Certified Appeals Coder

This is a fully remote position, open to applicants in Kentucky.

📋 Description

• Oversee the appeals process for unpaid claims within the Central Business Office.

• Conduct daily reviews and appeals of unpaid claims.

• Execute follow-up tasks on claims that have been appealed.

• Collaborate with insurance carriers to address issues related to appeals.

• Deliver feedback concerning coding errors and updates to the coding department.

• Analyze remittances to confirm that accurate payments have been received.

• Assess denials for correctness.

• Collect necessary information to streamline the appeal process.

• Finalize and print daily batch proofs.

• Make necessary charge adjustments in the practice management system.

• Participate in continuing education programs related to coding.

• Fulfill additional responsibilities as assigned.

⛳️ Requirements

• High School diploma or GED is required.

• Must possess and maintain a Certified Professional Coder (CPC) certification from AAPC, or a CCA, CCS, or CCS-P certification from AHIMA.

• A minimum of 3 years of coding experience is preferred.

• Previous experience with medical insurance is required.

• Must be able to work from home in Kentucky (KY 40601).

• Must maintain the required coding certification.

🏝️ Benefits

• Full-time employment opportunity.

• First shift hours: 8:00 AM to 4:30 PM.

• Work-from-home flexibility.