Denials Specialist

UASI is seeking an experienced Denials Specialist with coding expertise to join our team. This role is responsible for reviewing documentation to ensure the accuracy of diagnoses and procedure codes, as well as resolving claim denials related to coding, billing, and payer policy compliance to recover revenue and prevent future issues.

Key responsibilities

• Review provider documentation to ensure all diagnoses and procedure codes are reported accurately.
• Research CMS LCD, NCD, NCCI Edit Policy, CPT Assistant, and various payer guidelines.
• Complete charge corrections and update claims when coding adjustments are necessary.
• Identify claims that do not support billed CPT codes and take appropriate action.
• Analyze trends and provide feedback to prevent future denials.

Requirements

• Professional coding certification such as CPC, CCS, CIC, or COC.
• At least 1 year of experience in a coding-related denials management role.
• Strong working knowledge of CPT, HCPCS, ICD-10-CM/PCS, modifiers, and NCCI edits.
• Experience with various denial types including medical necessity, timely filing, and unbundling.
• Strong attention to detail, analytical skills, and knowledge of payer contracts.

What we offer

• A supportive work environment that encourages professional development.
• Opportunities to achieve individual career goals within a growing team.
• An excellent benefit package designed to support our employees.