Senior Denials & Contractual Reimbursement Recovery Specialist

HealthCoder is transforming the future of healthcare revenue cycle management through fully automated, AI-driven medical coding solutions. Our advanced coding engine intelligently interprets clinical data directly from patient charts, dramatically reducing coding errors, minimizing administrative costs, and eliminating the need for manual intervention. By leveraging cutting-edge AI automation, HealthCoder helps healthcare organizations improve operational efficiency, accelerate reimbursements, and optimize financial performance across the entire revenue cycle. As we continue to grow, we are seeking experienced professionals who are passionate about healthcare finance, denials recovery, and revenue optimization.Position OverviewHealthCoder is currently hiring a Senior Denials & Contractual Reimbursement Recovery Specialist for a full-time, on-site position located in San Diego County, CA and Houston, TXThis role is ideal for an experienced healthcare revenue cycle professional with strong expertise in denials management, claims analysis, appeals processing, and contractual reimbursement recovery. The selected candidate will play a critical role in ensuring accurate reimbursements and maximizing revenue recovery for healthcare organizations.Key Responsibilities:Analyze and resolve denied or underpaid healthcare claimsInvestigate reimbursement discrepancies and contractual adjustmentsPrepare and submit appeals for denied claimsMonitor payer trends and identify recurring denial patternsWork closely with payers, providers, and internal revenue cycle teamsEnsure compliance with healthcare billing regulations and payer guidelinesCollaborate with operational and leadership teams to improve reimbursement workflowsRecommend process improvements to reduce future denials and increase clean claim ratesReview payer contracts and reimbursement methodologiesSupport revenue recovery initiatives and financial reconciliation processesUtilize healthcare billing technologies, AI-driven platforms, and reporting tools to optimize collections performanceQualificationsRequired Skills & Experience:Strong expertise in:Claims AnalysisDenial ManagementRevenue Recovery ProcessesAppeals & Underpayment ResolutionDeep understanding of:Payer GuidelinesInsurance Reimbursement PracticesContract ManagementHealthcare Compliance & RegulationsMedical Coding PrinciplesProficiency with:Medical Billing SoftwareElectronic Health Records (EHR)Microsoft Office SuiteExcellent analytical, organizational, and problem-solving abilitiesStrong written and verbal communication skillsAbility to work effectively with internal teams, providers, and insurance carriersPreferred Qualifications:Prior experience in:Revenue Cycle Management (RCM)Healthcare FinanceHospital or Physician Billing OperationsBachelor’s degree in:Healthcare AdministrationBusinessAccountingRelated field(Equivalent experience will also be considered.)