27 denials coder jobs found

UPMC Corporate Revenue Cycle is hiring a Coder II to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. In this position, you will be working on coding for the UPMC Cancer Centers. As a Coder II, you will review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, you will determine the level of acuity, procedure performed, billable supplies and diagnosis to substantiate medical necessity. You will review and sequence all codes to to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution Responsibilities: Utilize computer applications and resources essential to completing the coding process efficiently. Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff....

Cardiology Consultants Of PhiladelphiaCardiology Consultants of Philadelphia (CCP) is a professional medical organization committed to the healing mission of Medicine and is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health.CCP specializes in providing comprehensive cardiology care and currently has over 30 locations throughout the Philadelphia region. We are currently hiring for full-time Electrophysiology Coder (CPC) to work at our Philadelphia, PA Office.SummaryThe Certified Professional Coder – Electrophysiology is responsible for accurate, compliant, and timely coding of the electrophysiology (EP) service line for Cardiology Consultants of Philadelphia (CCP). This is a full-time position dedicated to EP...

UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to join our coding team to work on Cardiology coding. This position will be a work-from-home position working Monday through Friday during normal business hours. To be considered for this position, you must have three years of coding experience. In this role, you will have the same responsibilities as Coder II, but also be responsible for assigning PQRS codes and assist in the development of templates and processes to obtain the appropriate documentation. Provide feedback to the physicians on coding, documentation, edit, and denial issues. Responsibilities: Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. Refer problem accounts to appropriate coding or management personnel for resolution. Make forward progress within the training...

Responsibilities Remote opportunity Independence Physician Management (IPM) was formed in 2012 as the physician services unit. IPM develops and manages multi-specialty physician networks and urgent care clinics within the Acute Care and Behavioral Health Divisions. A subsidiary of UHS, IPM operates in 13 markets across 7 states - and counting. We help doctors manage their practices and clinical procedures so they can concentrate on caring for their patients. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. Successful candidate must live in one of these locations: Pennsylvania Florida Texas Nevada Coder Certification Required (CPC) . The Coder- Cardiology and Orthopedics provides coding services and support to assigned IPM Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT-4 and...

Overview This role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively. Responsibilities Primary Responsibilities Review, manage and submit 75-100 CMS-1500 professional claims each day Assign accurate procedure and diagnosis codes Verify claim accuracy before submission Review medical records to determine appropriate ICD-10 and CPT codes Coordinate with other departments to obtain missing documentation Resolve claim rejections and make claim corrections Collaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirements Qualifications Key Qualifications Certificate or diploma from an accredited medical billing/coding program Professional coding certification...

Invest in Your Future and Theirs: Beginning January 1, 2027, eligible full-time Penn State Health employees receive a 50% Penn State tuition discount for themselves and eligible dependents, including a spouse and children. The discount applies at Penn State University Park, Commonwealth Campuses, World Campus, and Penn College of Technology. Responsible to review the health record, electronic reports, and other reporting tools to identify conditions treated and the services provided to each patient. Utilize the appropriate coding systems (ICD-9-CM, CPT, HCPCS) to accurately code diagnoses, services, and procedures performed by physicians and other providers performing billable services. MINIMUM QUALIFICATION(S) High school diploma required 1 Year relevant Revenue Cycle or enrolled in an approved coding certification class. PREFERRED QUALIFICATION(S) One year of professional coding experience preferred. Certified Professional Coder or similar certification preferred. WHY PENN...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. POSITION TITLE: HCC Auditor ROLE TYPE: Full Time (32+hours) / Part Time (25-30 hours) EMPLOYMENT TYPE: Non-Exempt JOB SUMMARY: The HCC Auditor is responsible for completing quality assurance reviews on internal or...

Job Description Job Description JOB LOCATION:  Wilkes-Barre General Hospital Bring Your Coding Expertise to a Team Where Accuracy Makes an Impact We’re looking for a detail-driven Medical Coder who understands that accurate coding is about more than numbers it supports quality patient care, regulatory compliance, and the financial health of our hospitals. In this role, you’ll work across inpatient, outpatient, and emergency services, applying your knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and APC coding to ensure each patient encounter is accurately captured. If you’re organized, analytical, committed to getting the details right, and ready to bring your expertise to a growing healthcare organization, Tenor Health wants to hear from you. CCS certification is preferred, but experienced coders are encouraged to apply. POSITION PURPOSE The coder is responsible for abstracting all clinical and demographic data and accurately applying code assignment to...

Invest in Your Future and Theirs: Beginning January 1, 2027, eligible full-time Penn State Health employees receive a 50% Penn State tuition discount for themselves and eligible dependents, including a spouse and children. The discount applies at Penn State University Park, Commonwealth Campuses, World Campus, and Penn College of Technology. Penn State Health - Penn State Health Corporation Location: US:PA: Hershey Work Type: Full Time FTE: 1.00 Shift: Day Hours: 8 Recruiter Contact: Garrett C. Kieffer at gkieffer@pennstatehealth.psu.edu SUMMARY OF POSITION: Responsible to review the health record, electronic reports, and other reporting tools to identify conditions treated and the services provided to each patient. Utilize the appropriate coding systems (ICD-9-CM, CPT, HCPCS) to accurately code diagnoses, services, and procedures performed by physicians and other providers performing billable services. MINIMUM QUALIFICATION(S) : • High school...

Coder IIPremier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.This role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance, accuracy, and effective communication. This is a full time remote Monday-Friday position.Key responsibilities include:Abstracting data in compliance with...

Coder ILocation: Remote Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to ShoulderOverviewPremier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.Position SummaryThis role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance, accuracy, and effective...

Medical Billing/Coding SpecialistThis role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively.Primary ResponsibilitiesReview, manage and submit 75-100 CMS-1500 professional claims each dayAssign accurate procedure and diagnosis codesVerify claim accuracy before submissionReview medical records to determine appropriate ICD-10 and CPT codesCoordinate with other departments to obtain missing documentationResolve claim rejections and make claim correctionsCollaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirementsKey QualificationsCertificate or diploma from an accredited medical billing/coding programProfessional coding certification (required)Knowledge of ICD-10 and CPT codingStrong attention to detail and...

JOB LOCATION: Wilkes-Barre General Hospital Bring Your Coding Expertise to a Team Where Accuracy Makes an Impact We're looking for a detail-driven Medical Coder who understands that accurate coding is about more than numbers it supports quality patient care, regulatory compliance, and the financial health of our hospitals. In this role, you'll work across inpatient, outpatient, and emergency services, applying your knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and APC coding to ensure each patient encounter is accurately captured. If you're organized, analytical, committed to getting the details right, and ready to bring your expertise to a growing healthcare organization, Tenor Health wants to hear from you. CCS certification is preferred, but experienced coders are encouraged to apply. POSITION PURPOSE The coder is responsible for abstracting all clinical and demographic data and accurately applying code assignment to all inpatient, outpatient, and...

Responsibilities Roxbury Treatment Center, a subsidiary of Universal Health Services, Inc., has been a beacon of hope and healing for over 35 years, serving those struggling with behavioral health and substance use issues. Located in Shippensburg, PA., our 112-bed behavioral health facility offers acute psychiatric, detoxification, and rehabilitation services for adults as well as, an adolescent inpatient psychiatric program for youth ages 13-17. We also have two substance use disorder outpatient offices in Carlisle and Chambersburg. Our mission is to provide high-quality behavioral health services in an environment that values service excellence, respect, and ethical standards, integrity, compassion, and teamwork. Website: https://roxburyhospital.com/ Roxbury is currently hiring a full-time Professional Coder and Medical Records Clerk. This is a Monday thru Friday position. Job Duties and Responsbilities: Chart assembly, chart analysism coding. Computer...

Professional Coder And Medical Records ClerkRoxbury Treatment Center, a subsidiary of Universal Health Services, Inc., has been a beacon of hope and healing for over 35 years, serving those struggling with behavioral health and substance use issues. Located in Shippensburg, PA, our 112-bed behavioral health facility offers acute psychiatric, detoxification, and rehabilitation services for adults as well as an adolescent inpatient psychiatric program for youth ages 13-17. We also have two substance use disorder outpatient offices in Carlisle and Chambersburg. Our mission is to provide high-quality behavioral health services in an environment that values service excellence, respect, and ethical standards, integrity, compassion, and teamwork.Roxbury is currently hiring a full-time Professional Coder and Medical Records Clerk. This is a Monday thru Friday position.Job Duties and Responsibilities:Chart assemblyChart analysisCodingComputer abstracting of all discharged patient medical...

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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

Job TitleRevenue Cycle PositionJob DescriptionCollects, reviews, retrieves and codes data by careful review and analysis of documentation of inpatient medical records, assigning the appropriate ICD-10 codes for the purposes of compliance with regulations, statistical compilation, clinical research, clinical care analysis, provider profiling and optimal reimbursement.ResponsibilitiesDuties and Responsibilities Essential Functions:Reviews entire current electronic medical record for pertinent diagnoses and procedures.Assigns diagnoses and procedure codes on inpatient records in accordance with established organization guidelines.Uses ICD-10 CM and PCS coding methodologies following Official Guidelines for Coding and Reporting using encoding software.Queries physicians to clarify documentation needed for coding purposes per established departmental policy.Performs abstraction of clinical and demographic data as pertinent to the account requirements.Participates in documentation...

Job TitleMedical Coding SpecialistJob DescriptionCollects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical records and reports for quality assessment, audit and billing purposes.ResponsibilitiesDuties and Responsibilities Essential Functions:Performs chart audits, reviewing for accuracy and compliance.Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes (CPT-4), and other services (HCPCS) for final billing.Research and process invoice corrections.Reviews and analyzes coding/billing procedures.Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.Coordinates and implements reimbursement improvement activities with staff and providers.Meets WellSpan Coding Compliance Guidelines.Common...

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...

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...

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...

Sr. Coder Professional BillingREMOTEProfessional BillingSr. Certified Coding Medical Records: Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements.Required Qualifications Certification: Must hold a certification from recognized organizations such as AAPC (CPC) Experience: Typically requires a minimum of 2-3 years of experience...

Certified CoderPenn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider.Summary: As a CERTIFIED CODER, you will code hospital inpatient records and ambulatory outpatient records with a high degree of accuracy for the purpose of reimbursement, research and compliance with federal regulations according to diagnosis, operations, and procedures using accepted classification systems. Performs data entry of statistical and medical data from records and clinical abstracts via a computer terminal (CRT). After probationary period, Certified Coders may be eligible for remote option.Qualifications: High School Diploma or Equivalent Required. A Certified Coding Credential is required. One year ICD-10-CM and PCS coding experience. One (1) to three (3) years experience.What We Offer:Career Advancement OpportunitiesGenerous and...