DescriptionAt ScionHealth, we empower our caregivers to do what they do best.We value every voice by caring deeply for every patient and each other.We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryThe AR Specialist III is a senior-level position responsible for resolving complex insurance denials, performing coding-related appeals, managing recoupments and refunds, and supporting physician billing performance improvement.This position requires coding certification and extensive experience with payer policy trends and denial patterns.Essential FunctionsAnalyze and resolve coding-related claim denialsTrend and report denial patterns by provider, specialty, and marketCommunicate coding issues with AVP and suggest process improvementsGuide team members in complex denial resolutionEnsure accurate documentation and review of EMR to support appeal activityCollaborate with coding, management, and market leadershipKnowledge/Skills/Abilities/ExpectationsExpert-level understanding of insurance denials and coding principlesProficiency in CPT, ICD-10, and HCPCS codingEffective communicator and mentorCapable of independent troubleshooting and documentationQualificationsEducationHigh school diploma or equivalentLicenses/CertificationsHealth ServicesCertified Coder-AHIMA or AAPC Certified Professional Coder Upon Hire (Required)Experience3years in physician billing with CPC certification (Required)Prior Experience in a Rural Health Clinic or Provider-Based Billing (Preferred).