Certified Denials Specialist

A company is looking for a Denials Specialist with coding expertise. Key Responsibilities: Review documentation to ensure accuracy of diagnoses and procedure codes Research coding policies and payer guidelines to resolve claim denials Identify trends and provide feedback to prevent future denials Required Qualifications: Professional coding certification (CPC, CCS, CIC, or COC) and 1 year of experience in a coding-related denials management role Experience with complex surgical specialties and interventional radiology is a plus Familiarity with Athena is preferred Experience with various denial types including medical necessity and incorrect modifier usage Strong knowledge of CPT, HCPCS, ICD-10-CM/PCS, modifiers, and Medicare billing rules

Created: 2026-03-05