Denials Coding Specialist (Part-time)

Job summary

Review and resolve coding-related professional and hospital billing denials, identify trends and root causes, and recommend education to prevent future denials. Collaborate with revenue cycle teams, interpret coding regulations and payer policies, and maintain expertise in coding guidelines and industry updates.

Job details

Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today. Scheduled Weekly Hours: 20 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! What's Available: Hours: 20 hours/week (.5 FTE) Schedule: Part-time, Monday-Friday, daytime hours Department: Revenue Cycle Location: Remote (Must reside in WI, MN, or IA), first day of training will be on-site in La Crosse, WI What You'll Do: 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. What You'll Get: Starting wage of $24.36/hour + more for experience! 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 Career Growth/CDC: Growth opportunities and access to Emplify Health's Career Development Center to help you navigate your career Opportunity to work alongside an experienced revenue cycle team dedicated to continuous improvement and operational excellence What You'll Need: 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 Required Certifications: One of the following certifications is required: Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Coding Specialist (CCS) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan's Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities. If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267. 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. Equal Opportunity Employer

What you’ll do

Review and resolve coding-related professional and hospital billing denials, identify trends and root causes, and recommend education to prevent future denials. Collaborate with revenue cycle teams, interpret coding regulations and payer policies, and maintain expertise in coding guidelines and industry updates.

Requirements

Requires relevant post-high-school education and 3–4 years of healthcare coding experience in a multispecialty clinic or hospital setting, including experience with coding denials, payer rejections, Medicare NCCI edits, and NCDs/LCDs. Applicants must hold at least one listed credential: CPC, COC, CCS, RHIT, or RHIA, and demonstrate strong coding knowledge, analytical ability, communication, and teamwork.

Benefits

• 401(k) With Matching
• Paid Time Off
• Health Insurance
• Wellness Programs
• Tuition Reimbursement
• Career Development Opportunities

Listed skills

• Problem solving · Preferred
• Root Cause Analysis · Preferred
• Cross-Functional Collaboration · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Healthcare Coding
• Denial Analysis
• Denial Prevention
• CPT Coding
• HCPCS Coding
• ICD-10-CM Coding
• Modifier Guidelines
• Payer Policies
• Medicare NCCI Edits
• National Coverage Determinations
• Local Coverage Determinations
• Root Cause Analysis
• Revenue Cycle Management
• Analytical Skills
• Problem-Solving
• Cross-Functional Collaboration
• Medical Coding Compliance
• Insurance Follow-Up
• Empathy
• Certified Outpatient Coder (COC)
• Medical Coding
• Accountability
• Time Off Management
• Billing
• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Communication
• Continuous Improvement Process
• Leadership
• Healthcare Common Procedure Coding Systems
• Health Education
• Humility
• ICD Coding (ICD-9/ICD-10)
• Problem Solving
• Medicare
• Operational Excellence
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Teamwork
• Detail Oriented

Job areas

• Healthcare
• Finance & Accounting
• Data & Analytics
• Denials Specialist
• Medical Coder
• Medical Records and Health Information Technicians
• Medical Records Specialists

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