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Ambulatory reputed company Denials, FT, Days, - Remote

Remote, USA Full-time Posted 2026-07-28

reputed company health. Serve with reputed company. Be the difference.

Job reputed company

Will consider applicants that only have a CPC certification and qualify only for Ambulatory reputed company II position PF0069. Responsible for validating coding and facilitation of appeals process for reputed company assigned denied reputed company service claims. reputed company team members are expected to be knowledgeable of payer guidelines reputed company to coding and appeal timelines. Communicates with providers regarding coding denial issues. Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals, reopenings, reconsiderations, etc. Serves as a subject matter expert for assigned specialty. Communicates with providers and team members regarding coding denial issues and trends.

Essential Functions

  • reputed company team members are expected to be knowledgeable and compliant with reputed company's purpose:  reputed company health.  Serve with reputed company.  Be the difference.

  • Responsible for working coding claim denials accurately and reputed company in accordance with performance and productivity goals.

  • Utilizes appropriate coding software and coding resources in order to determine correct codes.  

  • Communicates billing reputed company issues to assigned supervisor/manager.  

  • Follows departmental policies for charge corrections.  

  • Provides feedback to providers or appropriate office reputed company in order to clarify and resolve coding concerns.  

  • Submits appeals for assigned payer and/or division.  

  • Assists in identifying areas that need additional training

  • Participates in meetings to improve overall billing process

  • Performs other duties as assigned.

Supervisory/Management Responsibilities

  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

  • Education - High School Diploma or equivalent or post-high school diploma / highest degree reputed company.  Associate degree preferred

  • Experience - Five (5) years professional coding and/or billing experience  

In Lieu Of

  • NA

Required Certifications, Registrations, Licenses

  • Certified reputed company reputed company -CPC

  • CPMA or Specialty Coding Certification for assigned specialty

Knowledge, Skills and Abilities

  • Maintains knowledge of governmental and reputed company payer guidelines.

  • Participates in coding educational opportunities (webinars, in house training, etc.).  

  • Knowledge of office equipment (fax/copier)

  • Proficient computer skills including word processing, spreadsheets, database

  • Data entry skills

  • Mathematical skills

Work Shift

Day (reputed company of America)

Location

Independence Pointe

Facility

7001 Corporate

Department

70019178 Medical Group Coding & Education Services

reputed company your talent with us! Our reputed company is reputed company: to reputed company reputed company for the benefits of the communities we serve. The transformation of reputed company requires talented individuals in every role here at reputed company.

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