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Denials Coder

CommonSpirit Health

As a Denials Coder, you will be a key member of the revenue cycle management team, responsible for working with commercial and government health insurance payers to resolve outstanding insurance balances related to coding denials.

You will review medical records, contact providers, and communicate with payers by phone, online, fax, and written correspondence. The role includes managing work queues, researching denial reasons, and preparing appeals to support timely resolution and minimize revenue impact.

You will also analyze denials and reimbursement methodologies, document all actions in the billing system, and help ensure accurate reimbursement in a healthcare finance setting.

Requirements & Qualifications

Preferred Qualifications

  • High school diploma or GED with 1+ years of coding experience
  • Associate degree in a related field with insurance follow-up experience
  • Completion of college-level courses in medical terminology, anatomy and physiology, disease processes, and pharmacology
  • Completion of an ICD-10 or CPT coding course
  • Strong understanding of Explanation of Benefits (EOBs) and remittance advices
  • Knowledge of ICD-10 and CPT coding
  • Effective oral and written communication skills

Location

Omaha, Nebraska, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

No

Posted

2 weeks ago

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