Denial Management Coder

We are seeking a detail-oriented and experienced Certified Coder with 2-3 years of expertise in denial management, particularly within multi-specialty coding environments. The ideal candidate will have a strong understanding of Revenue Cycle Management (RCM) terminology, including Explanation of Benefits (EOB), Claim Overpayment (CO), and Accounts Receivable (AR) comments. Excellent verbal and written communication skills are essential to effectively analyze and resolve denied claims while collaborating with various teams.

Key Responsibilities

- Conduct thorough coding reviews across multiple specialties to ensure accuracy and compliance.
- Analyze denied claims to identify root causes and implement appropriate resolution strategies.
- Document denial trends systematically and assist in generating detailed reports to support continuous improvement efforts.

Required Qualifications

- Certified coder with recognized credentials in medical coding.
- 2-3 years of hands-on experience in denial management, specifically working with multi-specialty coding denials.
- Familiarity with RCM terminology such as EOB, CO, and AR comments.
- Strong verbal and written communication skills to effectively interact with internal teams and external stakeholders.

This role is part of the Medical Coding team within the Revenue Healthcare (RevHC) legal entity, supporting the Onegi customer and cost center. The position offers an opportunity to contribute to the optimization of revenue cycle processes through expert denial management and coding review.