Coding Denials AR Collector

Coding Denial Specialist

Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero.

The Coding Denial Specialist is responsible for reviewing, analyzing, and resolving medical claim denials and rejections related to coding discrepancies. This role ensures accurate CPT, ICD-10, and HCPCS coding to support appropriate reimbursement and reduce denial rates. The specialist collaborates closely with billing, coding, clinical teams, and payers to ensure efficient claims resolution.

Responsibilities

• Review payer denials and rejections related to coding issues and take corrective actions
• Analyze denial trends and identify root causes (e.g., bundling, LCD/NCD mismatch, missing modifiers)
• Research and apply correct CPT, ICD-10, and HCPCS codes in accordance with payer guidelines and national coding standards
• Submit corrected claims, appeals, or reconsiderations as needed
• Collaborate with providers and coding staff for clinical clarification and documentation support
• Document all denial resolution activities in billing system
• Monitor aged claims and ensure timely follow-up
• Educate staff on common coding denial trends and provide feedback to improve documentation and claim submission accuracy
• Stay current with payer policies, coding updates, and regulatory change

Qualifications

• Strong knowledge of insurance claim processing and denial management preferred.
• Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred.
• Proficiency in billing software (e.g. Athena, G4 Centricity) and Microsoft Office Suite.
• Excellent verbal and written communication skills.
• Ability to work independently and manage time effectively.
• Detail-oriented with strong analytical and problem-solving skills

Anticipated hourly range: $21.00- $27.95 USD Hourly

Bonus eligible: No

Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• Application window anticipated to close: 05/05/2025 *if interested in opportunity, please submit application as soon as possible.
• The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

Application window anticipated to close: 08/05/2025 *if interested in opportunity, please submit application as soon as possible.

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.