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Roles and Responsibilities: - Review and analyze denied claims to identify reasons for denial and assign appropriate ICD-10, CPT, and HCPCS codes. - Resolve coding-related denials by making necessary corrections and ensuring compliance with payer-specific guidelines. - Work closely with billing and accounts receivable teams to resubmit corrected claims promptly. - Investigate trends in claim rejections and implement strategies to minimize denial rates. - Liaise with healthcare providers and teams to clarify documentation discrepancies affecting claim approvals. - Ensure claims meet industry standards and payer-specific policies for successful reimbursement. - Maintain accurate records of denial cases and resolutions for reporting purposes. - Stay up to date on coding guidelines, healthcare regulations, and payer policy updates. - Meet productivity and quality benchmarks established by the organization. - Maintain confidentiality and adhere to HIPAA regulations in handling patient information. .