Denials Coder

CHI Health Clinic • Omaha, NE

4d • $20 - $28

About The Position

As our Denials Coder, you will be a vital member of our revenue cycle management team, responsible for corresponding with commercial and government health insurance payers. Your expertise will be crucial in addressing and resolving outstanding insurance balances related to coding denials, ensuring compliance with established standards and requirements. You'll play a key role in protecting our financial health and contributing to our mission of providing compassionate care by ensuring accurate reimbursement.
Every day you will conduct thorough follow-up processes, including reviewing medical records, contacting providers, and communicating with payers by phone, online, fax, and written correspondence. You'll efficiently manage work queues, research denial reasons, and resolve issues by crafting well-written appeals. Your proactive troubleshooting and analytical skills will be essential in analyzing denials and reimbursement methodologies to achieve timely resolution and minimize revenue impact within our healthcare billing department.
To be successful in this denials management specialist role, you will need a strong understanding and interpretive ability of Explanation of Benefits (EOBs) and remittance advices, ensuring correct payments are received. Your ability to communicate effectively with payers and team members, both orally and in writing, is paramount. We're seeking candidates with medical coding experience (1+ years preferred), a solid grasp of ICD-10 and CPT coding, and a commitment to accurately documenting all actions in the billing system, all while adhering to our values of integrity and excellence in this non-clinical healthcare finance career.

Requirements

• Medical coding experience (1+ years preferred)
• Solid grasp of ICD-10 and CPT coding
• Ability to communicate effectively with payers and team members, both orally and in writing
• Strong understanding and interpretive ability of Explanation of Benefits (EOBs) and remittance advices
• Commitment to accurately documenting all actions in the billing system

Nice To Haves

• High School Graduate General Studies and 1+ years coding experience, upon hire
• Associates Other in related field and Insurance follow up experience, upon hire
• Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology., upon hire
• Completion of ICD-10 or CPT coding course., upon hire
• Certified Professional Coder, upon hire
• Registered Health Information Administrator, upon hire

Responsibilities

• Conduct thorough follow-up processes, including reviewing medical records, contacting providers, and communicating with payers by phone, online, fax, and written correspondence.
• Manage work queues, research denial reasons, and resolve issues by crafting well-written appeals.
• Analyze denials and reimbursement methodologies to achieve timely resolution and minimize revenue impact.
• Interpret Explanation of Benefits (EOBs) and remittance advices to ensure correct payments are received.
• Communicate effectively with payers and team members, both orally and in writing.
• Accurately document all actions in the billing system.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED