• Responsible for validating coding and facilitation of appeals process for all assigned denied professional service claims • Communicates with providers regarding coding denial issues • Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals • Serves as a subject matter expert for assigned specialty • Communicates with team members regarding coding denial issues and trends • Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals • Follows departmental policies for charge corrections • Provides feedback to providers or appropriate office liaison in order to clarify and resolve coding concerns • Submits appeals for assigned payer and/or division