Coding Denial And Resolution Specialist (ft- 1.0 Fte, Day Shift, Remote)

Bozeman Health

Remote
Remote
Resolve post-billed coding denials
Apply icd-10, cpt, hcpcs expertise
Submit and track payer appeals
Bozeman Health is seeking a remote Coding Denial and Resolution Specialist responsible for addressing post-billed coding-related denials and rejections to ensure accurate reimbursement. The ideal candidate should have an Associate’s Degree or equivalent experience, relevant coding certifications, and extensive knowledge in coding guidelines, along with strong analytical and communication skills

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 International Classification of Diseases, Tenth Revision (ICD-10), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (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

Match Score: 85

Bozeman Health is seeking a remote Coding Denial and Resolution Specialist responsible for addressing post-billed coding-related denials and rejections to ensure accurate reimbursement. The ideal candidate should have an Associate’s Degree or equivalent experience, relevant coding certifications, and extensive knowledge in coding guidelines, along with strong analytical and communication skills.

Skills & Requirements

Must-have

  • Resolve post-billed coding denials
  • Apply ICD-10, CPT, HCPCS expertise
  • Submit and track payer appeals
  • Collaborate with internal partners
  • Analyze denial trends and root causes

Nice-to-have

  • Provide education on coding best practices
  • Maintain professional demeanor
  • Exercise tact and discretion

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
  • Knowledge of ICD-10, CPT, HCPCS, modifiers, and coding guidelines
  • Proficiency with Microsoft Office (advanced Excel, Word, PowerPoint)

Work Rights

Must reside in approved states or relocate to Montana

Tailored Resume

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