Coding Denial And Resolution Specialist (ft- 1.0 Fte, Day Shift, Remote)
Bozeman Health
Remote
Fully remote
Icd-10, cpt, hcpcs knowledge
Advanced excel, word, powerpoint
Medical record review
Responsible for reviewing and resolving post-billed coding-related denials and rejections for hospital and medical group claims to support accurate reimbursement and denial prevention
Job Summary
Responsible for reviewing and resolving post-billed coding-related denials and rejections for hospital and medical group claims to support accurate reimbursement and denial prevention.
Applies expertise in ICD-10, CPT, and HCPCS to validate denial rationale, determine root cause, and recommend corrective actions.
Collaborates with coding, billing, clinical, compliance, and information systems partners to reduce avoidable denials and provide education on coding best practices.
Matching Summary
Responsible for reviewing and resolving post-billed coding-related denials and rejections for hospital and medical group claims to support accurate reimbursement and denial prevention.
Skills & Requirements
Must-have
ICD-10, CPT, HCPCS knowledge
Advanced Excel, Word, PowerPoint
Medical record review
Payer appeals and reconsiderations
Denial trend analysis
Nice-to-have
Interpersonal communication skills
Professional demeanor
Tact and discretion
Problem-solving in stressful environments
Key Requirements
Associate’s Degree or equivalent experience
Current coding certification (CCA, CPC, CCS, CCS-P, CPMA, RHIA, or RHIT)
Three (3) years’ experience in advanced hospital and professional coding
Proficiency with Microsoft Office applications
Work Rights
Must reside in approved remote states or relocate to Montana