursement rules are essential.

Job Tags

Similar Jobs