[Hiring] Denials Coder @CommonSpirit Health

Role Description

As our Denials Coder you will play a critical role in our revenue cycle by addressing and resolving outstanding insurance balances and complex coding denials. You will leverage your analytical expertise to:

• Research denial reasons
• Review medical records
• Submit well-written, supported appeals to both commercial and government health insurance payers

By ensuring accurate reimbursement and minimizing revenue leakage, you will directly contribute to the financial health and operational success of the Alegent Creighton Clinic.

Every day you will utilize your deep knowledge of ICD-10 and CPT coding to:

• Compare documentation against billed services
• Make necessary adjustments to diagnosis codes, modifiers, and place-of-service information
• Manage active work queues
• Collaborate with providers to rectify claim errors
• Serve as a key point of contact for payer representatives

Whether resubmitting claims electronically or identifying recurring denial trends to conduct proactive staff training, your work will ensure that our billing processes remain compliant and efficient.

To be successful in this role, you will bring:

• At least one year of coding experience
• A strong foundation in medical insurance and reimbursement methodologies
• Detail-oriented professionalism
• Critical thinking skills
• The ability to troubleshoot complex billing issues
• Clear, professional communication skills
• Comfort with automated coding and billing systems
• The capability to prioritize tasks under pressure
• A commitment to upholding the highest standards of data integrity and regulatory compliance

Qualifications

• High School Graduate General Studies and 1+ years coding experience, upon hire
• High School GED General Studies and 1+ years coding experience, upon hire
• Associates in a related field and Insurance follow up experience, upon hire
• Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology, upon hire
• Completion of ICD-10 or CPT coding course, upon hire
• Certified Professional Coder, upon hire
• Certified Coding Associate, upon hire
• Cardiology Coding, upon hire
• Certified Coding Specialist, upon hire
• Registered Health Information Technician, upon hire

Company Description

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.