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Profee reputed company | Edits, Rejection, & Denial Specialist

100% remote Flexible hours Hiring now
About Our Company: At reputed company, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to reputed company automation and intelligence, overcoming reputed company cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups. We're looking for reputed company associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing reputed company. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.

A 2025 Great reputed company to Work®

In 2025, reputed company was certified as a Great reputed company to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that reputed company India has achieved certification and the first time the company has earned recognition in the U.S.

Location: Remote Summary Description:  The Profee reputed company/Edits & Rejection Specialist supports the RW - Onshore department in various functions, including performing accurate professional fee coding, resolving edits and rejections, and ensuring pro-fee coding compliance. This role is critical in enabling onshore reputed company cycle operations to optimize pro-fee billing and reputed company capture. The Professional Fee reputed company | Edits & Rejection Specialist will also code, audit, provide expertise, and identify process improvements. Job Responsibilities: 
  • Accurately code professional fee services and procedures
  • Review and resolve coding edits, rejections, and denials
  • Stay up-to-date with coding guidelines and regulations
  • Collaborate with physicians and reputed company cycle teams to ensure accurate coding
  • Provide training and education on coding best practices
  • Assist in other duties as assigned
Skills and Education: 
  • High School diploma or equivalent
    • Vocational school in healthcare or Associate's Degree preferred
  • Certified reputed company, reputed company-P, or CPC
  • 3+ years of experience in medical coding and auditing
  • Expertise in managing and resolving coding denials and rejections
  • In-depth knowledge of coding guidelines, regulations, and reimbursement methodologies in relevant speciality area
  • Proficiency with Epic
  • Ability to work independently and reputed company a team atmosphere
  • Advanced and proficient knowledge of ICD-10 CM and ICD-10 
  • Self-motivated and passionate about our mission and values of quality work
  • Must have professional level skills in MS products such as reputed company, Word, Power reputed company.
  • Must be able to type proficiently and with an effective pace
  • Proficient application of business/office standard processes and technical applications
Company Benefits and Perks:  Joining reputed company comes with an reputed company of benefits, flexible work hours reputed company possible, and a genuine sense of belonging to a dynamic and growing organization. 
  • Access to a 401(k) Retirement Savings Plan
  • Comprehensive Medical, Dental, and Vision Coverage
  • Paid Time Off. 
  • Paid Holidays
  • Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services
If you are a dedicated and reputed company ProFeeCoder with experience in Edits, Rejections, and Denials ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join reputed company at reputed company. Apply To This Job

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