Denials Coding Specialist (Part-time)

Gundersen Health System•Winnipeg, MN

6d•Remote

About The Position

We are seeking a detail-oriented and analytical professional to join our team as a Denials Coding Specialist! If you are passionate about healthcare coding, denial prevention, and collaborating with teams to improve revenue cycle outcomes, we would love to hear from you! Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan's Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values — belonging, respect, excellence, accountability, teamwork and humility — our pillars set our foundation and our future.

Requirements

Completion of a Health Information Technician program, Health Information Administrator program, equivalent allied health education, or other post-high school training in a related field
3-4 years of healthcare coding experience in a multi-specialty clinic or hospital setting
Experience with coding denials, payer rejections, Medicare National Correct Coding Initiative (NCCI) edits, and Medicare National and Local Coverage Determinations (NCDs/LCDs)
Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding regulations, and payer policies
Excellent analytical, problem-solving, and communication skills
Ability to work independently while collaborating effectively with cross-functional teams
Certified Professional Coder (CPC)
Certified Outpatient Coder (COC)
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)

Responsibilities

Review, analyze, and resolve coding-related professional and hospital billing denials using CPT, HCPCS, ICD-10-CM, and modifier guidelines.
Identify denial trends, root causes, and opportunities for coder, clinician, and departmental education to prevent future denials.
Collaborate with prior authorization, revenue integrity, billing, and insurance follow-up teams to support denial mitigation strategies.
Serve as a coding resource by interpreting coding regulations, payer policies, and industry updates while supporting Revenue Cycle leadership and coding staff.
Maintain expertise in coding guidelines, regulatory changes, and best practices through continuing education and professional certification requirements.