Description:
Job Title: Denial Coder
Job Summary: We are looking for a meticulous Denial Coder to join our team. This role
involves analyzing and coding denied claims, identifying reasons for denials, and
collaborating with billing and clinical teams to resolve issues. The ideal candidate will have
strong coding knowledge and experience in navigating claims denial processes.
Key Responsibilities:
• Review and analyze denied claims to determine coding errors or discrepancies.
• Accurately assign CPT, HCPCS, and ICD-10 codes to resolve claims denials.
• Collaborate with billing and clinical staff to gather necessary documentation for
appeal processes.
• Stay updated on coding guidelines and payer regulations affecting claims.
• Document findings and maintain records of denied claims and resolutions.
• Participate in audits to identify trends in denials and recommend process
improvements.
Qualifications:
• Bachelor’s degree in health information management or related field preferred.
• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist
(CCS), or similar preferred.
• Minimum 5 years of experience in medical coding and claims denial management.
• Strong knowledge of medical terminology, coding guidelines, and insurance
processes.
• Excellent analytical skills and attention to detail.
• Strong communication skills, both verbal and written.