Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

• Career Growth Opportunities
• Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
• 401K program (Discretionary matching funds available)
• Employee Assistance Program
• Referral Program
• Dental plans & Vision plans
• GENEROUS Personal time off
• Eight Paid Holidays per year
• Quarterly incentive plans
• Employee of the month awards with monetary gift and parking space
• Training Programs
• Wellness programs
• Flexible work schedule

JOB DESCRIPTION OVERVIEW:

The Rejection Coder is responsible for reviewing ETM denials flowing directly to coding or reassigned to coding from other departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Research denials by utilizing coding policy, payer websites, or payer phone calls.
• Complete contractual adjustments to invoices as needed.
• Request non-routine write-offs or complete adjustment as appropriate.
• Provide correction suggestions to other departments so the invoice can be resubmitted.
• Provide coding direction to appeal invoices and/or submit appeals via payer website or fax, as directed.
• Complete reconsideration letters as needed.
• Complete audit tools, if assigned.
• Other projects or tasks as directed by management.
• Proficiency in ICD-9 and ICD-10 diagnostic coding and CPT-4 procedural coding.
• Extensive knowledge of medical terminology.
• Extensive knowledge of regulatory requirements.
• Extensive knowledge of physician billing and reimbursement.
• Effective communication skills, able to interact effectively with all levels.
• Ability to be flexible as it relates to changes in process and/or job duties and assignments.