Appeals Coder

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025. Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!

What we Offer

• Career Growth Opportunities
• A Culture anchored in a strong sense of belonging
• Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
• 401k (Discretionary match)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles

Overview

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

Essentials 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 directions 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

Qualifications / Experience

• Minimum high school diploma or equivalent of experience in physician coding and billing related field
• CPC or CCS-P certification
• 1-2 years of previous medical coding experience, emergency medicine experience preferred