Coding Denials Specialist at Advanced Urology Snellville, GA

Overview

Coding Denials Specialist

– Snellville, GA Job Title – Position Description:

Coding and Coding Denials Specialist Reports to:

Coding Supervisor MISSION We are seeking a detail-oriented and knowledgeable

Medical Coder

with experience in

claims scrubbing and denial management

to join our Revenue Cycle team. The ideal candidate will be responsible for accurate CPT/ICD-10 coding, ensuring claims are clean and compliant before submission, and investigating and resolving denials from payers. This role plays a key part in optimizing reimbursement and reducing payment delays.

OUTCOMES

Code medical procedures and diagnoses

using CPT, ICD-10, and HCPCS codes based on provider documentation.

Review and scrub claims

for accuracy, completeness, and compliance with payer policies before submission.

Identify and correct

coding errors, mismatched modifiers, or billing inconsistencies

that may lead to denials.

Analyze

claim denials and rejections , determine root causes, and coordinate appeals or corrections.

Collaborate with providers, billing staff, and payers to resolve documentation or coding discrepancies.

Keep current with

coding regulations, payer guidelines, and compliance updates

(Medicare, Medicaid, commercial insurers).

Maintain accurate records of coding decisions, appeals, and resolution timelines.

Assist in process improvements to reduce denial rates and enhance claim acceptance.

Competencies

Job Related Competencies:

Action Oriented:

Taking on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.

Manages Ambiguity:

Operating efficiently, even when things are not certain, or the way forward is not clear.

Manages Complexity:

Making sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.

Decision Quality:

Making good and timely decisions that keep the organizations moving forward

Global Perspective:

Taking a broad view and approaching issues, using a global lens.

Resourcefulness:

Securing and deploying resources effectively and efficiently.

Cultural Competencies

Advanced Values:

People Collaborates:

Building partnerships and working collaboratively with others to meet shared objectives

Heart Patient Focus:

Building strong patient relationships and delivering patient centric solutions

Service Instills Trust:

Gaining the confidence and trust of others through honesty, integrity, and authenticity

Excellence Cultivates Innovation:

Creating new and better ways for the organization to be successful

Behaviors

Being Resilient:

Rebounding from setback and adversity when facing difficult situations

Self-Development:

Actively seeking new ways to grow and be challenged using both formal and informal development challenges

Optimizes Work Processes:

Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement

Professional Communication:

Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences, while maintaining a professional appearance and tone

Qualifications

Basic Qualifications: Education:

Certified Professional Coder (CPC)

or equivalent credential (e.g., CCS, CCA, RHIT) – required.

High School Diploma or GED

Previous Job Relevant Work Experience:

Experience with

claim scrubbing tools or clearinghouse platforms

(e.g., Trizetto, Waystar, Availity, Change Healthcare).

Working knowledge of

denial codes (CARC/RARC), payer rules, and appeal processes .

Proficient with EHR and billing systems ( eClinicalWorks )

Strong attention to detail, organizational skills, and ability to meet deadlines.

Excellent communication and problem-solving skills.

2+ years of medical coding experience, preferably in urology specialty; Previous experience in Urology Billing and Coding

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