Job description
As an Outpatient Coding Appeals Specialist at Sales Rain BPO Inc., you will play a crucial role in preparing and supporting coding-based appeals by developing clear clinical and coding justifications. Join our dynamic team and make a difference in the healthcare industry.
Responsibility
- Review medical records to identify coding discrepancies
- Develop clinical justifications for coding appeals
- Collaborate with healthcare providers to gather necessary information
- Submit appeals within specified timelines
- Maintain accurate documentation of appeals process
Qualification
- Certified Coding Specialist (CCS) or similar certification required
- Proficient in ICD-10 coding guidelines
- Excellent attention to detail and analytical skills
- Strong communication and relationship-building abilities
- Previous experience in coding appeals preferred