Job Summary
A company is looking for a Medical Appeals and Coding Specialist to join their Accounts Receivable Resolution team.
Key Responsibilities
- Resolve insurance claim denials through coding, contract, and medical record reviews
- Analyze denial trends and patterns to proactively address recurring issues
- Serve as an escalation point for unresolved denial issues and assist in training new employees
Required Qualifications
- 3-5 years of experience with denials, appeals, and insurance collections
- Bachelor's degree in a related field is strongly preferred
- Experience with coding denials and ICD-10 and CPT coding assessment skills
- CPC certification is highly preferred
- Intermediate PC software experience required