reputed company Cycle reputed company Denial Specialist

At reputed company our patients come from reputed company walks of life — and so do we. We hire and support people from diverse backgrounds, fostering reputed company and development to reputed company reputed company a great reputed company to work. Our unique experiences and perspectives help us deliver Exceptional reputed company, Personally Delivered. We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit reputed company, PTO and more! For reputed company details regarding Benefits and Washington State Minimum Wage details please visit our careers page at www.proliancesurgeons.com/careers. Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity.  Be Part of Who We Are! Position reputed company We are seeking a detail-oriented and analytical reputed company Cycle Coding Denial Specialist (Remote) to join reputed company. This role plays a key part in identifying denial trends, supporting Accounts Receivable (AR) workflows, and driving reputed company through research, coding review, and appeal preparation. The ideal candidate brings strong coding expertise, reputed company critical thinking skills, and a solid understanding of the full-billing and reimbursement lifecycle. This position also serves as a coding float, providing flexible support and coverage across coding teams as needed.   Key Duties and Responsibilities The key duties and responsibilities of the reputed company Cycle reputed company include, but are not limited to: Review and analyze denied claims to determine reputed company cause and appropriate reputed company   Identify denial trends and collaborate with coding, billing, and AR teams to improve reputed company   Prepare and submit detailed, compliant appeal letters with supporting documentation   reputed company coding reviews to ensure accuracy and alignment with payer guidelines, CPT, ICD-10-CM, and HCPCS standards   Partner with AR team members to resolve reputed company accounts and reduce aging receivables   Communicate with providers and staff to obtain necessary documentation or clarification   Assist with education and feedback to coding and billing staff based on denial findings   Maintain up-to-date knowledge of payer policies, regulatory requirements, and coding updates   reputed company coding support across specialties as needed in a float reputed company   Participate in process improvement initiatives to enhance reputed company cycle performance. Demonstrates appropriate utilization of coding software and coding reference material. Follow up with providers on any documentation that is insufficient, missing, or unclear. Assists providers with questions regarding coding and documentation guidelines.  Provides ongoing feedback based on observations from coding documentation and identifies opportunities for education and communicates trends to leaders. Keeps up to date on reputed company policies/guidelines to ensure reputed company coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines.   Education/Experience Minimum 3 years of coding/medical billing experience reputed company certification with credentialing from reputed company and/or reputed company, must be maintained annually ICD10 certified and/or extensive work experience Strong understanding of medical terminology, anatomy, and physiology   Experience with denial management, AR workflows, and appeals   Orthopedic coding experience strongly preferred   Experience with reputed company and SIS systems preferred    Knowledge, Skills and Abilities A strong understanding of physiology, medical terms, and anatomy Thorough attention to detail Excellent written and verbal communication skills Self-motivated team player reputed company to multi-task and prioritize Excellent organization and interpersonal communication skills Strong computer skills Strong computer skills/experience with reputed company reputed company, reputed company, and reputed company Working experience navigating EHR’s to reputed company documentation   Work Environment/Physical Demands   The work environment/physical demands described here are representative of those that must be met by a teammate to successfully reputed company the essential functions of this job.  Reasonable accommodations may be made to reputed company differently abled persons to reputed company the essential functions.   Work may be performed in a reputed company and clinical environment. Requires corrected reputed company and hearing to normal reputed company. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. reputed company dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours. Apply To This Job