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.

• Collaborate closely with insurance carriers to resolve outstanding claims.

• Conduct daily reviews and appeals of unpaid claims.

• Carry out follow-up tasks on appealed claims.

• Engage with insurance carriers regarding appeal-related issues.

• Offer insights to the coding department regarding coding errors or necessary updates.

• Verify remittances to ensure accurate payments have been received.

• Analyze denials for correctness.

• Gather all required information to facilitate a swift appeal process.

• Finalize and print the daily batch proof.

• Make necessary charge adjustments within the practice management system.

⛳️ Requirements

• A High School diploma or GED is mandatory.

• Certification as a Professional Coder (CPC) through AAPC is required.

• CCA, CCS, or CCS-P certification through AHIMA is essential.

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

• Previous experience in dealing with medical insurance is necessary.

🏝️ Benefits

• Opportunities for continuing education programs in coding.