-Bachelor's degree holder

-4-8 years of experience in healthcare revenue cycle management, with specific focus on coding and clinical denials, accounts receivable, and team leadership.

-Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity policies, and clinical documentation improvement principles.

-Proven expertise in denial management lifecycle — identification, analysis, appeal management, and prevention of coding and clinical denials.

-Strong knowledge of medical billing processes, insurance claims, clinical documentation requirements, and overall revenue cycle operations.

-Experience interacting effectively with internal stakeholders (coding, clinical teams, and billing), insurance payers, and external audit teams.

-Mandatory Epic system experience.