Inpatient Coding Denials Specialist

Position Overview

We are seeking an experienced Inpatient Coding Denials Specialist to review and resolve inpatient coding-related denials and prevent lost reimbursement. The ideal candidate has strong inpatient coding expertise, DRG assignment experience, and the ability to write effective clinical / coding appeals.

In this role, you will review medical documentation, ensure coding accuracy, validate DRG assignments, develop appeal letters, and collaborate with leadership to address denial trends and prevention strategies.

Schedule : Monday–Friday, Days (Core hours 8 : 00 AM–4 : 00 PM EST; flexible after training; no weekends)

Work Environment : Remote, office-based

Key Responsibilities

• Review inpatient medical records and assign accurate diagnoses, procedures, DRGs, and discharge dispositions
• Analyze denials, validate DRGs, and develop clear and effective appeal letters
• Research payer policies and regulatory resources, including CMS and NCD / LCD guidelines
• Identify trends and recommend denial prevention strategies
• Maintain productivity, accuracy, credentialing, and compliance standards
• Stay current with coding guidelines and participate in ongoing education

Required Qualifications

Education

Additional Experience

Physical / Work Requirements