25 denials coder jobs found

Job Title This is a full-time position. The first two weeks require in-office training, after which the role is remote, except for monthly office meetings. The hours will be Monday-Friday 8:30am-5pm with a 30 minute lunch. Job Description Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation. Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation. Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team. Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines. Enter coded data into EHR or practice management systems for billing accuracy and maintain organized, accurate...

Certified Coder II or III for Central Admin in NE Portland (Multispecialty Healthcare) Job Category : Business Office/Shared services Requisition Number : CERTI005427 Posted : August 12, 2026 Full-Time Locations Showing 1 location Central Admin - 541 541 NE 20th Ave, Suite 225 Portland, OR 97232, USA Central Admin - 541 541 NE 20th Ave, Suite 225 Portland, OR 97232, USA Make an Impact at The Oregon Clinic! Premium Benefits, Competitive Pay, and Inspiring Purpose Join us at The Oregon Clinic as a full-time Certified Coder II or III in Multispecialty Healthcare (Hybrid/Remote). Work alongside a collaborative team of patient-focused colleagues in our thriving Central Administration office. Every person at TOC makes a difference in our mission of delivering world-class care with kindness and empathy. As a member of our team, you have the opportunity to make a valuable impact within the local community and our ecosystem of care. By providing patients and internal and...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities: Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities: + Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. + Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and...

In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, ambulatory, and inpatient medical records to identify elements to be abstracted, as well as diagnostic and procedure codes. Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome. Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative...

Job Title This is a full-time position. The first two weeks require in-office training, after which the role is remote, except for monthly office meetings. The hours will be Monday-Friday 8:30am-5pm with a 30 minute lunch. Job Description Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation. Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation. Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team. Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines. Enter coded data into EHR or practice management systems for billing accuracy and maintain organized,...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities: Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and...

Certified Senior Coder The Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues. Principal Responsibilities: Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within. Codes services correctly; understands and appropriately uses all CPT, ICD-10 and modifiers. Understands and follows all bundling edits. Ensures that documentation supports charges billed, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10. Process and input billings accurately in the practice management system; CPT codes, modifiers, units, fees,...

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

Certified Professional Coder (CPC)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 SummaryThe 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...

Description Position Details In-Patient Medical Coder, Full-time, 40 hours/week, Monday-Friday, Set schedule Non-Exempt, Hourly, Union Position Summary Provides coding for inpatient medical records with the ICD-10CM, ICD-10-PCS, CPT and HCPCS classifications systems to ensure accurate, complete and consistent coding for quality data. Requirements Education: High School Diploma or equivalent, with formal advanced training in coding. Licensure: CPC, CCS or CIC certification required Experience: Five (5) years' experience in ICD-10CM, ICD-10-PCS, CPT and HCPCS coding required. Must be knowledgeable in Medicare, Medicaid, and various third-party payers regarding admission and billing rules. Job Knowledge and Skills: Knowledge of medical terminology. Must be efficient and knowledgeable in all phases of hospital rules and regulations and follow hospital policy. CAH experience is preferred. Computer skills required. Able to work with people in a tactful, diplomatic and...

Coder OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family — our community. Position Details: Hourly Base Rate: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Job Summary: Certified Coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of sources. Ability to work...

Job DescriptionBe the first to applyJob Schedule: Full-Time (Not a Remote Position)Your experience mattersWillamette Valley Medical Center is operated jointly with Lifepoint Health. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Coder I joining our team, you're embracing our promise to provide superior patient care that exceeds industry standards as well as patient expectations. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.Job Summary: Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. FLSA: Non-exemptHow you'll contribute: A Coder I who excels at this role:Assigns accurate ICD diagnosis codes, using compliant documentation.Assigns accurate CPT/HCPCS codes to records, using compliant documentation.Applies...

Description Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool. Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture. Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements. Review accounts for appropriate assignment of procedural services and injections/infusions when applicable. Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs. Maintain compliance with Medicare, Medicaid, commercial payer, and organizational coding...

Billing Certified CoderLocation: West Salem Clinic | 1233 Edgewater St. NW, Salem OR 97304 (On-site, not a remote position)Job Status: Full-timeHours: Monday – Friday, 8am – 5pmDepartment: BillingDo you enjoy working in a fast-paced healthcare environment and values teamwork, accuracy, and continuous learning. Northwest Human services in the place you!Position Overview:As our Billing Certified Coder, you will support accurate coding, billing, and reimbursement processes across our integrated healthcare organization. This dual-function role combines medical billing responsibilities with professional coding review and compliance oversight to ensure timely and accurate claims processing.Key Responsibilities:Review provider documentation and assign appropriate CPT-4, HCPCS, and ICD-10 codesEnsure coding accuracy and compliance with payer and regulatory requirementsPerform charge entry, payment posting, account adjustments, refunds, and sliding fee discountsMonitor encounter...

Department Overview This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon...

Billing Certified Coder Location: West Salem Clinic | 1233 Edgewater St. NW, Salem OR 97304 (On-site, not a remote position) Job Status: Full-time Hours: Monday – Friday, 8am – 5pm Department: Billing Do you enjoy working in a fast-paced healthcare environment and values teamwork, accuracy, and continuous learning. Northwest Human services in the place you! Position Overview: As our Billing Certified Coder, you will support accurate coding, billing, and reimbursement processes across our integrated healthcare organization. This dual-function role combines medical billing responsibilities with professional coding review and compliance oversight to ensure timely and accurate claims processing. Key Responsibilities: Review provider documentation and assign appropriate CPT-4, HCPCS, and ICD-10 codes Ensure coding accuracy and compliance with payer and regulatory requirements Perform charge entry, payment posting, account adjustments, refunds, and sliding fee...

Coding Position This level 2 coding position provides support to the Enterprise Coding Department for coding of physician fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD-10-CM, and HCPCS codes for professional charges, which could include all E&M services including outpatient and inpatient; diagnostic services; procedural services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned professional services at OHSU. Monitor activity for compliance with federal and/or state laws regarding correct coding...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Certified Senior CoderThe Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues.Principal Responsibilities:Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within.Codes services correctly; understands and appropriately uses all CPT, ICD-10 and modifiers. Understands and follows all bundling edits.Ensures that documentation supports charges billed, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10.Process and input billings accurately in the practice management system; CPT codes, modifiers, units, fees, ICD-10 codes, using...

Overview Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you’re looking for a rewarding career where your work directly supports patient services and community well‑being, we encourage you to apply. Real ID Requirement A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Responsibilities Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented...

Coding PositionThis level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA.Function/Duties of PositionCodingCoding at 95% or above accuracy.Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues.Depending on posted job need, assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or surgical coding.Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program...

Department Overview This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. The role requires advanced coding experience in highly specialized areas and certification with AAPC or AHIMA. Function/Duties of Position Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD‑10‑CM, HCPCS, or ICD‑10‑PCS and DRGs for facility and/or professional charges, involving complex procedure and diagnostic coding within highly specialized areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate patient encounter billing...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...