Certified Appeals Coder, Remote, 8:00a-4:30p

UofL HealthWork From Home - KY - ULP - AMG, KY
Remote

About The Position

This position is responsible for managing the appeal of unpaid claims in the Central Business Office. This position will also work closely with insurance carriers in resolving unpaid claims. UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.

Requirements

  • High School education or GED required.
  • Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
  • 3 years of prior coding experience, preferred.
  • Prior experience working with medical insurance.

Responsibilities

  • Review and appeal unpaid claims daily.
  • Completes follow-up work on appealed claims.
  • Works with insurance carriers on appeal issues.
  • Provides feedback to the coding department with coding errors or updates.
  • Reviews remit to ensure accurate payment was received.
  • Reviews denials for accuracy.
  • Obtains all necessary information to expedite the appeal process.
  • Closes and prints daily batch proof.
  • Makes charge corrections as needed in the practice management system.
  • Attends continue education programs for coding.
  • Other duties as assigned.
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