Professional, Coding (Denial)

About the role

The Lab & Path Denial Coder is responsible for reviewing, analyzing, and resolving claim denials related to laboratory and pathology services. This role ensures accurate coding, supports denial prevention, and works closely with billing, QA, and provider teams to improve reimbursement outcomes.

What you'll do

• Denial Review & Resolution
• Analyze payer denial codes for Lab & Pathology claims
• Identify root causes such as coding errors, missing documentation, medical necessity issues, or payer-specific rules
• Prepare and submit corrected claims or appeals with supporting documentation
• Ensure compliance with NCCI edits, LCD/NCD guidelines, and payer policies

What you need

• 2–4 yrs of experience
• Medical coding
• Microbiology
• Any graduate