Contract
AGS Health
Remote
Coding Denial Specialist is responsible for investigating and resolving third-party insurance coding denials and edits. The Coding Denial Specialist also assist in optimizing reimbursement by thoroughly researching and taking the appropriate action to resolve all coding denials in a timely manner.
Reviews and research coding denials that have been received as no payment/previous submitted claims with a denied or no response for payors and service areas
Identifies root cause of the coding denial, resubmit claim and address/report the denial issue tothe the supervisor
Assists in development of preventative measures in response to denial patterns identified by claims denial data and reviews
Obtains and reviews medical records through EMR, site request or hospital portals for reconsideration purposes
Utilizes all appropriate systems to effectively research claims and complete steps to submit information necessary to process or appeal denied claims
Effectively utilizes...