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Role overview
Job description
Position Overview 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. Key Responsibilities 1. 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. Correct CPT, HCPCS, ICD‑10, and modifier usage as required. Prepare and submit corrected claims or appeals with supporting documentation. 2. Coding Accuracy Assign accurate CPT/HCPCS codes for: Clinical laboratory tests Anatomic pathology Molecular pathology Cytopathology Microbiology Ensure compliance with NCCI edits, LCD/NCD guidelines, and payer policies. 3
…About this listing
- Listed from Advantum Health's careers site via Keka · last confirmed on the source 25 Oct 2026
- Posted 9 Jun 2026
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What they are looking for
Skills & requirements
Qualification
Required Skills & Qualifications 2–4 years of experience in Lab/Pathology coding or denial management; Certification preferred: CPC, COC, CIC, or equivalent
Department · Codingop
Hiring company
Advantum Health
Full-service revenue cycle management for hospitals, health systems and specialty practices. 98%+ collection rate, $1B+ managed. Schedule a conversation.
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