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Coding Appeal Specialist Jobs (NOW HIRING)

R1

Clinical Coding Appeals Nurse

$65K - $116K/yr

Then you will draft appeal letters based on clinical judgment and knowledge and make coding change ... Certified Coding Specialist (CCS - AHIMA) or Certified Professional Coder (CPC - AAPC) * Active ...

R1

Clinical Coding Appeals Nurse

$65K - $116K/yr

Then you will draft appeal letters based on clinical judgment and knowledge and make coding change ... Certified Coding Specialist (CCS - AHIMA) or Certified Professional Coder (CPC - AAPC) * Active ...

R1

Clinical Coding Appeals Nurse

$65K - $116K/yr

Then you will draft appeal letters based on clinical judgment and knowledge and make coding change ... Certified Coding Specialist (CCS - AHIMA) or Certified Professional Coder (CPC - AAPC) * Active ...

Globus Medical

Appeals Specialist

Collegeville, PA · On-site

Develop sound and well-supported appeal argument letters of patient appeal based on payer policy ... Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code ...

NCH

Coding Specialist Business Office

Naples, FL · On-site +1

Clean claim rate, days in A/R, and pre-A/R days, etc.) • Assists with training of onboarding Coding Specialists. • Assist RC Denial and Appeal Specialists with drafting and verbiage to use in ...

Globusmedical

Appeals Specialist

Collegeville, PA · On-site

Develop sound and well-supported appeal argument letters of patient appeal based on payer policy ... Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code ...

R1 RCM

Clinical Coding Appeals Nurse

Chicago, IL · On-site

$65K - $116K/yr

Then you will draft appeal letters based on clinical judgment and knowledge and make coding change ... Certified Coding Specialist (CCS - AHIMA) or Certified Professional Coder (CPC - AAPC) * Active ...

R1 RCM

Clinical Coding Appeals Nurse

Columbus, OH · On-site

$65K - $116K/yr

Then you will draft appeal letters based on clinical judgment and knowledge and make coding change ... Certified Coding Specialist (CCS - AHIMA) or Certified Professional Coder (CPC - AAPC) * Active ...

R1 RCM

Clinical Coding Appeals Nurse

Frankfort, KY · On-site

$65K - $116K/yr

Then you will draft appeal letters based on clinical judgment and knowledge and make coding change ... Certified Coding Specialist (CCS - AHIMA) or Certified Professional Coder (CPC - AAPC) * Active ...

R1 RCM

Clinical Coding Appeals Nurse

Detroit, MI · On-site

$65K - $116K/yr

Then you will draft appeal letters based on clinical judgment and knowledge and make coding change ... Certified Coding Specialist (CCS - AHIMA) or Certified Professional Coder (CPC - AAPC) * Active ...

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Coding Appeal Specialist information

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$27

$38

How much do coding appeal specialist jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for coding appeal specialist in the United States is $27.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $32.69 per hour, depending on experience, location, and employer.

What is a coding appeal specialist?

Coding Appeal Specialists are healthcare professionals responsible for reviewing and appealing denied medical claims related to coding issues. They analyze medical records, ensure accurate coding in compliance with regulations, and prepare appeal documents to submit to insurance companies or payers. Their goal is to maximize reimbursement for healthcare providers by correcting errors and providing supporting documentation. Coding Appeal Specialists often work closely with billing teams, coders, and healthcare providers to resolve claim denials efficiently.

What skills and qualifications are needed to be a coding appeal specialist?

To thrive as a Coding Appeal Specialist, you need a deep understanding of medical coding (ICD-10, CPT, HCPCS), healthcare regulations, and claims processing, typically supported by a certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, medical billing software, and payer-specific appeal platforms is crucial. Strong analytical thinking, attention to detail, and effective written communication set standout specialists apart. These skills are vital for accurately challenging denied claims, maximizing reimbursement, and ensuring compliance within healthcare organizations.

How does a coding appeal specialist collaborate with other healthcare professionals during the appeals process?

A Coding Appeal Specialist frequently works closely with medical coders, billing teams, and healthcare providers to gather necessary documentation and clarify coding details for denied claims. They may also interact with insurance representatives to discuss the specifics of each case and ensure that appeals are properly supported. Effective communication and teamwork are essential, as accurate information from various stakeholders directly impacts the outcome of appeals. This collaborative approach helps streamline the process and increases the likelihood of successful claim resolutions.

What cities are hiring for Coding Appeal Specialist jobs?

Cities with the most Coding Appeal Specialist job openings:

What states have the most Coding Appeal Specialist jobs?

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

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

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

Infographic showing various Coding Appeal Specialist job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 12% Part Time, and 3% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $57,000 per year, or $27.4 per hour.

Grievances & Appeals Specialist I

Meridian, ID • On-site

Blue Cross of Idaho Health Service, Inc.
See more jobs at Blue Cross of Idaho Health Service, Inc.external

$23.63 - $33.09/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Key responsibilities

  • Investigate and analyze member appeals and grievances, ensuring cases are accurately classified and categorized.

  • Prepare comprehensive case histories and determine if additional information is needed for decision-making.

  • Present appeal case information to multi-department committees and prepare cases for review by independent specialists.

Job description

Our Grievance & Appeals Specialist I act as the primary investigator for member appeals and grievances including analyzing, researching, and managing inventories. Responding to member/provider requests within regulatory requirements and plan policy.
We're looking for Grievance & Appeals Specialist I with:
Required Experience: 3 years' health industry or related experience
What a day of a Grievance & Appeals Specialist I would look like:
  • Ensure cases are accurately classified and categorized.
  • Prepare comprehensive case histories for presentation and consideration at committee meetings and audits.
  • Determines if additional information or documentation is needed to make appropriate decisions.
  • Interpret and apply business rules, policies and contract.
  • Prepare appeal cases to send to an independent specialty reviewer.
  • Present appeal case information to a multi-department committee.

Additional skills that we are looking for:
  • Good verbal and written communication skills
  • Medical terminology
  • Familiar with ICD10 and CPT coding
  • Experience with Individual and Group Contract language
  • Customer Service or Claims processing experience preferred

As of the date of this posting, a good faith estimate of the current pay range is $23.63 to $33.09. The position is eligible for an annual incentive bonus (variable depending on company and employee performance).
The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.
We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.
We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.
Reasonable accommodations
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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