Claims Specialist

Centacare Catholic Family Services - Adelaide

Coding Claims Specialist at CentraCare reviewing documentation for diagnostic codes. Managing third-party payer denials and ensuring timely reimbursement for services.

Posted 4/30/2026full-timeRemote • Minnesota • 🇺🇸 United StatesMid-LevelSenior💰 $23 - $35 per hourWebsite

About the role

Key responsibilities & impact

Supports Revenue Cycle Operations, Coding Leadership, and other team members by reviewing electronic and written documentation.
Convert documentation into diagnostic and/or procedure codes for reimbursement.
Manage denials for third-party payers and oversee the denial process.
Identify opportunities for workflow improvements.
Communicate with clinical staff for accurate translation of medical record documentation using appropriate code selection.
Assist in performing quality data collection and monitoring/reporting to ensure proper reimbursement.

Requirements

What you’ll need

High School Diploma or GED or equivalent required.
3 years previous coding or billing experience with current AAPC or AHIMA certification or 5 years previous coding or billing experience without current AAPC or AHIMA certification.
Registered Health Information Technician (RHIT) Current certification with AAPC or AHIMA preferred.
1 year experience in a medical office preferred.
Experience in ICD-10 and CPT coding preferred.
Computer knowledge and keyboard skills preferred.
Previous experience working with EPIC preferred.
Working knowledge of insurance and third-party billing preferred.
Completion of college level courses or relevant experience in anatomy and physiology and medical terminology required; Associate Degree preferred.
Completion of coding course in ICD, CPT4, and HCPCS required.

Benefits

Comp & perks

medical
dental
PTO
retirement
employee discounts
Tuition reimbursement
college grant programs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-10 codingCPT codingHCPCS codingbilling experienceworkflow improvementsquality data collectionmedical record documentationdenial managementcode selection

Soft Skills

communicationorganizational skills

Certifications

AAPC certificationAHIMA certificationRegistered Health Information Technician (RHIT)