Medical Coder

Denials CoderInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.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, and 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, making necessary adjustments to diagnosis codes, modifiers, and place-of-service information. You will manage active work queues, collaborate with providers to rectify claim errors, and 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 and a strong foundation in medical insurance and reimbursement methodologies. We are looking for a detail-oriented professional who excels at critical thinking, possesses the ability to troubleshoot complex billing issues, and demonstrates clear, professional communication skills. You should be comfortable working with automated coding and billing systems, capable of prioritizing tasks under pressure, and committed to upholding the highest standards of data integrity and regulatory compliance.