Senior Coding & Denials Specialist
Core
Investigate, resolve, and prevent coding- and billing-related claim denials for a vein treatment practice.
Role type
Senior IC medical coding and denial management specialist
Builds
Cleaned claims, successful appeals, and denial-prevention strategies for Medicare, Medicaid, and commercial payers (via careerplan.io/jobs/4421353009-senior-coding-denials-specialist-at-metroveincenters)
Domain
Healthcare revenue cycle management (vein/vascular specialty)
Required skills
ICD-10-CM, CPT, HCPCS coding, medical terminology, anatomy and physiology, Medicare/Medicaid/commercial payer policy, claim appeals, root-cause analysis, EMR navigation
Preferred skills
Vascular/vein/interventional radiology/surgery coding, denial trend analysis, claims analytics, advanced Excel, GE Centricity/Athena EMR
Technologies
ICD-10, CPT, HCPCS, CMS, NCCI, MUEs, GE Centricity, Athena
Responsibilities
Review patient records to assign appropriate codes; investigate coding-related denials; research CMS and payer policies; evaluate claim resolution strategies; collaborate with providers for documentation; maintain knowledge of coding standards and regulations
Seniority
Senior, hands-on IC