Remote Coding Appeals Specialist
Description
Remote Coding Appeals Specialist
Ever win an appeal and think, “That made a real difference for someone”? That’s the feeling we chase around here. One appeal at a time, you’ll be fixing what’s broken—not just ticking boxes, but actually helping real people—and you get to do it wherever you work best.
🌎 Real Impact, Real Flexibility
If you think best before sunrise or after dinner, that works for us. No micro-managing. What we care about: you’re the one who gets people through the maze of coding appeals. You spot details others miss. You’re the reason someone’s stress turns into a sigh of relief.
💡 Why This Job Actually Matters
Every denial is a story, not just a code. A missing modifier, a mistyped digit, a note that’s just a little too vague—sometimes that’s the whole difference between a family getting a bill or a break. Around here, you read between the lines and ask the right questions.
"Just last week, one of our team caught a missing diagnosis code and flipped a denial into an approval. The patient called back in tears—that’s the kind of thing that sticks with you."
✨ Your Everyday Moves
- 🔍 Dig through charts, notes, and records: You’re the kind of person who gets a kick out of finding what’s off—call it curiosity or stubbornness.
- 🏷️ Write appeals that actually tell the story: Not just checking compliance boxes—you craft the argument so it clicks for the reviewer.
- 🧩 Partner with nurses and doctors: Sometimes it’s a quick chat, sometimes it’s back-and-forth. Either way, you’re not shy about chasing down what’s missing.
- 🔄 Rules change? You keep up: And you’re the first to say, "Heads up, here’s what’s new" in the team chat.
- 🗣️ Make it make sense: Clients, teammates, even leadership—you turn jargon into plain English.
- 🚀 Spot the pattern: Seen three denials for the same reason? You say something, so we can fix it for everyone.
⚙️ The Tools You’ll Use
- 💻 Zoom, Slack, docs in the cloud: Nothing fancy, just enough to make life easy.
- 🗃️ Claims and appeals software: If you know EHRs and payer portals, you’ll jump right in. If not, we’ll show you the ropes.
- 📊 Compliance dashboards: Help you double-check yourself without adding busywork.
🤝 The People You’ll Team Up With
- 👩⚕️ Nurses, coders, reviewers—the folks who get why details matter.
- 🛠️ Tech teammates who genuinely want your honest feedback on what’s clunky.
- 🙌 Leaders who know your name, not just your output.
🧭 What Makes You, You
- 📑 You see the story in CPT, ICD-10, and HCPCS codes. Manuals are just the starting line for you.
- 🎓 CPC, CCS, or RHIA credentials—if you’ve got something similar, let’s talk.
- 🕵️♂️ You’re nosey (in a good way) and not afraid to say, “Hang on, let’s check that.”
- 📈 Remote work isn’t new to you, or if it is, you’re the self-motivated type.
- 🔄 You like learning and you share what you figure out, even if it’s just a hack that saves someone else five minutes.
💼 What Working Here Feels Like
- 🏡 100% remote. Home, library, a friend’s kitchen table—it’s your call.
- 🕒 Make your hours. We care about results, not when you clock in.
- 🎯 Focus time is respected. You’ll never have to apologize for putting your head down and doing the work.
- 🌐 Weekly check-ins, plenty of Slack jokes, and someone always willing to help if you get stuck.
🎯 What Winning Looks Like
- Denials overturned. Clients you remember, not just names in a queue.
- You’re the person who speaks up when something feels off (and people actually listen).
- The playbook improves because you identified a loophole and addressed it.
- You leave things better than you found them, always.
💸 Pay & Perks
- $81,357/year—where you work doesn’t change what you’re worth.
- Benefits built for remote life: health, time off, and a little cash for learning something new.
- Growth isn’t just a promotion—it’s more trust, more interesting work, and a bigger say in how we do things.
🚀 What’s Next?
Are you sure you've ticked every single box? Doesn’t matter. If you’re the person who turns “no” into “let’s try again,” let’s talk. Got questions? Reach out—even if your resume isn’t perfect. We care about how you think, not just what you’ve done. Let’s build something better, together.