[Hiring] Denials Coding Specialist @Gundersen Health System

Role Description

We are seeking a detail-oriented and analytical professional to join our team as a Denials Coding Specialist! If you are passionate about healthcare coding, denial prevention, and collaborating with teams to improve revenue cycle outcomes, we would love to hear from you!

• Review, analyze, and resolve coding-related professional and hospital billing denials using CPT, HCPCS, ICD-10-CM, and modifier guidelines.
• Identify denial trends, root causes, and opportunities for coder, clinician, and departmental education to prevent future denials.
• Collaborate with prior authorization, revenue integrity, billing, and insurance follow-up teams to support denial mitigation strategies.
• Serve as a coding resource by interpreting coding regulations, payer policies, and industry updates while supporting Revenue Cycle leadership and coding staff.
• Maintain expertise in coding guidelines, regulatory changes, and best practices through continuing education and professional certification requirements.

Qualifications

• Completion of a Health Information Technician program, Health Information Administrator program, equivalent allied health education, or other post-high school training in a related field.
• 3-4 years of healthcare coding experience in a multi-specialty clinic or hospital setting.
• Experience with coding denials, payer rejections, Medicare National Correct Coding Initiative (NCCI) edits, and Medicare National and Local Coverage Determinations (NCDs/LCDs).
• Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding regulations, and payer policies.
• Excellent analytical, problem-solving, and communication skills.
• Ability to work independently while collaborating effectively with cross-functional teams.

Requirements

• One of the following certifications is required:
• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Certified Coding Specialist (CCS)
• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)

Benefits

• Starting wage of $24.36/hour + more for experience!
• Top-notch benefits:
• 401(k) with matching
• Paid time off
• Competitive health insurance
• Wellness programs to keep you and your family healthy
• Tuition reimbursement
• And more
• Growth opportunities and access to Emplify Health's Career Development Center to help you navigate your career.
• Opportunity to work alongside an experienced revenue cycle team dedicated to continuous improvement and operational excellence.