Medical Coding & Appeals Specialist
- Company
- Keen Resolutions
- Work type
- Full Time
- Posted
- 2026-10-14
Job description
Position Overview:
We’re looking for a perfectionist who can review coding with a critical eye, identify issues or denials, and write compelling, accurate appeals. The ideal candidate will be experienced in medical coding and understand payer rules, guidelines, and how to advocate for proper reimbursement through well-written appeals and documentation.
Key Responsibilities:
- Review coded claims and identify potential coding, documentation, or denial issues
- Draft and submit professional appeals for denied or underpaid claims
- Interpret CPT, ICD-10, and HCPCS codes in accordance with current guidelines
- Communicate with insurance carriers and internal billing staff to resolve disputes
- Maintain accurate records of appeals, decisions, and follow-up actions
- Collaborate with physicians and billing team to clarify documentation when needed
- Monitor coding trends and payer policy updates to ensure ongoing compliance
Required Qualifications:
- Proven experience in medical coding (CPT, ICD-10, HCPCS)
- Strong understanding of insurance denials, EOBs, and appeals processes
- Excellent written English communication skills—especially in professional, persuasive writing
- High attention to detail and ability to catch inconsistencies or missing information
- Proficiency in Microsoft Excel, Word, and general office tools
- Reliable computer and stable internet connection
- U.S. bank account for payroll purposes
Preferred Qualifications:
- Certification (e.g., CPC, CCS, CCA) is a plus
- Experience in neurosurgery, interventional radiology, or neurology coding
- Familiarity with Salesforce, Adobe, or billing platforms
- Understanding of HIPAA and medical documentation standards
- Prior success in overturning denials via written appeals
Ready to Join Us?
If you’re a strong coder and a persuasive writer who enjoys solving problems, we’d love to hear from you.
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