How Denial Management Services Work With Medical Coders
In the U.S. healthcare system, denied claims are more than just a paperwork headache—they are a direct hit to a provider’s revenue. Whether it’s a coding error, a documentation gap, or a coordination of benefits issue, claim denials can stall payments and overwhelm billing teams. That’s why denial management services have become essential. But here’s what many overlook: medical coders are at the heart of this process. At Greenhive Billing Solutions , we integrate certified coders directly into our medical claims denial management workflow because prevention and resolution go hand in hand. The medical coder is working to fix the code. Why Claims Are Denied Insurance companies do not deny claims without a reason. But often, those reasons are technical: Incorrect or missing codes Mismatch between diagnosis and procedure Invalid modifiers Late submissions Lack of documentation Coordination of benefits confusion (for example, patients with dual...