Coding Appeals Specialist – Hospital Billing

TriHealth•Cincinnati, OH

1d•Onsite

About The Position

Join TriHealth as a Coding Appeals Specialist – Hospital Billing! TriHealth offers Coding Denials Specialists the opportunity to make a meaningful impact by protecting revenue, reducing financial loss, and ensuring accurate, compliant coding practices across the organization. In this role, you’ll apply your expertise in ICD‑9, ICD‑10, DRG, CPT, CDI, and hospital billing to resolve complex denials, collaborate with payers, and craft effective appeals that support maximum reimbursement. You’ll serve as a trusted resource to billing teams and internal partners, helping them navigate coding issues, interpret regulations, and maintain standardized, high‑quality coding and billing procedures. As one of Cincinnati’s most respected healthcare employers, TriHealth provides a supportive, collaborative environment where your technical knowledge and problem‑solving skills are valued. You’ll work closely with multiple departments, stay current on evolving coding guidelines, and contribute to a culture committed to accuracy, compliance, and service excellence. TriHealth invests in its people - offering stability, professional growth, and the chance to build a rewarding career while advancing the organization’s mission of delivering exceptional care. Apply today and grow your career with a team that truly values you.

Requirements

Associate's Degree in Coding
RHIT (Associates) (Required)
3 - 4 years experience in related field (Required)
Billing/Payer knowledge of hospital billing
Must be familiar and experienced with CDI.
ICD-9, ICD-10, DRG CPT Coding guidelines
Medical terminology
Physiology
Other Insurance\Certified Pension<h4>CPC (Certified Pension Consultant)</h4>Upon Hire Required
Other CCS-Certified Coding SpecialistUpon Hire Required
Other CMC - Cardiac Medicine-Subspecialty CertificationUpon Hire Required
Other CCA - Certified Coding AssociateUpon Hire Required

Responsibilities

Assists with billing/coding questions from both internal and external customers which include, following up on denials, review of charts and coding issues.
Backs up for team members within Payroll and all other special assignments from Payroll Director.
Ensures understanding and compliance with coding protocols, rules and regulations from government agencies, insurance carriers, and other resources.
Maintains a close working relationship with all departments and consolidates efforts to ensure appropriate and standardized coding/billing procedures are followed.
Maintains knowledge of current coding revisions.
Resolves coding issues that arise within the patient accounting departments and provides coding support.
Works directly with the billing teams to ensure denials for coding are appealed and followed up on appropriately, and in a timely manner.