A healthcare system in Houston, TX is seeking a Claims Denial Coder to join their team to assist with a backlog of denials. The Claims Denial Coder is responsible for reviewing and analyzing medical claims that have been denied by insurance companies. This role involves identifying the reasons for denials, correcting coding errors, and resubmitting claims to ensure accurate and timely reimbursement. The ideal candidate will have a strong understanding of medical coding, insurance guidelines, and healthcare regulations. This position is fully remote and the hours are Monday-Friday.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to
HR@insightglobal.com.
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:
https://insightglobal.com/workforce-privacy-policy/ .
Minimum of 3 years of experience working coding denials
Experience reviewing denied claims to determine the reasons for denial
Experience correcting coding errors and resubmit claims for reimbursement
CPC or COC Coding Certification from AAPC
Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance
Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.