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Remote Coding Appeals Specialist

https://www.roberthalf.com Logo

Robert Half

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Location:
United States , Indianapolis

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

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Job Description:

Join our team as a Remote Coding Appeals Specialist and play an essential role in ensuring accurate medical coding and billing processes. As a subject matter expert, you will use your knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards to review appeals and denials. Your expertise will help substantiate coding principles, address potential billing and coding concerns, and maintain high-quality standards in documentation. This is a fully remote position and you can live anywhere in the US.

Job Responsibility:

  • Apply medical coding principles and industry guidelines objectively during appeals and denial review processes
  • Leverage knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG to identify, analyze, and resolve billing and coding issues
  • Assess quality concerns by verifying adherence to regulatory requirements and best practices
  • Participate in client system education to gain familiarity with specific platforms and workflows
  • Ensure all appeals are accurately supported by clinical documentation, coding/CDI guidelines, and regulatory standards
  • Collaborate with clients and internal stakeholders to clarify documentation and coding requirements

Requirements:

  • Demonstrated proficiency in ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding systems
  • Experience with medical coding appeals and denials
  • Strong understanding of healthcare regulatory standards and quality assurance principles
  • Effective written and verbal communication skills
  • 5 years of direct heads down production coding
  • Ability to work independently in a remote environment
What we offer:
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

Additional Information:

Job Posted:
March 22, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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