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Certified Coding Specialist

workfromhome • Posted 4 days ago
Remote Full Time Healthcare Practitioners and Technical Occupations

Reviewing documentation and coding guidelines, the full-time remote Multispecialty Denials Specialist will research claim denials, submit appeals, and manage claims correspondence to ensure timely payment for services rendered. Key responsibilities Research payer denials related to various factors, including medical necessity and billing issues Submit detailed, customized appeals to payers based on medical record reviews and compliance with guidelines Demonstrate knowledge of insurance billing procedures to identify root causes of claim issues and propose resolutions Required qualifications Proficiency with MS Office Suite and Athena software 2 years of profee multispecialty and E/M coding experience 5+ years of experience with physician-based denials CPC and/or CCS, CCS-P, or RHIT certification from AAPC or AHIMA Knowledge of medical terminology and appeals processes

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