Coding Denial Specialist

Job Family:

General Coding

Travel Required:

None

Clearance Required:

None

What You Will Do:
The Coding Denial Specialist  will review assigned coding denials across multiple specialties, determine root cause and following established client workflow resolve and/or appeal denials based on clinical documentation and diagnostic results in alignment with Federal & State Coding regulations; including the National Correct Coding Initiative, CPT, HCPC’s and ICD10 CM Guidelines This position is full time as and 100% remote. 

What You Will Need:

• High School diploma and 1-3 years of prior relevant experience
• Minimum 3 years physician Coding experience
• Minimum 1 year physician coding denial management experience
• CPC certification from AAPC
• Must maintain credential throughout employment
• Excellent verbal, written and interpersonal communication skills
• Basic knowledge of Excel, Word and PowerPoint
• High level of accuracy and attention to detail
• Strong Working Knowledge of Federal & State Coding regulations; including the National Correct Coding Initiative
• Strong working knowledge of CPT, HCPC’s and ICD10 CM Guidelines
• Good working knowledge of HIPAA regulations, hospital operations, and working with electronic health record (EHR) systems such as EPIC or Cerner

What Would Be Nice To Have:

• Epic experience
• AAPC specialty credential(s)
• Proficient in the interpretation of Claim Adjustment and Remittance Advice Reason Codes

The annual salary range for this position is $37,600.00-$56,400.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.