Certified Medical Coding Specialist

To support the revenue cycle management team, the full-time remote Certified Coding Denials Specialist will manage claim edits and rejection work queues, investigate health plan denials, and ensure accurate coding and timely resolution of issues. Key responsibilities Process accounts related to coding denial management, including rejections and bundling issues Generate appeals based on dispute reasons and payer guidelines, ensuring compliance with submission protocols Maintain adherence to departmental production and quality standards while completing special projects as assigned Required qualifications High school diploma or equivalent One to three years of experience in physician medical billing with a focus on claim denials Current AAPC or AHIMA certification is required Thorough knowledge of healthcare reimbursement guidelines and physician billing policies Proficient in computer skills, including knowledge of Excel and other relevant software