Identifies, reviews, and interprets third-party payments, adjustments, and coding denials for professional services. Reviews provider documentation to determine appropriate coding and initiates corrected claims and appeals. Performs hands-on coding, documentation review, and related coding work for ICD-9 and ICD-10. Works closely with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects.
Requirements & Qualifications
Minimum Qualifications
- High school diploma or equivalent, plus additional specialized training leading to a recognized coding certificate
- Certified Professional Coder (CP) through AAPC, CPC-A through AAPC, or CCS-P through AHIMA
- 1-2 years of experience in billing, coding, or denial management in a related field
Skills and Abilities
- Ability to work independently and take initiative
- Strong judgment and problem-solving skills
- Excellent organizational skills
- Ability to collaborate effectively with staff, peers, and management
- Ability to accept feedback and take corrective action
- Ability to work with frequent interruptions and respond appropriately to unexpected situations
Location
Boston, Massachusetts, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago