Denial Coder Certified

Dear Candidate,

Key Responsibilities :

Review and analyze denied claims related to Emergency Medicine services to determine root causes of denial.

Investigate claim denials by reviewing documentation, payer policies, and coding accuracy.

Communicate with insurance payers, providers, and internal departments to resolve denials efficiently.

Prepare and submit appeals for denied claims with appropriate supporting documentation.

Track denial trends and provide reports to management with recommendations to reduce future denials.

Collaborate with coding, billing, and clinical teams to ensure accurate claim submissions.

Stay updated on payer policies, Emergency Medicine coding guidelines, and industry regulations.

Participate in process improvement initiatives to enhance denial management workflows.

Maintain detailed records of denial cases, correspondence, and resolutions.

Provide training and guidance to staff on denial prevention and best practices

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Please feel free to call me @7397647886

Regards,

Rumal