Claim Denial Specialist

Employer: Aviacode

Overview

Claim Edit and Denials Specialist

• Are you interested in joining one of the nation’s leading providers of medical coding services that is experiencing impressive year-over-year growth?
• Aviacode is nationally recognized as one of the top medical coding companies in KLAS and Black Book Market Research surveys.
• Here is your opportunity to be part of this exciting team. We are hiring now and have an immediate need for a Claim Denial Specialist. Minimum 20 hours per week, hours are flexible.

Responsibilities

• This position is responsible for resolving claim edits and rejections related to coding.
• These types of denials and rejections will contain NCCI, OCE, Medical Necessity LDC/NCD and diagnosis code rejections.
• Responsibilities will include assigning codes and modifiers with ICD-10-CM, CPT and HCPCS Level II Codes.

Qualifications

• AAPC – CPC, COC certification, AHIMA – CCS certification or equivalent
• ICD-10 experience (or course completion)
• Minimum two years experience working facility coding related claim edits and denials
• Comfortable using technology to perform responsibilities in a remote environment (computer, Internet, MS Office and VPN skills)
• Good verbal and written communication skills
• Must be able to maintain high quality standards of 95% or greater
• Experience working with EPIC is preferred
• Coders for this role must provide their own computer with a Windows Professional Based Operating System (MAC is not compatible) and dual monitors.

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