Acute Coding Appeals Specialist
R
Robert Half Office Team
📍 Houston, TX, United States
Job Description
Description
We are seeking an experienced Acute Coding Appeals Specialist to join our team. In this role, you will leverage advanced inpatient coding expertise to review, analyze, and prepare appeals for Diagnosis Related Group (DRG) denials. The ideal candidate possesses extensive knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, CMS, NCCI, and regulatory guidelines, with the ability to develop well-supported coding appeals based on clinical documentation and industry standards.
Working with minimal supervision, the Acute Coding Appeals Specialist will evaluate coding and billing denials, identify documentation and coding opportunities, and prepare comprehensive appeal letters that support the validity of assigned diagnoses and procedures. This role requires exceptional analytical skills, attention to detail, and the ability to communicate coding rationale effectively.
Key Responsibilities
+ Review and prepare appeals for inpatient DRG denials using...
We are seeking an experienced Acute Coding Appeals Specialist to join our team. In this role, you will leverage advanced inpatient coding expertise to review, analyze, and prepare appeals for Diagnosis Related Group (DRG) denials. The ideal candidate possesses extensive knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, CMS, NCCI, and regulatory guidelines, with the ability to develop well-supported coding appeals based on clinical documentation and industry standards.
Working with minimal supervision, the Acute Coding Appeals Specialist will evaluate coding and billing denials, identify documentation and coding opportunities, and prepare comprehensive appeal letters that support the validity of assigned diagnoses and procedures. This role requires exceptional analytical skills, attention to detail, and the ability to communicate coding rationale effectively.
Key Responsibilities
+ Review and prepare appeals for inpatient DRG denials using...