Coding Denials & Appeals Auditor

🔥 13 hours ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $33 - $38 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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TEKsystems

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1983

💼 Consulting

🎯 Recruiter

🏢 Enterprise

Consulting • Recruitment • Enterprise

TEKsystems is a global IT and business services firm that provides technology consulting, talent solutions, managed services and workforce recruitment to enterprise clients. The company delivers cloud, digital and data services (including AI/ML and automation), application innovation, Agile/DevOps transformation, technology operations and digital experience work, and operates large-scale talent and managed service programs. TEKsystems works across industries (financial services, healthcare, public sector, telecommunications, retail/manufacturing, energy and more), maintains technology partnerships with major cloud and software providers, and reports more than $7B in annual revenue and 100+ locations worldwide.

📋 Description

• Review inpatient and outpatient coding denials from commercial payers • Analyze medical records, coding, and documentation to determine appeal opportunities • Write clear, clinically supported appeal letters for coding and medical necessity denials • Validate DRG, ICD-10, CPT, APC, and MS-DRG coding assignments • Determine when denials should be appealed versus upheld • Document denial and appeal activity within established workflows • Prioritize work based on recovery potential and financial impact • Collaborate with coding, CDI, revenue cycle, and clinical teams • Utilize Epic and AI-assisted appeal tools to support appeal development • Recover appropriate reimbursement through well-supported appeals

🎯 Requirements

• Active coding certification (CCS, CPC, RHIT, RHIA, or equivalent) • Acute-care coding experience with strong inpatient coding knowledge • Experience reviewing coding denials and writing payer appeal letters • Knowledge of ICD-10, CPT, DRG, and coding compliance standards • Strong critical thinking, analytical, and written communication skills • High School Diploma or GED • Full-time availability of 40 hours per week • Based out of Richmond, Virginia, USA

🏖️ Benefits

• 100% remote opportunity • Flexible scheduling within a Monday-Friday workweek • Contract-to-hire opportunity with long-term growth potential • Quarterly incentive eligibility upon conversion to permanent employment • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan with pre-tax and Roth post-tax contributions • Voluntary Life & AD&D insurance for the employee and dependents • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)