Cook Children's Health Care System is seeking a Certified Professional Coding Denial Specialist for a fully remote position. The role involves resolving complex coding denials and requires extensive coding experience and knowledge of medical coding standards
Job Summary
The Certified Professional Coding Denial Specialist is responsible for reviewing and determining the root cause of complex coding denials for all providers employed by Cook Children’s Physicians Network.
The specialist will analyze and perform appropriate actions for timely completion of special projects, utilizing their deep understanding of coding and classification software and the electronic health record (EHR) system.
Cook Children's is an equal opportunity employer offering equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class.
Matching Summary
Match Score: 85
Cook Children's Health Care System is seeking a Certified Professional Coding Denial Specialist for a fully remote position. The role involves resolving complex coding denials and requires extensive coding experience and knowledge of medical coding standards.
Skills & Requirements
Must-have
Complex coding denials resolution
Coding-related claims edits
Payer communication and appeals
Use of CMS, AMA, AAPC guidelines
Electronic health record system
Microsoft Excel proficiency
Nice-to-have
Professional interpersonal skills
Effective communication skills
Timely completion of special projects
Key Requirements
High school degree or equivalent
4-5 years relevant healthcare experience
3 years dedicated coding experience
Current coding certification from AAPC or AHIMA
Working knowledge of ICD and CPT code sets
Understanding of payer clinical and reimbursement policies