18 coder edit denials jobs found

Insight Global is looking for a Urology Surgery Coder for a academic medical center. This coder will spend the majority of their time reviewing and abstracting urology surgical cases, working through approximately 8 surgeries per hour. Surgeries will vary from simple to complex. They will assign CPT, ICD-10, and modifiers while validating diagnoses, LCDs, and medical necessity requirements. The role might include working through 10-12 clinic edits per hour, ensuring claims accuracy, and submitting finalized charges back to providers with clear documentation of coding decisions. While denials are minimal, the coder will support occasional claim corrections and may engage directly with physicians to clarify documentation and ensure accuracy. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified...

Urology Surgery Coder Insight Global is looking for a Urology Surgery Coder for an academic medical center. This coder will spend the majority of their time reviewing and abstracting urology surgical cases, working through approximately 8 surgeries per hour. Surgeries will vary from simple to complex. They will assign CPT, ICD-10, and modifiers while validating diagnoses, LCDs, and medical necessity requirements. The role might include working through 1012 clinic edits per hour, ensuring claims accuracy, and submitting finalized charges back to providers with clear documentation of coding decisions. While denials are minimal, the coder will support occasional claim corrections and may engage directly with physicians to clarify documentation and ensure accuracy.

Job Description Insight Global is looking for an Orthopedic Surgery Coder. This person will primarily be responsible for reviewing and abstracting orthopedic surgical cases, handling a high volume of complex procedures at an expected rate of approximately 8 surgeries per hour. They will assign CPT, ICD-10, and modifiers while validating diagnoses, medical necessity, and LCD requirements. The coder will work through 10–12 edits per hour, ensuring claims are accurate before submission. Daily responsibilities also include returning charges to providers with clear documentation, supporting minimal denials work, and collaborating with physicians to clarify surgical documentation when needed. Orthopedic Case Types Spinal surgeries (anterior and posterior approaches performed simultaneously) Joint procedures and sports medicine cases Podiatry cases Trauma cases (e.g., motor vehicle accidents; high complexity) Bone oncology procedures We are a company committed to creating diverse...

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

Outpatient Surgery Coder UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an Outpatient Surgery Coder. Work schedule: 100% FTE, Days 100% Remote Position highlights: This Outpatient Surgery Coding Specialist 3 position provides support to the Enterprise Records and Health Information department for coding highly specialized services. Outpatient Surgery coder should have experience for complex surgical procedures which include but not limited to General Surgery, Integumentary/Plastic, Orthopedics/Podiatry, Respiratory, Cardiovascular, Hemic and Lymphatic, Digestive, Urinary, Reproductive/Genital, Endocrine, Nervous, Ophthalmology, Auditory, and others. Department description: Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to...

Job Description Insight Global is looking for a Urology Surgery Coder for a academic medical center. This coder will spend the majority of their time reviewing and abstracting urology surgical cases, working through approximately 8 surgeries per hour. Surgeries will vary from simple to complex. They will assign CPT, ICD-10, and modifiers while validating diagnoses, LCDs, and medical necessity requirements. The role might include working through 10-12 clinic edits per hour, ensuring claims accuracy, and submitting finalized charges back to providers with clear documentation of coding decisions. While denials are minimal, the coder will support occasional claim corrections and may engage directly with physicians to clarify documentation and ensure accuracy. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone...

Job Description Insight Global is looking for an Orthopedic Surgery Coder. This person will primarily be responsible for reviewing and abstracting orthopedic surgical cases, handling a high volume of complex procedures at an expected rate of approximately 8 surgeries per hour. They will assign CPT, ICD-10, and modifiers while validating diagnoses, medical necessity, and LCD requirements. The coder will work through 10–12 edits per hour, ensuring claims are accurate before submission. Daily responsibilities also include returning charges to providers with clear documentation, supporting minimal denials work, and collaborating with physicians to clarify surgical documentation when needed. Orthopedic Case Types Spinal surgeries (anterior and posterior approaches performed simultaneously) Joint procedures and sports medicine cases Podiatry cases Trauma cases (e.g., motor vehicle accidents; high complexity) Bone oncology procedures We are a...

New Jersey's largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The position also supports prior...

OverviewSenior Ambulatory Surgery Facility Coder - RemoteJoin to apply for the Senior Ambulatory Surgery Facility Coder - Remote role at LCMC HealthYour job is more than a jobThe Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist.Your EverydayGENERAL DUTIESCoding And Computer Related KnowledgeGains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS codes to...

Company Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long‑term client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer...

Senior Vascular Surgery Professional Coder New Jersey's largest vascular surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best vascular surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural...

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

Company Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing. healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer...

On-Site Medical Coder - Vascular & Orthopedic Surgery (Temp-to-Perm) - Dallas, TX On-Site Medical Coder (Vascular & Orthopedic surgery) - Temp-to-perm opportunity supporting revenue cycle and surgical coding at a leading healthcare facility in Dallas, TX. Join a collaborative healthcare coding team and advance your career in medical coding and billing. Position Overview Join a dynamic team as a Coder specializing in vascular and orthopedic surgery support. This temp-to-perm on-site medical coder role supports a leading healthcare organization's revenue cycle and surgical services. Based in Dallas, TX (75246), this role offers the opportunity to work directly with clinical and administrative teams, contributing to accurate coding, quality patient records, and compliant billing practices. Ideal for experienced surgical coders, CPT/ICD-10 coders, and clinical coding professionals seeking an engaging on-site environment in a vibrant healthcare network. Job Details...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

This position is responsible for reviewing and accurately coding professional services, including evaluation and management, procedures, and hospital outpatient surgeries/procedures and observation patients. The role ensures conformance with applicable Medicare, Medicaid, and third‑party payer guidelines to support accurate reimbursement. Specialty General surgery/trauma specialty required. Education Required: High School diploma or equivalent. Preferred: Completion of an accredited AHIMA/AAPC coding program with certification. Work Experience Required: 1 year of coding experience. Certifications Preferred: Recognized certification by AHIMA or AAPC. Knowledge, Skills, and Abilities (KSAs) Must have computer skills and dexterity required for data entry and retrieval of patient information. Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process....

Overview Senior Ambulatory Surgery Facility Coder - Remote Join to apply for the Senior Ambulatory Surgery Facility Coder - Remote role at LCMC Health Your job is more than a job The Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist. Your Everyday GENERAL DUTIES Coding And Computer Related Knowledge Gains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS...