Denials Coder/Insurance Specialists

Hiring Now: Denials Coder and Insurance Specialists/Trainer

Open Positions:

1. Denials Coder

Responsibilities

• Denial Management & Coding

  • Analyze and resolve complex claim denials resulting from coding errors (CCI edits, medical necessity, bundling issues, and modifier usage)

  • Review medical records and hard code accurately from documentation to support appeals, ensuring the highest level of specificity for ICD-10-CM, CPT, and HCPCS levels

  • Draft and submit comprehensive appeal letters to payers, citing appropriate coding guidelines (AMA, CMS) to overturn denials

  • Identify trends in coding denials and provide feedback to the billing team or providers to prevent future rejections

• Billing & Revenue Cycle Support

  • Utilize medical billing experience to understand the full lif...