Denial Resolution Specialist

Currance

Coding Denial Resolution Specialist responsible for identifying, investigating, and resolving coding-related denials remotely to prevent lost reimbursements. Collaborating with internal and client teams for effective claim corrections and appeals.

Posted 6/26/2026full-timeRemote • Arizona, California, Colorado, Florida, Illinois, Iowa, Montana, Nevada, New Jersey, New York, North Carolina, Oklahoma, Pennsylvania, South Dakota, Tennessee, Texas, Virginia, Washington, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $21 - $24 per hourWebsite

About the role

Key responsibilities & impact

Execute tasks focused on revenue generation through account resolution for any company client.
Review documentation to support or contest payer coding decisions for multiple facilities.
Prepare clear, concise, and well-supported appeals where applicable, using all available documentation, coding guidelines, and regulatory references to defend billed claims and secure reimbursement on insurance accounts receivable.
Investigate the root causes of denials and downgrades, as needed.
Provide targeted training on coding practices to Currance team members, promoting accuracy, compliance, and efficiency in resolving coding-related issues.
Participate in daily shift briefings and contribute actively.
Resubmit corrected claims according to Federal, State, and payer-mandated guidelines.
Research, analyze, and correct claim errors and rejections to ensure accurate resubmission and to avoid payer denials due to preventable errors.
Escalate problematic accounts, recurring issues, or trends to Supervisor and recommend education or denial prevention measures to the client.
Stay current on payer updates, process changes, and coding guidelines to maintain compliance with Federal, State, and payer requirements.
Meet productivity standards while maintaining quality output.
Communicate payer-specific issues to the team and management for timely resolution.
Engage in continuous learning to remain up to date on coding and payer policies.

Requirements

What you’ll need

High school diploma or equivalent (GED) required.
Associate or bachelor’s degree in healthcare management, Health Information Management/Technology (HIM/HIT) preferred.
Current/active CCS or CPC certification required
Minimum of 3 years’ experience resolving payer denials and/or conducting coding audits.
At least 3 years’ experience in medical claim payments, follow-up, and appealing denials, with proven success resolving complex, high-value claims.
Advanced knowledge of ICD-10, CPT/HCPCS, NCCI edits, DRG/APC assignment, payer policies, and reimbursement regulations.
Strong negotiation, research, written communication, and problem-solving skills, with the ability defend coding-related positions.
Experience correcting and resubmitting denied claims due to coding issues, including modifiers, revenue codes, bundling, and NPI discrepancies.
Ability to research regulatory references (CMS, Medicaid, LCD/NCD guidelines) and apply them to appeals.
Demonstrated ability to analyze denial trends and recommend process or coding improvements.
Familiarity with compliance standards (OIG, CMS, HIPAA) related to coding and billing.
Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms for billing and account resolution.
Ability to collaborate effectively with other coders, clinicians, and account resolution specialists to resolve complex coding and reimbursement issues.
Proficiency in Microsoft Office Suite, Teams, and various desktop applications.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Currance Website LinkedIn All Job Openings 201 - 500 employees Founded 2020 🤝 B2B 🏢 Enterprise B2B
Enterprise Currance is a healthcare-focused revenue cycle management company that partners with hospitals, health systems, and physician groups to streamline billing, collections, and administrative workflows. They provide customizable, technology-enabled and hybrid solutions—insurance resolution, insurance management, and outsourced business office services—to accelerate cash collections, reduce accounts receivable days, and improve yield. Currance operates as a B2B service provider delivering consultative, performance-driven revenue cycle improvements across large and community healthcare organizations. Denial Resolution Specialist 🔥 57 minutes ago 🌵 Arizona, California, +18 more states – Remote 💵 $21 - $24 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Execute tasks focused on revenue generation through account resolution for any company client.
Review documentation to support or contest payer coding decisions for multiple facilities.
Prepare clear, concise, and well-supported appeals where applicable, using all available documentation, coding guidelines, and regulatory references to defend billed claims and secure reimbursement on insurance accounts receivable.
Investigate the root causes of denials and downgrades, as needed.
Provide targeted training on coding practices to Currance team members, promoting accuracy, compliance, and efficiency in resolving coding-related issues.
Participate in daily shift briefings and contribute actively.
Resubmit corrected claims according to Federal, State, and payer-mandated guidelines.
Research, analyze, and correct claim errors and rejections to ensure accurate resubmission and to avoid payer denials due to preventable errors.
Escalate problematic accounts, recurring issues, or trends to Supervisor and recommend education or denial prevention measures to the client.
Stay current on payer updates, process changes, and coding guidelines to maintain compliance with Federal, State, and payer requirements.
Meet productivity standards while maintaining quality output.
Communicate payer-specific issues to the team and management for timely resolution.
Engage in continuous learning to remain up to date on coding and payer policies. 🎯 Requirements
High school diploma or equivalent (GED) required.
Associate or bachelor’s degree in healthcare management, Health Information Management/Technology (HIM/HIT) preferred.
Current/active CCS or CPC certification required
Minimum of 3 years’ experience resolving payer denials and/or conducting coding audits.
At least 3 years’ experience in medical claim payments, follow-up, and appealing denials, with proven success resolving complex, high-value claims.
Advanced knowledge of ICD-10, CPT/HCPCS, NCCI edits, DRG/APC assignment, payer policies, and reimbursement regulations.
Strong negotiation, research, written communication, and problem-solving skills, with the ability defend coding-related positions.
Experience correcting and resubmitting denied claims due to coding issues, including modifiers, revenue codes, bundling, and NPI discrepancies.
Ability to research regulatory references (CMS, Medicaid, LCD/NCD guidelines) and apply them to appeals.
Demonstrated ability to analyze denial trends and recommend process or coding improvements.
Familiarity with compliance standards (OIG, CMS, HIPAA) related to coding and billing.
Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms for billing and account resolution.
Ability to collaborate effectively with other coders, clinicians, and account resolution specialists to resolve complex coding and reimbursement issues.
Proficiency in Microsoft Office Suite, Teams, and various desktop applications. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Encoder Technician 🔥 1 hour ago The Walt Disney Company 10,000+ employees 📱 Media Website LinkedIn All Job Openings Remote Encoder Technician operating transmission and telecom services for ESPN remote events. Responsible for planning, support, and management of telecom services and execution of remote broadcasts. 🇺🇸 United States – Remote 💵 $55 - $80 / hour 💰 Post-IPO Debt on 2020-04 ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding 🦅 H1B Visa Sponsor Medical Billing Specialist 🔥 1 hour ago Revco Solutions 501 - 1000 ⚕️ Healthcare Insurance 📋 Compliance 🤝 B2B Website LinkedIn All Job Openings Medical Billing Specialist completing medical insurance follow-up for designated accounts with timely and accurate submissions. Analyzing claims and resolving inquiries efficiently. 🇺🇸 United States – Remote 💵 $18 - $21 / hour ⏰ Full Time 🟢 Junior 🟡 Mid-level 🏥 Medical Billing and Coding 🚫👨‍🎓 No degree required Inpatient Medical Coder 🔥 4 hours ago Affordable Housing Trust for Columbus and Franklin County 1 - 10 🤝 Non-profit 🏠 Real Estate 🌍 Social Impact Website LinkedIn All Job Openings Inpatient Coding Specialist at UASI enhancing coding expertise while working from home. Collaborating with the Coding Services department to ensure quality coding standards are met. 🇺🇸 United States – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level 🏥 Medical Billing and Coding Outpatient Medical Coder 🔥 4 hours ago Affordable Housing Trust for Columbus and Franklin County 1 - 10 🤝 Non-profit 🏠 Real Estate 🌍 Social Impact Website LinkedIn All Job Openings Medical Coding Specialist performing accurate code assignments for outpatient records. UASI seeks experienced candidates for coding expertise in a remote role with flexibility. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding ED Coder 🔥 4 hours ago Affordable Housing Trust for Columbus and Franklin County 1 - 10 🤝 Non-profit 🏠 Real Estate 🌍 Social Impact Website LinkedIn All Job Openings ED Remote Coder for UASI performing accurate code assignments for ED records. Flexible, detail-oriented coding specialists working from home with a focus on quality and client productivity. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding View More Medical Billing and Coding Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

ICD-10CPTHCPCSNCCI editsDRG assignmentAPC assignmentcoding auditsmedical claim paymentsappealing denialscoding practices

Soft Skills

negotiationresearchwritten communicationproblem-solvingcollaborationcontinuous learningtraininganalysisattention to detailtime management

Certifications

CCSCPC