Certified Appeals Coder

Posted Aug 24

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

📋 Description

• Oversee the resolution of unpaid claims within the Central Business Office.

• Collaborate closely with insurance providers to address unpaid claims.

• Conduct daily reviews and appeals of unpaid claims.

• Complete follow-up actions on claims that have been appealed.

• Engage with insurance carriers regarding issues related to appeals.

• Offer insights to the coding department regarding coding discrepancies or updates.

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

• Assess denials for correctness.

• Gather all essential information to streamline the appeal process.

• Finalize and print daily batch proofs.

• Make necessary charge corrections in the practice management system.

• Participate in continuing education programs related to coding.

• Carry out additional responsibilities as assigned.


⛳️ Requirements

• High School diploma or GED is mandatory.

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

• Previous experience working with medical insurance is required.

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


🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and growth.

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