Claim Denial Specialist

Location: Remote, Remote
Date Posted: 02-02-2018
Claim Denial Specialist
The Claim Denial Specialist is responsible for resolving claim edits and rejections related to coding. These types of denials and rejections will contain NCCI, OCE, Medical Necessity LCD/NCD and diagnosis code rejections. Responsibilities will include assigning codes and modifiers with ICD-10-CM, CPT and HCPCS Level II codes.

  • AAPC – CPC, COC certified or AHIMA – CCS certified 
  • ICD-10 course completion
  • Minimum – 2 years’ experience working facility coding related claim edits and denials
  • Maintain quality score of 95% or greater
  • Proficiency in computer skills
  • Ability to communicate both verbally and written
  • Complete skill test of 75% or greater 
  • EPIC experience is preferred
  • Experience working in a remote environment
  • Experience in office applications – Outlook; Skype; Word; Excel; etc.

  •  Please submit resume
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