Acute Coding Appeals Specialist

Location: Remote nationwide within the United States; candidates must reside in and be authorized to work in the United States. The role requires willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Salary: $29.70–$31.80 per hour, based on experience.

Company

Technology-enabled revenue cycle management provider delivering end-to-end and point solutions to hospitals, health systems, and affiliated physician groups.

What you will do

• Review and write appeals for inpatient Diagnosis Related Group denials.
• Evaluate clinical documentation and substantiate assigned diagnosis and procedure codes.
• Apply ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards.
• Research governmental, payer-specific, hospital-specific, regulatory, and literature requirements.
• Document root-cause issues using account records, spreadsheets, claims, and coding examples.
• Support client education and training related to coding appeal outcomes and regulatory updates.

Requirements

• At least five years of coding experience, including previous inpatient facility coding and appeals, denials, or edits.
• Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements.
• Active coding certification such as RHIA, RHIT, CCS, CIC, CPC, or COC.
• High school diploma or GED.
• Ability to meet productivity standards and coding certification requirements.
• Must reside in and be authorized to work in the United States and be able to travel onsite when required.

Nice to have

• Openness to innovation, including exploring AI-enabled improvements to processes and patient and client experiences.

Culture & Benefits

• Comprehensive healthcare, time off, retirement, and well-being benefits.
• Paid professional certifications and tuition reimbursement.
• Career advancement and professional development opportunities.
• Bonus and quarterly or annual incentive programs.
• Culture focused on collaboration, growth, innovation, customer service, and work-life flexibility.