1947 denials coder jobs found

Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role performs advanced coding and appeal activities, investigates payer issues, completes charge corrections, and ensures timely filing of appeals to insurance companies. The candidate should have CCS, AHIMA, CPC or similar credentials; 3+ years of coding experience; strong ICD-10/CPT knowledge; and proficiency with Microsoft Office. #J-18808-Ljbffr

To support independent healthcare providers, the full-time Remote Edits and Denials Coder will review medical records for appropriate billing codes, perform advanced coding and appeal activities, and investigate payer issues while ensuring timely filing of appeals to insurance companies. Key responsibilities Review documentation to identify facts for appealing claims denied by third-party payers and create substantiating letters Collaborate with facility liaisons to resolve coding issues and develop appeals based on clinical documentation feedback Research payer policies and review remittance advice for accuracy and rejections related to billing edits Required qualifications CCS, AHIMA, CCS-P, CPC, AAPC, CPC-A, or AAPC credentials Three or more years of coding experience Proficiency in ICD-10 and CPT coding Experience working in a remote environment Ability to maintain a 95% quality accuracy rate and productivity standards

Senior Ambulatory Medical Coder Edits Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Senior Ambulatory Medical Coder Edits Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Edit & Denials Coder Required Skills & Experience- 5+ years of Edit & Denials coding Active AAPC or AHIMA credential Ability to independently resolve denials. Strong payer knowledge Knowledge of ICD-10 and CPT Coding Must be comfortable working with AR teams to resolve issues. Must be able to pass a coding assessment. Must be proficient in Microsoft Office, including Outlook, Excel, and Teams. Ability to multi-task and have excellent communication skills Job Description We are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies. Key Responsibilities: Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host...

Edit & Denials CoderRequired Skills & Experience- 5+ years of Edit & Denials codingActive AAPC or AHIMA credentialAbility to independently resolve denials.Strong payer knowledgeKnowledge of ICD-10 and CPT CodingMust be comfortable working with AR teams to resolve issues.Must be able to pass a coding assessment.Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.Ability to multi-task and have excellent communication skills.Job DescriptionWe are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies.Key Responsibilities:Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing...

Edit & Denials Coder Required Skills & Experience- 5+ years of Edit & Denials coding Active AAPC or AHIMA credential Ability to independently resolve denials. Strong payer knowledge Knowledge of ICD-10 and CPT Coding Must be comfortable working with AR teams to resolve issues. Must be able to pass a coding assessment. Must be proficient in Microsoft Office, including Outlook, Excel, and Teams. Ability to multi-task and have excellent communication skills. Job Description We are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies. Key Responsibilities: Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party...

Job Description Summary The Coder 1 is an entry-level position responsible for accurately coding medical records and performing data entry tasks under supervision. This role focuses on learning coding conventions and understanding healthcare documentation. Will engage in daily assignments that reinforce foundational coding skills while ensuring compliance with HIPAA regulations and internal policies. Job Description Summary The Coder 1 is an entry-level position responsible for accurately coding medical records and performing data entry tasks under supervision. This role focuses on learning coding conventions and understanding healthcare documentation. Will engage in daily assignments that reinforce foundational coding skills while ensuring compliance with HIPAA regulations and internal policies. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC005226 SYS - Physician Patient Accounting Pay Rate Type Hourly Pay...

Brixa Health is seeking an experienced rheumatology coder to collaborate with the founders and validate denial logic in our software. You will help research and build out a rheumatology rule library and craft appeal templates for biologic, infusion, and E/M denials. The role involves testing the product, mapping authorization workflows, and identifying payer-specific patterns to ensure the tool supports busy rheumatology practices effectively. #J-18808-Ljbffr

Medical Associates is seeking a Certified Medical Coder to join the Business Office team. The role focuses on configuring, maintaining, and processing claims and software to maximize accuracy and efficiency of claim payments. The position offers a hybrid schedule with 4 days remote and 1 day in office. Responsibilities include reviewing denials, filing appeals, and assisting staff with coding and billing procedures. #J-18808-Ljbffr

Medical Associates is seeking a Certified Medical Coder to join the Business Office team. The role focuses on configuring, maintaining, and processing claims and software to maximize accuracy and efficiency of claim payments. The position offers a hybrid schedule with 4 days remote and 1 day in office. Responsibilities include reviewing denials, filing appeals, and assisting staff with coding and billing procedures. #J-18808-Ljbffr

Meduit | Driving Revenue Cycle Performance is seeking a Medical Coding Specialist II in Sartell, Minnesota (remote). The position entails coding healthcare claims and managing denials for optimal reimbursement, requiring a high school diploma and 5 years of experience in coding. Candidates must also have relevant certifications from AAPC or AHIMA. The job offers $26–$30 per hour, comprehensive benefits, and paid training. We are an equal opportunity employer. #J-18808-Ljbffr

Coder II (Denials) - FT - Days Are you looking for a rewarding career with a top-notch health care company? We're looking for a qualified Coder II (Denials) like you to join our Texas Health family. Position highlights include: Work location: Remote work Work hours: Monday Friday generally between 7:00 am 6:00 pm HIMS Coding Department highlights: Flexible hours/scheduling once training is complete Work life balance Opportunities for advancement Qualifications: Education: H.S. Diploma or Equivalent REQUIRED and Associates's Degree Related field preferred Experience: 2 Years Professional (Profee) Coding experience. Completion of advanced level training in medical terminology, anatomy and physiology, or similar REQUIRED Licenses and Certifications: CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty certification such as CGSC, COSC, CCC, etc. Upon Hire Preferred...

OU Health is seeking an Experienced Professional Coding Specialist to perform complex physician/provider coding across diverse settings, including office, hospital outpatient, ED, ASC, and telehealth. You will apply coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement and audit defensibility. Responsibilities include resolving denials, applying NCCI concepts, and providing real-time guidance to peers. #J-18808-Ljbffr

UnitedHealth Group seeks an experienced Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct inpatient coding for MS-DRG/APR-DRG, handle three-day rule edits, denials, and related tasks ensuring accurate documentation and coding. Responsibilities include querying physicians, working with editors, and supporting payer and compliance reviews. Medical terminology and EPIC experience are beneficial. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst. The role involves remote work correcting MS-DRG/APR DRG coding, and handling denials with 3-day rule considerations. Responsibilities include querying documentation, ensuring accurate inpatient coding, and collaborating with Coding Operations Manager. Must have AHIMA/AAPC certifications and 2+ years inpatient coding experience. #J-18808-Ljbffr

Meduit is seeking a Medical Coder II to accurately code hospital outpatient and professional claims and analyze denials to maximize reimbursement. Remote position with a schedule of 8am–5pm ET/CT/MT/PT and a compensation range of $26–$30 per hour, depending on qualifications. The role requires 5 years of coding experience, proficiency with Epic or other EMR systems, and relevant coding certifications. The department is Insurance and reports to Coding Supervisor. #J-18808-Ljbffr

OU Health seeks an Experienced Professional Coding Specialist to independently code complex professional encounters across multiple settings, ensuring accurate E/M levels and adherence to payer policies. You will resolve denials, participate in quality reviews, and support education to reduce denials while enjoying flexible remote/hybrid options and a competitive compensation package. #J-18808-Ljbffr

The University of Rochester is seeking an advanced medical coder to perform abstraction and coding of diverse medical documentation from a remote Texas-based role. You will assign procedural terminology and codes in line with coding guidelines and analyze data across multiple systems. Responsibilities include resolving coding denials, improving documentation, and communicating issues to internal stakeholders. #J-18808-Ljbffr

Optum is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst. This remote role supports inpatient coding, edits, and denial management across U.S. operations, with emphasis on MS-DRG/APR DRG, ICD-10-PCS, and documentation accuracy. You will query physicians to improve documentation quality and collaborate with the Coding Operations team to ensure compliant coding and billing outcomes. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to correct CCIs, MUE edits, and medical necessity edits, while handling three-day rule combinations and other queues. This remote role supports Allina Health in ensuring accurate inpatient coding. You will query physicians for documentation and assign MS-DRG/APR-DRG, with a focus on compliance and data integrity, leveraging strong coding knowledge. #J-18808-Ljbffr

OU Health seeks an Experienced Professional Coding Specialist to independently code complex professional encounters across multiple settings, ensuring accurate E/M levels and adherence to payer policies. You will resolve denials, participate in quality reviews, and support education to reduce denials while enjoying flexible remote/hybrid options and a competitive compensation package. #J-18808-Ljbffr

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Join Med-MetrixExperience these exceptional benefits:8-Hour ShiftsDay 1 HMO with 2 of your dependents covered for FREEGroup Life InsuranceMedical Cash AllowanceRice AllowanceClothing AllowanceHoliday GiftBereavement AssistancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding...