TEKsystems

Coding Denials & Appeals Auditor

TEKsystems
Posted 10/19/2026contractRemote • Virginia • United StatesMid-LevelSenior💰 $33 - $38 per hourWebsite
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Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in inpatient coding, denial analysis, and appeal letter writing, with a strong focus on compliance with ICD-10, CPT, and DRG standards. Proficient in utilizing coding tools and collaborating with clinical teams to optimize reimbursement processes.

Highest-signal resume keywords
Active Coding CertificationInpatient Coding KnowledgeDenial Review ExperienceICD-10 Compliance KnowledgeAnalytical Skills

About the role

Key responsibilities & impact
  • Review inpatient and outpatient coding denials from commercial payers
  • Analyze medical records, coding, and documentation to determine appeal opportunities
  • Write clear, clinically supported appeal letters for coding and medical necessity denials
  • Validate DRG, ICD-10, CPT, APC, and MS-DRG coding assignments
  • Determine when denials should be appealed versus upheld
  • Document denial and appeal activity within established workflows
  • Prioritize work based on recovery potential and financial impact
  • Collaborate with coding, CDI, revenue cycle, and clinical teams
  • Utilize Epic and AI-assisted appeal tools to support appeal development
  • Recover appropriate reimbursement through well-supported appeals

Requirements

What you’ll need
  • Active coding certification (CCS, CPC, RHIT, RHIA, or equivalent)
  • Acute-care coding experience with strong inpatient coding knowledge
  • Experience reviewing coding denials and writing payer appeal letters
  • Knowledge of ICD-10, CPT, DRG, and coding compliance standards
  • Strong critical thinking, analytical, and written communication skills
  • High School Diploma or GED
  • Full-time availability of 40 hours per week
  • Based out of Richmond, Virginia, USA

Benefits

Comp & perks
  • 100% remote opportunity
  • Flexible scheduling within a Monday-Friday workweek
  • Contract-to-hire opportunity with long-term growth potential
  • Quarterly incentive eligibility upon conversion to permanent employment
  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
  • Voluntary Life & AD&D insurance for the employee and dependents
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
ICD-10 CodingCPT CodingDRG ValidationAPC CodingMS-DRG CodingCoding Denial AnalysisAppeal Letter WritingDocumentation ReviewFinancial Impact AnalysisRecovery Potential Assessment
Soft Skills
Critical ThinkingAnalytical SkillsWritten Communication
Tools & Technologies
EpicAI-Assisted Appeal Tools
Certifications & Qualifications
CCSCPCRHITRHIA
Industry Keywords
Coding Compliance StandardsRevenue Cycle ManagementClinical Documentation ImprovementPayer AppealsHealthcare Coding