We're not just filling positions, we're building careers. At Emplify Health, we care for our teams while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future. Join us and find out how a little empathy changes everything.
We are seeking a detail-oriented and analytical professional to join our team as a Denials Coding Specialist! If you are passionate about healthcare coding, denial prevention, and collaborating with teams to improve revenue cycle outcomes, we would love to hear from you!
Job Specifics:
Location: 2020 S Webster Ave, Green Bay, WI 54301
FTE Status: Part-Time 0.5 FTE (20 hours/week)
Work Schedule: Days. Monday - Friday. No weekends or holidays.
Qualifications:
- Completion of a Health Information Technician program, Health Information Administrator program, equivalent allied health education, or other post-high school training in a related field
- 3-4 years of healthcare coding experience in a multi-specialty clinic or hospital setting
- Experience with coding denials, payer rejections, Medicare National Correct Coding Initiative (NCCI) edits, and Medicare National and Local Coverage Determinations (NCDs/LCDs)
- Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding regulations, and payer policies
- Excellent analytical, problem-solving, and communication skills
- Ability to work independently while collaborating effectively with cross-functional teams
Responsibilities:
- Review, analyze, and resolve coding-related professional and hospital billing denials using CPT, HCPCS, ICD-10-CM, and modifier guidelines.
- Identify denial trends, root causes, and opportunities for coder, clinician, and departmental education to prevent future denials.
- Collaborate with prior authorization, revenue integrity, billing, and insurance follow-up teams to support denial mitigation strategies.
- Serve as a coding resource by interpreting coding regulations, payer policies, and industry updates while supporting Revenue Cycle leadership and coding staff.
- Maintain expertise in coding guidelines, regulatory changes, and best practices through continuing education and professional certification requirements.
Why Emplify Health by Bellin?
With so many amazing healthcare organizations in this area, why Emplify?
Emplify Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include:
- Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
- Preventative care focused medical coverage that includes free visits to: Emplify Health by Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits
- Professional Development: Access to online continuing education for career growth
- Empowerment: Shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
- Self-Care Culture: Encourages self-care and provides you with opportunities to be your best self at work and at home
Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values – belonging, respect, excellence, accountability, teamwork, and humility – our pillars set our foundation and our future.
Emplify Health is an Equal Opportunity Employer.
Completion of Health Information Technician/Administrator program or related post-high school training; 3-4 years healthcare coding experience; knowledge of CPT, HCPCS, ICD-10-CM, NCCI edits, NCDs/LCDs; strong analytical and communication skills.
Key Responsibilities
- reviewing denials
- analyzing coding
- collaborating with teams
Skills & Tools
CPT, HCPCS, ICD-10-CM
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Mid Level
- Commitment: Part Time
- Workplace: Remote — Green Bay or United States
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Tuition reimbursement
- Retirement plan
About Emplify Health
A healthcare organization providing personalized patient care and community health services. — Industry: Healthcare