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Pro Fee Denials/follow-up coder

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University Hospitals

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Location:
United States , Shaker Heights

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Contract Type:
Not provided

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Salary:

19.53 - 30.53 USD / Hour

Job Description:

Under the direction of the Revenue Cycle Supervisor – Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for multi-specialty group practices. This position initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims.

Job Responsibility:

  • Monitors and analyzes unresolved third party accounts for multi-specialty group practices
  • Initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims
  • Analyzes outstanding insurance accounts
  • Initiates appropriate and effective telephone and/or written follow-up
  • Communicates with payors and other internal departments
  • Researches and responds to all telephone inquiries from the customer service department
  • Reviews and corrects coding edits and denials
  • May code ICD-10 from written documentation
  • May abstract CPT/HCPCS codes
  • May perform computer assisted coding functions
  • Consistently meets department productivity standards
  • Consistently meets department quality standards
  • Maintains patient/physician confidentiality
  • Provides appropriate information and feedback to various personnel within UHPS
  • Identifies trends with insurance related issues and reports findings to the Team Lead
  • Acts as a role model for professionalism
  • Interprets written correspondence and either resolves the problem or forwards it to another department
  • Effectively communicates utilizing the telephone, form letters or internal correspondence to resolve patient inquiries
  • Handles multiple tasks simultaneously
  • Must have an understanding of insurance products and billing requirements
  • Performs other related duties as assigned

Requirements:

  • High School Equivalent / GED
  • 2+ years Of medical billing experience
  • Excellent interpersonal skills
  • Ability to recognize, evaluates, and solves problems
  • Strong verbal and written communication skills
  • Extensive knowledge of the claims development process, as well as third party insurance program requirements
  • Must possess basic knowledge of ICD-9 and CPT coding
  • Ability to handle a variety of tasks with speed, attention to detail, and accuracy
  • Computer literate, experience with basic software packages
  • Certified Professional Coder (CPC) CPC-A, CPC-H, or CPC-P or Certified Coding Specialist (CCS) or CCS-P or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA)

Nice to have:

  • Billing experience in a multi-specialty group is a plus
  • RCC or ROCC certification
What we offer:
  • Healthcare
  • dental
  • vision
  • retirement plan options

Additional Information:

Job Posted:
January 04, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:

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