Denials Coder

Where You’ll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Job Summary and Responsibilities

As our Denials Coder, you will be a vital member of our revenue cycle management team, responsible for corresponding with commercial and government health insurance payers. Your expertise will be crucial in addressing and resolving outstanding insurance balances related to coding denials, ensuring compliance with established standards and requirements. You'll play a key role in protecting our financial health and contributing to our mission of providing compassionate care by ensuring accurate reimbursement.

Every day you will conduct thorough follow-up processes, including reviewing medical records, contacting providers, and communicating with payers by phone, online, fax, and written correspondence. You'll efficiently manage work queues, research denial reasons, and resolve issues by crafting well-written appeals. Your proactive troubleshooting and analytical skills will be essential in analyzing denials and reimbursement methodologies to achieve timely resolution and minimize revenue impact within our healthcare billing department.

To be successful in this denials management specialist role, you will need a strong understanding and interpretive ability of Explanation of Benefits (EOBs) and remittance advices, ensuring correct payments are received. Your ability to communicate effectively with payers and team members, both orally and in writing, is paramount. We're seeking candidates with medical coding experience (1+ years preferred), a solid grasp of ICD-10 and CPT coding, and a commitment to accurately documenting all actions in the billing system, all while adhering to our values of integrity and excellence in this non-clinical healthcare finance career.

Job Requirements

Preferred

• High School Graduate General Studies and 1+ years coding experience, upon hire or
• Associates Other in related field and Insurance follow up experience, upon hire and
• Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology., upon hire and
• Completion of ICD-10 or CPT coding course., upon hire
• Certified Professional Coder, upon hire or
• Registered Health Information Administrator, upon hire or