73 denials coder jobs found

Medical Coder IV, Complex The Medical Coder IV, Complex functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation for multiple specialties and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Essential Functions: Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines. Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up. Abstracts data and reviews codes for accuracy. Performs system edit checks and...

Coder Quality Auditor The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess coders'...

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote. Essential Duties and Responsibilities Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes. Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Ensure established productivity and quality standards are met. Review denials,...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 108 H Compensation Range: $24.91 - $34.87 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not...

Revenue Cycle Position Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity. Job Responsibility 1. Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines (ICD-10-CM, CPT, HCPCS). 2. Applies advanced knowledge of pediatric anatomy, physiology, and medical terminology to interpret clinical documentation and assign the...

Professional Medical Coder I (Remote Position, Must Reside in South Carolina) Coding Full Time AM Shift 8a-5p, Mon-Fri Sign-On Bonus: $5,000.00 Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina and the first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina's first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and...

Job Description Job Description Job Title: Certified Medical Coder – Outpatient & Emergency Department Location: Bronx, NY 10461 Duration: 9-Week Contract Schedule: Monday–Friday | 8:00 AM – 4:00 PM Pay Rate: Up to $38/hour Position Summary "Navitas Healthcare, LLC" is seeking an experienced Certified Medical Coder with mandatory outpatient and Emergency Department (ED) coding experience . The ideal candidate will work independently with minimal onboarding and demonstrate strong knowledge of outpatient coding guidelines, compliance standards, and acute care workflows. Key Responsibilities Perform outpatient and Emergency Department medical coding in an acute care setting Assign accurate ICD-10-CM, CPT, and HCPCS codes Ensure compliance with federal billing, payer, and coding regulations Utilize EPIC EMR and 3M/HDS encoder systems Review medical documentation for accuracy and completeness Research and resolve coding discrepancies and...

Job Description Job Description Job Title: Certified Medical Coder Location: Bronx, NY 10461 Position Type: Contract Assignment Duration: 9 Weeks Schedule: Monday–Friday | 8:00 AM – 4:00 PM Position Summary A leading acute care healthcare organization in Bronx, New York is seeking an experienced Certified Medical Coder to support outpatient and Emergency Department coding operations. The ideal candidate will work independently with minimal onboarding and demonstrate strong knowledge of outpatient coding guidelines, compliance standards, and acute care workflows. Key Responsibilities Perform outpatient and Emergency Department medical coding in an acute care setting Assign accurate ICD-10-CM, CPT, and HCPCS codes Ensure compliance with federal billing, payer, and coding regulations Utilize EPIC EMR and 3M/HDS encoder systems Review clinical documentation for accuracy, completeness, and coding compliance Research, resolve, and correct coding...

Job Description:You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose:The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review.Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance.Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues.Provide regular reports on project...

Job Type: Officer of Administration Regular/Temporary: Regular Hours Per Week: 35 Standard Work Schedule: Core business hours Monday-Friday, schedules vary Salary Range: $66,300- $75,000 The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. Position Summary The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts...

HEALTH INFORMATION MANAGEMENT CODER ($23.00-$29.08) DISTINGUISHING FEATURES OF THE CLASS : This position exists in the County hospital and supports its associated clinics, Residential Health Care Facility, Hospice and Home Health Care and involves the responsibility to review clinical documentation and diagnostic results as appropriate in order to extract data and apply appropriate current International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Health Care Financing Administration Common Procedures Coding System (HCPCS) codes for billing, internal and external reporting, research, and regulatory compliance. The incumbent has the responsibility to code conditions and procedures as documented using the appropriate classification system Official Guidelines for Coding and Reporting, resolve error reports associated with the billing process, communicate any identified error patterns, and assist in the design and implementation of workflow changes...

At Planned Parenthood of Greater New York (PPGNY), our greatest strengths are the employees who empower every individual with the information, resources, and care they need to live happy, healthy lives. Picture yourself here: We are a team of trusted health care providers, educators, and fierce advocates committed to advancing equity and improving health outcomes in communities that face systemic barriers to quality, innovative sexual and reproductive health services -- including birth control, pregnancy testing, emergency contraception, cancer screenings, STI testing and treatment, HIV testing and prevention, transgender hormone therapy, wellness exams, crisis counseling, and financial counseling. PPGNY also proudly provides compassionate, nonjudgmental abortion services. When you join PPGNY as a Medical Record Coding Auditor you will be responsible for This position will be responsible for performing on-going auditing of outpatient provider coding, and education. Individuals...

Job Description Job Description Job Title: Certified Medical Coder – Outpatient & Emergency Department Location: Bronx, NY 10461 Duration: 9-Week Contract Schedule: Monday–Friday | 8:00 AM – 4:00 PM Pay Rate: Up to $38/hour Position Summary "Navitas Healthcare, LLC" is seeking an experienced Certified Medical Coder with mandatory outpatient and Emergency Department (ED) coding experience . The ideal candidate will work independently with minimal onboarding and demonstrate strong knowledge of outpatient coding guidelines, compliance standards, and acute care workflows. Key Responsibilities Perform outpatient and Emergency Department medical coding in an acute care setting Assign accurate ICD-10-CM, CPT, and HCPCS codes Ensure compliance with federal billing, payer, and coding regulations Utilize EPIC EMR and 3M/HDS encoder systems Review medical documentation for accuracy and completeness Research and resolve coding discrepancies and...

Job Description Job Description Job Title: Certified Medical Coder Location: Bronx, NY 10461 Position Type: Contract Assignment Duration: 9 Weeks Schedule: Monday–Friday | 8:00 AM – 4:00 PM Position Summary A leading acute care healthcare organization in Bronx, New York is seeking an experienced Certified Medical Coder to support outpatient and Emergency Department coding operations. The ideal candidate will work independently with minimal onboarding and demonstrate strong knowledge of outpatient coding guidelines, compliance standards, and acute care workflows. Key Responsibilities Perform outpatient and Emergency Department medical coding in an acute care setting Assign accurate ICD-10-CM, CPT, and HCPCS codes Ensure compliance with federal billing, payer, and coding regulations Utilize EPIC EMR and 3M/HDS encoder systems Review clinical documentation for accuracy, completeness, and coding compliance Research, resolve, and correct coding...

Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign the appropriate DRG based on an analysis of the patient file and medical necessity Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Resolve diagnosis/procedure inconsistencies, concerns, and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Abstract data elements and compile data for statistical reports Provide education based on recognized trends, including physician documentation Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and...

Medical Records - Coder I - Full Time - Days Department: CODING Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements REQUIRED: AS in Health Information Management , a...

Job Title: Certified Medical Coder Location: Bronx, NY 10461 Position Type: Contract Assignment Duration: 9 Weeks Schedule: Monday-Friday | 8:00 AM - 4:00 PM Position Summary A leading acute care healthcare organization in Bronx, New York is seeking an experienced Certified Medical Coder to support outpatient and Emergency Department coding operations. The ideal candidate will work independently with minimal onboarding and demonstrate strong knowledge of outpatient coding guidelines, compliance standards, and acute care workflows. Key Responsibilities Perform outpatient and Emergency Department medical coding in an acute care setting Assign accurate ICD-10-CM, CPT, and HCPCS codes Ensure compliance with federal billing, payer, and coding regulations Utilize EPIC EMR and 3M/HDS encoder systems Review clinical documentation for accuracy, completeness, and coding compliance Research, resolve, and correct coding discrepancies and denials...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide regular...

Job Summary The Podiatry Coder is responsible for reviewing, interpreting, and assigning accurate CPT, ICD-10-CM, and HCPCS codes specific to podiatric services, while ensuring compliance with federal regulations, payer policies, and organizational standards. This role reviews provider documentation and operative reports for podiatry-related procedures—including office visits, surgical procedures, wound care, and ancillary services—to abstract and code clinical data using standard classification systems. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures. Ensuring coding practice meets federal and state guidelines, payer-specific...

Med Records Coder III As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data,...

WHAT WILL I GET AT ELLIS MEDICINE? Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE! Generous paid time off to support a work-life balance, including 6 paid holidays Tuition Reimbursement and professional development opportunities Retirement plan in the form of a 401(3b) with company match after longevity Flexible Spending Account and Dependent Care Account-allowing you to set aside pretax dollars to better care for your health and the health of your loved ones Free yearlong unlimited CDTA Navigator Pass, including Free CDTA bike share program Employee Wellness Program Employee Assistance Program Employer paid Life Insurance WHAT WILL I DO AS A MEDICAL CODER? Basic Function: The Medical Coder is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes, but is not limited to managing the charge entry and charge...

Job Type Full-time Description Come and join our growing organization as a Medical Coder - Certified ! Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment. Why Join Roswell Park Care Network? We offer an outstanding benefits package designed to support your professional growth and work-life balance: Work-Life Balance: Monday-Friday schedule - no nights or weekends Hybrid Schedule: One on-site day per week after on-site training is completed Comprehensive Benefits: Medical, dental, and vision coverage Retirement Savings: 401(k) with company match Paid Time Off: Generous vacation and sick time Insurance Coverage: Company-paid life insurance, with options for Long-Term Disability, Critical Illness,...

****Our Billing Co. is seeking a Certified Medical Coder to review medical documentation and assign correct CPT and diagnosis codes. Apply to join our team! Essential Functions: Review E/M, diagnostic and procedural documentation and assign correct CPT and diagnosis codes. Work with RCM team to identify patterns, trends and variations in coding and documentation practices. Prepare documentation summary/findings to support development of corrective action plans. Assist management team in the development of effective education programs for staff. Provide on-going guidance to RCM team on the correct use of modifiers. Assist RCM team with documentation required to appeal claims and overturn denials. Assess claims to ensure adherence with payer guidelines. Research and work collaboratively with clinic staff to capture all billing activities (e-bill management). This may require access to additional information systems (EMR or Data Warehouse). Respond to RCM...