CHI Health Clinic

The Denials Coder is responsible for researching and resolving complex insurance coding denials to minimize revenue leakage. They will collaborate with providers to rectify claim errors and submit supported appeals to commercial and government payers.

Assist patients with understanding insurance benefits, payment responsibilities, and available financial assistance programs. Coordinate with clinical staff to manage pre-authorizations and provide accurate cost estimates before treatment.

Oversee daily coding operations to ensure accuracy and timeliness in the assignment of medical codes. Supervise and train a team of coders while coordinating with physicians and stakeholders to optimize charge capture and compliance.

Accurately abstract and code patient records using ICD-9-CM and CPT-4 guidelines to ensure financial health and operational integrity. Collaborate with staff to optimize revenue cycle management and resolve discrepancies in coded charges.