Professional Billing Coding Charge & Denial Specialist
About The Position
The Professional Billing Coding Charge & Denial Outpatient Denial Specialist is responsible for coordinating and monitoring the coding specific clinical charges and denial management in a collaborative environment with Revenue Cycle and clinical partners at UHS. This position will be responsible for working assigned specialties that may include but are not limited to: primary care, general surgery, neurosurgery, neurology, orthopedics, cardiology, CV surgery, medicine, ENT, plastic surgery, and OB/GYN. The incumbent combines clinical, business, and regulatory knowledge and skill to reduce significant financial risk and exposure caused by front end claim edits and retrospective denial of payment for services provided.
Requirements
- High School Diploma
- 1 year relative medical billing or coding experience
- Ability to read and understand explanation of benefits and ANSI/remark codes.
- CPT and ICD-10 coding knowledge.
- Experience with Microsoft Office Software.
- See information above; level of education/experience is tied to certification.
Nice To Haves
- Associates Degree in HIT with RHIT or CPC, CCA, CCS-P or CCS certification.
- 3 years of medical coding/billing experience.
- See information above; level of education/experience is tied to certification.
Responsibilities
- Coordinating and monitoring the coding specific clinical charges and denial management
- Working assigned specialties that may include but are not limited to: primary care, general surgery, neurosurgery, neurology, orthopedics, cardiology, CV surgery, medicine, ENT, plastic surgery, and OB/GYN.
- Reduce significant financial risk and exposure caused by front end claim edits and retrospective denial of payment for services provided.
Benefits
- We offer medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week.
- Additional perks include discounted childcare through Bright Horizons and voluntary benefits like pet insurance, legal services, and identity theft protection.
- We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to $400/year in wellness rewards.
- When life gets tough, we’re here with 24/7 EAP counseling, virtual mental health support, a food pantry, PTO donation program, and professional attire through the Classy Closet.
- With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion leads.
- We also continuously review compensation to ensure market competitiveness and internal equity, so you can feel confident your work is valued and rewarded fairly.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
