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Inpatient Coding Denials Specialist
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Job Description
- Req#: R25_001725
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $43.00 per hour
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on healthcare clients through accurate coding and billing processes
- Work with a family-owned business dedicated to quality-driven customer service
What to Expect (Job Responsibilities):
- Review inpatient documentation to support accurate ICD-10-CM and ICD-10-PCS coding and DRG assignment
- Write and submit clear, evidence-based appeal letters using medical records, coding guidelines, and payer policies
- Investigate payer denials by reviewing remittance advice, denial letters, and regulatory guidance
- Escalate problem accounts and report denial trends for process improvements
- Stay current on coding guidelines, regulatory updates, and company policies
What is Required (Qualifications):
- Certifications: CCS, RHIT, or RHIA
- Minimum 3 years of acute care inpatient hospital coding experience
- Experience with DRG assignment and inpatient coding guidelines
- Strong knowledge of inpatient coding guidelines and payer regulations
- Excellent written and verbal communication skills
How to Stand Out (Preferred Qualifications):
- 5+ years of acute care inpatient hospital coding experience
- Prior DRG appeal or payer denial resolution experience
- Expert-level understanding of ICD-10-CM, ICD-10-PCS, MS-DRGs, APR-DRGs
- Proficiency in Microsoft Office and EMR/coding systems
- Associate's or Bachelor's degree in Health Information Management or Health Information Technology
#HealthcareServices #MedicalCoding #CareerOpportunity #CompetitivePay #QualityService
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