Denial Coder
Denial Coder
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Job Description
Department: Medical Coding and Revenue Cycle Management
Reports To: Coding Supervisor
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 ICD10 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.
Employment Type
Full Time
