Certified Appeals Coder

🔥 0 minutes ago

🐎 Kentucky – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of UofL Health

UofL Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

UofL Health is a fully integrated academic health system focused on delivering patient-centered care. It is a not-for-profit organization with nine hospitals, four medical centers, and over 250 physician practice locations, employing more than 1,200 providers in and around Louisville, Kentucky, including southern Indiana. Affiliated with the University of Louisville School of Medicine, UofL Health emphasizes advanced patient care and participates in clinical trials and research to enhance health outcomes. With a workforce of over 14,000 healthcare professionals, UofL Health aims to transform community health through innovation and compassion.

📋 Description

• Manage the appeal of unpaid claims in the Central Business Office • Work closely with insurance carriers in resolving unpaid claims • Review and appeal unpaid claims daily • Complete follow-up work on appealed claims • Work with insurance carriers on appeal issues • Provide feedback to the coding department with coding errors or updates • Review remits to ensure accurate payment was received • Review denials for accuracy • Obtain all necessary information to expedite the appeal process • Close and print daily batch proof • Make charge corrections as needed in the practice management system • Attend continuing education programs for coding • Perform other duties as assigned

🎯 Requirements

• High School education or GED required • Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA • Prior experience working with medical insurance • 3 years of prior coding experience, preferred

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