Multispecialty Denial Coder

Role & responsibilities

1. Denial Management & Analysis

• Review and analyze denied claims across multiple specialties.
• Identify root causes for denials (e.g., coding errors, documentation deficiencies, payer policies).
• Categorize denials based on common patterns (e.g., medical necessity, bundling issues, coding specificity).

2. Coding & Compliance

3. Claims Correction & Resubmission

4. Documentation Improvement & Provider Education

5. Reporting & Performance Tracking

6. Cross-functional Collaboration

Skills Required

Denial Management, Hipaa, Cms, Medical Coding, Performance Tracking, Reporting