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HomeCompaniesEppr Fa Us2 Oraclecloud Com CX 2Appeal Resolution Coder

Appeal Resolution Coder

Eppr Fa Us2 Oraclecloud Com CX 2 · Lake Success, Nassau, United States; 1111 Marcus Ave, Lake Success, NY, US · Remote · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyEppr Fa Us2 Oraclecloud Com CX 2
TitleAppeal Resolution Coder
Normalized title-
Department / teamRevenue Cycle Quality and Performance Management
LocationLake Success, United States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-06-02 / 2026-06-03
Changed / last seen2026-06-06 / 2026-06-06

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PageWhat it containsOpen
Company jobsActive postings from Eppr Fa Us2 Oraclecloud Com CX 2.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Lake Success.Open
Department jobsActive postings in Revenue Cycle Quality and Performance Management.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyEppr Fa Us2 Oraclecloud Com CX 2
Sourceb7251a21-72e1-459d-967a-2deb27e5f8ec
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description Required: Background in Inpatient with 3-5 years' experience in Coding or Auditing. Highly Preferred: Auditing experience with DRGs. Job Description Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and knowledge gaps; functions as a organization resource for litigation as related to coding denials. Maintains hospital database. Remains up-to-date on DRG system literature from all agencies. Maintains coding clinic up-dates. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. Current Professional Coder Certification, or Current Coding Professional Certification, or Current Registered Health Information Technician Certification required, plus specialized certifications as needed. 1-3 years of relevant experience, required. Knowledgeable on DRGs, preferred. Proficient in Microsoft Excel, preferred. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Full job record

Job IDed9329bcd1a6935fa7d57b9a5f5538bc210a8fc5
Org IDe8b712fb-8d92-42f1-9ad7-a9f05ce78140
Source IDb7251a21-72e1-459d-967a-2deb27e5f8ec
Board IDb7251a21-72e1-459d-967a-2deb27e5f8ec
Provideroracle_hcm
Provider Job Key179272
TitleAppeal Resolution Coder
Normalized Title
Statusactive
Activeyes
Location TextLake Success, Nassau, United States; 1111 Marcus Ave, Lake Success, NY, US
DepartmentRevenue Cycle Quality and Performance Management
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
Region
CityLake Success
Salary RawDescription Required: Background in Inpatient with 3-5 years' experience in Coding or Auditing. Highly Preferred: Auditing experience with DRGs. Job Description Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and knowledge gaps; functions as a organization resource for litigation as related to coding denials. Maintains hospital database. Remains up-to-date on DRG system literature from all agencies. Maintains coding clinic up-dates. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. Current Professional Coder Certification, or Current Coding Professional Certification, or Current Registered Health Information Technician Certification required, plus specialized certifications as needed. 1-3 years of relevant experience, required. Knowledgeable on DRGs, preferred. Proficient in Microsoft Excel, preferred. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Salary Min
Salary Max
Salary Currency
Salary Periodhour
Source URLhttps://eppr.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_2/job/179272
Apply URLhttps://eppr.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_2/job/179272
First Seen At2026-06-03 11:38:53Z
Last Seen At2026-06-06 11:33:41Z
Last Checked At2026-06-06 11:33:41Z
Last Changed At2026-06-06 11:33:41Z
Inactive At
Source Posted At2026-06-02 18:28:13Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=eppr.fa.us2.oraclecloud.com|CX_2/date=2026-06-06/2026-06-06T11-32-17-308Z-c130e8e0fb5de1b2f5294c2d84498c4c0d43b43a2796cf2d0a93c71a93571325.json
Event Fields
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Extensions
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