36 denials coder jobs found

MaxAI is Stripe for healthcare billing — the infrastructure that makes medical practices actually get paid. We're early-stage, growing fast, and the people joining now aren't just shaping this company — they're helping fix a broken industry. We want billers and coders who think like owners, not processors. About The Role We're looking for a detail-oriented Medical Coder & Biller to manage the full billing cycle for our dermatology clients. You'll handle claims start to finish — coding, submission, follow‑up, and collections — with precision and care. Every detail matters, and your accuracy will keep revenue flowing smoothly. What You'll Do Review patient records and code dermatology procedures (ICD‑10, CPT, modifiers) Submit clean claims and minimize rejection and denial rates Verify insurance eligibility and benefits before submission Work denials — identify root causes, appeal when appropriate, and prevent repeat issues Manage A/R and follow up on unpaid claims and...

**Note: Please only apply to the specific job posting for which you have experience in the specialty. Duplicate applications will NOT be considered.** MaxAI is Stripe for healthcare billing — the infrastructure that makes medical practices actually get paid. We're early-stage, growing fast, and the people joining now aren't just shaping this company — they're helping fix a broken industry. We want billers and coders who think like owners, not processors. About the Role We’re looking for a detail-oriented Medical Coder & Biller to manage the full billing cycle for our dermatology clients. You’ll handle claims start to finish — coding, submission, follow‑up, and collections — with precision and care. Every detail matters, and your accuracy will keep revenue flowing smoothly. What You’ll Do Review patient records and code dermatology procedures (ICD‑10, CPT, modifiers). Submit clean claims and minimize rejection and denial rates. Verify insurance eligibility and benefits...

Focus Clinic is seeking a full-time Certified Medical Biller/Coder and Revenue Cycle Manager to own our revenue cycle operations. You will code across CPT/ICD-10-CM/HCPCS, review documentation, manage claims lifecycle, and lead provider credentialing as needed. The ideal candidate has CPC/CCS/CCS-P certification, outpatient billing experience, and a collaborative approach to reduce denials and improve cash flow in a pediatric-focused clinic. #J-18808-Ljbffr

Job Details Job Location: Southfield - Southfield, MI 48034Salary Range: $21.00 - $23.00 Hourly Job Summary Ear, Nose & Throat Consultants (ENTC), with locations in Oakland, Wayne, and Macomb Counties, is excited to announce an opportunity for a Medical Biller/Coder who is looking for a full-time position, Monday - Friday. If you are a Medical Billing & Coding Specialist who has the desire to grow with a rapidly growing practice offering stability and job security, you are highly encouraged to apply to this posting. About us Ear, Nose & Throat Consultants (ENTC) has been in practice for almost 50 years and is highly regarded in the medical community. Our office stays up-to-date with the latest in surgical and medical treatment(s) and equipment for a state of the art facility. Duties/Responsibilities Review and analyze medical records and patient information to ensure accurate coding and billing. Prepare and submit claims to insurance companies for reimbursement. Follow...

Yeo & Yeo Medical Billing & ConsultingCome grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding.Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies.Our people are our future – we provide the...

Job Description Job Description Description: TRIARQ HEALTH Radiation Oncology Coder Location: Remote (U.S.) — we are not currently hiring in Hawaii, Alaska, California, or New York. Employment Type: Full-Time TRIARQ Health is a visionary company that partners with doctors and healthcare professionals to transform their businesses into modern patient centered independent practices. Practices that partner with TRIARQ put the patient first and deliver high-value care with less effort which results in better patient outcomes and private practices that succeed. TRIARQ Health is hiring a full-time Radiation Oncology Coder. We are seeking experienced, certified professional coders who have been in the field at least 4 or more years. They must be a team player and open to working closely with the TRIARQ team and our Radiation Oncology physicians. SUMMARY The Radiation Oncology Coder is responsible for ensuring all services rendered are captured timely, coded...

Certified Medical Biller/Coder & Revenue Cycle Manager Submissions from recruiters, staffing agencies, or third-party contractors will not be considered. Overview: Focus Clinic is seeking a full-time Certified Medical Biller/Coder and Credentialing Specialist to take ownership of our revenue cycle operations as our clinic continues to grow. This role is ideal for a highly organized, proactive, and mission-driven professional with expertise in medical coding, insurance billing, and accounts receivable. The successful candidate will combine exceptional attention to detail and accountability with the compassion and clear communication our patients and families deserve. Key Responsibilities: Medical Coding and Documentation Review Accurately assign CPT, ICD-10-CM, HCPCS, and applicable modifier codes across Focus Clinic's multidisciplinary services, including medical visits, diagnostic evaluations and testing, therapy services, and other covered services. Review...

Health Information Management Coding Specialist Outpatient The Health Information Management Coding Specialist Outpatient provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation, recurring accounts to support the facility coding needs. This may include coverage on some Rehab or Skilled Care accounts. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adhere to...

Trinity Health: Coder IV Inpatient Coder (Remote) Employment Type: Full time Shift: Description: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. ESSENTIAL...

Employment Type: Full time Shift: Day Shift Description: Analyzes physician/provider documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Accesses charge work queues and systems to assign ER and Observation charges if performed by HIM. May also require calculation of Observation hours if performed by HIM. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. Utilizes coding guidelines established by: The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS...

Overview The Health Information Management Coding Specialist Outpatient provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation, and recurring accounts to support the facility coding needs. This may include coverage on some Rehab or Skilled Care accounts. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adhere to coding rules for outpatient coding, APC assignment, outpatient coding...

Medical Coder Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered. This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases (ICD) coding rules and regulations....

Yeo & Yeo Medical Billing & Consulting Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we...

Job Summary We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Urgent Care to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accuracy in medical coding, and facilitating timely payments from insurance companies and patients. A strong understanding of medical terminology, coding systems, and collections is essential for success in this role. Responsibilities Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9. Review patient records to ensure all necessary information is included for billing purposes. Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. Follow up on unpaid claims and conduct medical collections as necessary. Maintain accurate records of all billing transactions and communications with insurance companies and patients. Collaborate with healthcare providers to...

Senior Medical Records CoderAre you an experienced inpatient coder who thrives in fast-paced, academic environments and wants to make a lasting impact beyond the chart? This Senior Medical Records Coder role sits at the heart of two dynamic Family Medicine Residency programs—Corewell Health Troy Beaumont and CHMG East–Grosse Pointe—supporting highly productive faculty physicians, community preceptors, and more than 24 residents and medical students. In this highly visible and influential position, you'll serve as both coding expert and educator, guiding providers through complex documentation, billing, and compliance requirements while helping shape the next generation of primary care physicians through audits, one-on-one education, resident orientation, and ongoing regulatory review.Under general supervision and according to established procedures, provides technical support to the Inpatient Coding Staff and coordinates daily workflow based on the needs of the department. On a...

Job Title Employment Type: Full time Shift: Day Shift Description Purpose Work Remote Position (Pay Range: $25.0209-$37.5313) Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing department information, producing reports, & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications. Note: "patients" refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes...

Supervisory Responsibilities: NoneObjective: The Coder/Charge Entry Specialist determines appropriate payer, charges, diagnosis and other information necessary to accurately bill for services.Essential Duties:Know and support the Mission Statement, Policy/Procedures and standards of MMR.Review dispatch information and patient care reports along with other documents to accurately determine service type, level, diagnosis, medical necessity, charges and payer, for assigned days (even/odd).Code the patient diagnosis code utilizing the ICD10 coding system.Select the correct HPPCS code.Understand proficiently Tier 1/Tier 2, ALS 1 with and w/o ProQA/EMD) ALS 2, SCT/Neonate/Emergency and non-emergency transports and how these assist in determining the charges.Understand proficiently EMT-Basic, EMT-Paramedic, Specialty Care Transport (SCT) trained staff.Complete narrative and ambulance certification areas.Places claim in appropriate schedule i.e., Auto 1/Neonate 1/Care/Caid, etc.Verify the...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...

Employment OpportunitiesProvides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.Essential Functions:Knows, understands, incorporates, and demonstrates the Trinity Health Mission,...

GENERAL SUMMARY: Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. PRINCIPAL DUTIES AND RESPONSIBILITIES: · Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical record. · May analyze provider...

WHY HENRY FORD: Remote Position GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. PRINCIPLE DUTIES AND RESPONSIBILITIES: • Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical...

MICHIGAN RESIDENTS ONLY. Join the team that is redefining how EMS and mobile healthcare is delivered in Michigan. Medstar provides 911 service to more communities in Southeast Michigan than any other provider, and our critical care, air medical, and inter‑facility partnerships continue to grow throughout the region. We are currently looking to add an experienced ambulance billing coder to the Medstar team! If you are looking for a fast‑paced, strategic atmosphere to call home, Medstar may be the place for you. This position can be in office, hybrid or remote for individuals located in Michigan. Job Summary The Biller will input all claim information following the CMS coding guidelines. Provides accurate patient demographic and insurance information and inputs information into patient record. Essential Duties and Responsibilities Review patient care reports thoroughly, utilizing all available documentation in order to establish medical necessity, selection of levels of service,...

Certified Urology CoderBizTek People is hiring for the role of CERTIFIED UROLOGY CODER for our client in Lansing, Michigan Hospital Billing - Remote Coder CERTIFIED UROLOGY CODER Must have own equipment and urology coding experience Certifications Required GED Certified Professional Coding Certificate (AAPC), current with required continuing education CUC Skills & Experience Required 1 year of diagnostic and procedure coding experience Experience working in a multi-physician practice Working knowledge of CPT and ICD-10-CM Knowledge of computer billing systems, programs, and applications Detailed knowledge of medical records, anatomy, physiology, and disease processes Physician electronic filing experience covering all insurance carriers Job Details Provide procedure and diagnostic coding based on documentation in patient medical records Responsible for coding daily activities to support the revenue cycle process

Ambulance Billing CoderJoin the team that is redefining how EMS and mobile healthcare is delivered in Michigan. Medstar provides 911 service to more communities in Southeast Michigan than any other provider, and our critical care, air medical, and inter-facility partnerships continue to grow throughout the region.We are currently looking to add an experienced ambulance billing coder to the Medstar team! If you are looking for a fast-paced, strategic atmosphere to call home, Medstar may be the place for you. This position can be in office, hybrid or remote for individuals located in Michigan.Job SummaryThe Biller will input all claim information following the CMS coding guidelines. Provides accurate patient demographic and insurance information and inputs information into patient record.Essential Duties and ResponsibilitiesReview patient care reports thoroughly, utilizing all available documentation in order to establish medical necessity, selection of levels of service,...