Remote | Part-time
Aviacode

Multispecialty Claims Denial Specialist

Job Locations

US-Virtual/Remote

Job ID

2019-1710

# of Openings

2

Category

Medical Coding

Minimum Hours

20

Overview

Multi-Specialty Claims Denial Specialist

Are you interested in joining one of the nation’s leading providers of medical coding services that is experiencing impressive year-over-year growth? Aviacode is nationally recognized as one of the top medical coding companies in KLAS and Black Book Market Research surveys. Here is your opportunity to be part of this exciting team. We are hiring now and have an immediate need for Claims Denial Specialists working a┬áminimum of 20 hours per week (20-29 hours per week available). All positions are REMOTE employee (W-2) status.

Responsibilities

  • Reviewing and correcting both pre-bill edits and post bill denials
  • At least 2 years experience coding anesthesia and several other specialties.
  • Experience working in Athena and ability to access multiple EMR’s
  • Reviews and researches denials that have been received as no payment/previous submitted claims with no response for all payors
  • Utilize all appropriate systems to effectively research claims and complete steps to submit information necessary to process or appeal denied claims.
  • Effectively utilize ICD, CPT/HCPCS, and related material to investigate and ensure that questions and requests for information are responded to in a timely and professional manner to ensure resolution of outstanding claims
  • Organizes work/ resources to accomplish objectives and meet deadlines
  • Demonstrates problem- solving skills related to denial analysis
  • Demonstrates the willingness and ability to work collaboratively with other key internal and external staff to obtain necessary information to address denial management issues
  • Organizes work/ resources to accomplish objectives and meet deadlines
  • Demonstrates problem- solving skills related to denial analysis
  • Demonstrates the willingness and ability to work collaboratively with other key internal and external staff, both clinically and administratively to obtain necessary information to address denial management issues
  • Monitor, research and correct claim denials within health plan requirements and document any trends with which to follow-up
  • Complies with Federal and State standards utilizing CCI edits, Medicare bulletins, ACR bulletins, etc. to keep abreast of the changes within the industry

Qualifications

  • Current CPC or equivalent through the AAPC or AHIMA required
  • Must have 3 years experience working denials
  • Must have at least two years of active multi-specialty coding experience
  • Must be able to maintain a 95% accuracy rate
  • Microsoft Office Knowledge including Outlook, Excel, Word, Power Point and OneNote.
  • Excellent communication skills
  • Basic computer skills; Microsoft Office Suite
  • Coders for this role must provide their own computer with a Professional Windows 10 OS (MAC is not compatible) and dual monitors are required
  • Reliable High Speed Internet

Aviacode provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identification, disability, or genetics. In addition to federal law requirements, Aviacode complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Aviacode expressly prohibits any form of workplace harassment based on protected classes. Improper interference with the ability of Aviacode’s employees to perform their job duties may result in discipline up to and including discharge.