ZipRecruiter

Log In

1

Appeal Resolution Specialist Jobs (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Richmond, VA · On-site

$18.50 - $23.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Trice Healthcare

Coding Payment Resolution Spec

Merrimack, NH · On-site

$19.25 - $24.50/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Trice Healthcare

Coding Payment Resolution Spec

Elkhart, IN · On-site

$18 - $23.25/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Trice Healthcare

Coding Payment Resolution Spec

Cheyenne, WY · On-site

$18 - $23/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Trice Healthcare

Coding Payment Resolution Spec

Columbia, SC · On-site

$15.25 - $19.50/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Trice Healthcare

Coding Payment Resolution Spec

Pensacola, FL · On-site

$17.75 - $22.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

TEKsystems

MAA Case Resolution Specialist

Honolulu, HI · On-site

$23.33/hr

Case Resolution Specialist Location: Honolulu, HI (On-site) Pay: $23.33/hr TEKsystems is hiring a ... Investigate and resolve member appeals and grievances * Research member concerns and gather ...

Currance

Account Resolution Specialist III

$21 - $23.50/hr

... resolution and payment processing for our clients. The Accounts Receivable Specialist III is a ... Prepare and submit first- and second-level appeals with complete supporting documentation, ensuring ...

Archer Systems

Lien Resolution Specialist

Austin, TX · On-site

... appeals and other official correspondence. • Ability to organize and coordinate work within ... ARCHER's core offering is post-settlement Healthcare Lien Resolution Administration and QSF ...

Currance Inc

Account Resolution Specialist III

Irvine, CA · On-site

$21 - $23.50/hr

... resolution and payment processing for our clients. The Accounts Receivable Specialist III is a ... Prepare and submit first- and second-level appeals with complete supporting documentation, ensuring ...

previous page

Showing results 41-60

All JobsLegal JobsLaw Office And Legal Clinic JobsParalegal JobsAppeal Resolution Specialist Jobs

Appeal Resolution Specialist information

See salary details

$13

$28

$55

How much do appeal resolution specialist jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for appeal resolution specialist in the United States is $28.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $36.06 per hour, depending on experience, location, and employer.

What cities are hiring for Appeal Resolution Specialist jobs?

Cities with the most Appeal Resolution Specialist job openings:

What states have the most Appeal Resolution Specialist jobs?

States with the most job openings for Appeal Resolution Specialist jobs include:

What are popular job titles related to Appeal Resolution Specialist jobs?

For Appeal Resolution Specialist jobs, the most frequently searched job titles are:

Coding Payment Resolution Spec

San Antonio, TX • On-site

Trice Healthcare
See more jobs at Trice Healthcareexternal

$17 - $21.75/hr

Other

Re-posted 14 days ago

Job description

Coding Payment Resolution Specialist

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and judgment within the Hospital and/or Medical Group revenue operations of a Patient Business Services center.

Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials.

Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. In addition to promoting departmental awareness of coding best practices.

This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

Essential Functions

  • Knows, understands, incorporates, and demonstrates the Client Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
  • Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
  • Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
  • Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
  • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Client and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications

  • High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
  • Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
  • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
  • Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
  • Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Client.

Apply