Surgical Coding Denial Specialist jobs in United States
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University of Colorado Medicine · 1 month ago

Surgical Coding Denial Specialist

positionUnited States
timeFull-time
remoteRemote
seniorityMid Level
money$26/hr - $30/hr
date3+ years exp

University of Colorado Medicine is the region’s largest multi-specialty physician group practice, delivering business operations and administrative services to support healthcare providers. The Surgical Coding Denial Specialist is responsible for resolving insurance claim denials for surgical specialty departments, enhancing revenues through effective appeals and thorough investigation of claims.

EducationHealth CareHospitalMedicalWellness
Hiring Manager
Whitnee Scannell
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Responsibilities

Appeal denials through coding review, contract review, medical record review and carrier interaction
Demonstrate a high level of expertise in the management of complicated denied claims
Deploy analytical approach to resolve denials and recognize trends/patterns in order to proactively resolve recurring issues
Communicate identified denial patterns to management
Prioritize and process large volume of denials and maintain high quality of work
Serve as an escalation point for unresolved denial issues
Inform team members of payer policy changes
Assist in training new employees as assigned
Collaborate on special projects as needed

Qualification

ICD-10 codingCPT codingCPC certificationMedical billing experienceAnalytical skillsPC software proficiencyCommunication skills

Required

3-5 years experience in medical practice billing with exposure to working with denials, appeals, insurance collections and related follow-up
ICD-10 and CPT coding assessment skills
Intermediate PC software experience
Advanced verbal and written communication skills
Solid understanding and ability to apply contract language in conjunction with a comprehensive understanding of claims denial appeal logic

Preferred

Bachelor's degree in a related field
CPC certification
Orthopedic and surgery experience

Benefits

Generous leave
Health plans
Retirement contributions

Company

University of Colorado Medicine

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University of Colorado Medicine is a health care center.
dateFounded in 2017
location
Aurora, Colorado, USA
people-size501-1000 employees
web-link
https://cumedicine.us

Funding

Current Stage
Late Stage

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