Coding Appeals Specialist

TEKsystems
$35.00 - $40.00 / hr
United States, Maryland, Odenton
Nov 22, 2024
Description: * Performs retrospective and prospective account reviews and resolves coding edits to ensure that coding is accurate and documentation supports reimbursement. * Analyzes coding-related denials (for problems such as bundling issues and inappropriate. * CPT/diagnoses) to identify trends and root causes. * Develops process improvements for coding and documentation workflows based on denial analysis and industry coding guidelines. * Organizes data into clear reports that are presented to denial management leadership, physician advisors, and providers. * Provides regular feedback to denial management team members and coding/physician educators to promote departmental knowledge of best practices within coding. * May assist with communication to providers on outstanding queries for additional documentation or diagnosis information. * Proactively maintains current knowledge of applicable regulations and payer policy requirements, new or upcoming changes, and best practices from the AAP and professional journals. * Supports the denial coding team with additional tasks as needed (such as directly inputting codes on complex or high-value accounts). Additional Skills & Qualifications: * Current coding certification (RHIA, RHIT, CPC, CCS) is required. Experience Level: * Expert Level About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.