Job Summary
A company is looking for a Physician Coding Denials Specialist (REMOTE).
Key Responsibilities
- Review and analyze medical records and coding guidelines to formulate coding arguments for appeals and potential re-bills
- Manage and communicate denial/appeal activity to stakeholders while tracking trends related to payer denials
- Assist in the development of denial reports and provide education on coding denial-related topics
Required Qualifications
- 5 years of coding-related experience
- 1 year of experience in managing and appealing denials
- 1 year of expertise in reading and interpreting commercial payer medical policies
- Certified Coding Specialist-Professional (CCS-P)
- Certified Professional Coder (CPC)
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