843 denials management coder jobs found

Job Title Denials Management Coder Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding. Resolve coding related denial. Make any necessary coding corrections. Generate replacement claims (electronic and paper) Research carrier specific coding policies. Review and interpret carrier NCD and LCD policies. Communicate any coding denial trends to coding manager. Qualifications CPC/COC certification AAPC or CCS...

Bryan Health is seeking a qualified coder responsible for accurate CPT and ICD-10 code assignment based on provider documentation, ensuring compliant coding for optimal reimbursement. The role requires a high school diploma or equivalent, a CCA certification, and preferred CCS-P or CPC certification. Five years of coding experience in a medical setting is expected, with cardiology/cardiothoracic/vascular coding experience preferred. #J-18808-Ljbffr

Job Description Considering applying for this job Do not delay, scroll down and make your application as soon as possible to avoid missing out. Job Description Job Title: Hospital Coder IV Department: Clinic Management Full Time/PRN: Primarily onsite; shift schedule not provided Job Summary Certified Medical Coder specializing in clinic/professional coding; responsible for accurate assignment of ICD-10-CM, CPT, HCPCS codes; ensures compliance and supports revenue integrity. Essential Duties & Responsibilities Review/analyze records; assign ICD-10-CM, CPT, HCPCS; ensure compliance; collaborate with providers; conduct audits; provide coding guidance; stay current on coding changes; resolve denials; maintain confidentiality. Minimum Qualifications 1+ year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong medical terminology knowledge; analytical skills; communication skills; ability to work independently; familiarity with EHR/coding software....

Summary The Medical Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for services rendered across all clinic sites. This role ensures coding accuracy, compliance with federal and payer-specific regulations, and supports timely, clean claim submission within eClinicalWorks (eCW). The Medical Coder plays a key role in minimizing denials, protecting revenue integrity, and supporting the organization’s FQHC compliance and reporting requirements (including UDS and Section 330 obligations). Required Vaccines and Test Influenza, Tdap, Hep B, MMR, Varicella, TB test, and Negative Drug Test results. Additional vaccines may be required. Essential Duties and Responsibilities Strong analytical and problem‑solving skills Excellent written and verbal communication for provider queries Ability to work independently and manage a high‑volume caseload with accuracy Proficiency with Microsoft Office (Excel for tracking/reporting) High...

Certified Medical Biller/Coder & Revenue Cycle Manager 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 clinical documentation to confirm that services are supported, appropriately coded, and compliant with payer...

Summary: The Medical Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for services rendered across all clinic sites. This role ensures coding accuracy, compliance with federal and payer-specific regulations, and supports timely, clean claim submission within eClinicalWorks (eCW). The Medical Coder plays a key role in minimizing denials, protecting revenue integrity, and supporting the organization's FQHC compliance and reporting requirements (including UDS and Section 330 obligations where applicable).Required Vaccines and Test: Influenza, Tdap, Hep B, MMR, Varicella, TB test, and Negative Drug Test results. Additional Vaccines may be required.Essential duties and responsibilities include, but are not limited to:Strong analytical and problem-solving skillsExcellent written and verbal communication for provider queriesAbility to work independently and manage a high-volume caseload with accuracyProficiency with Microsoft...

Outpatient Coder - Coding - 338010 US:NM:Alamogordo | Medical Coding | Full Time Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues,...

HIM Coder II, Certified, Remote Fully Remote Amberwell Atchison - Atchison, KS 66002 Overview Position Type Full Time Job Shift 8 Hour Day Education Level Other Travel Percentage Periodic - As Needed Category Health Information Management Description The HIM Coder II is a key member of the HIM team. The HIM Coder II will work under the direction of the Manager of Coding. This position will review documentation in the electronic medical record and assign and sequence ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes, in accordance with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and in compliance with ICD-10 Official Coding Guidelines and other regulatory requirements. The primary focus of the role is the coding of all inpatients, observation, and surgical accounts. Inpatients will use Diagnosis Related Groups (DRG) methodologies, including present on admission indicators, analyzing the medical record...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Job Description Job Description Benefits: 401(k) Competitive salary Training & development About the Role: Lifetime Family Medicine LLC is looking for a detail-oriented and experienced Medical Coder & Biller to join their team part-time in Gainesville, VA.  This is not a remote job, must be in person.  This is a great opportunity to contribute your coding and billing expertise to a patient-focused family medicine practice while enjoying a flexible schedule. If you thrive in a collaborative healthcare environment and take pride in accurate, timely claims processing, we want to hear from you! Responsibilities: Primary Responsibility wil be to accurately assign ICD-10, CPT, and HCPCS codes to patient encounters and procedures for 8 providers - Must have excellent up to date coding knowledge Prepare and submit clean claims to insurance carriers, including Medicare and Medicaid Review and resolve claim denials, rejections, and appeals in a timely manner Post...

Job Description Please double check you have the right level of experience and qualifications by reading the full overview of this opportunity below. Job Description The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries...

Who We Are At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member. Our Legacy Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region-including Hamilton Medical Center and Bradley Medical Center-you'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day. Our Values Our core values- Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE) -guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. Your Career With Us Join us and build a...

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. We're looking for experienced and credentialed outpatient 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 you to help shape the...

Lifeguard Pediatrics – Warner Robins, GA About Us Lifeguard Pediatrics is a trusted, physician-owned pediatric clinic serving families across Middle Georgia. We are dedicated to providing comprehensive, compassionate, and community-centered care. With a growing need for developmental and behavioral health services in our region, we are expanding our care team to include in-house autism diagnostic services. Position and Responsibilities The biller and coder is responsible for the accurate and timely submission of medical claims to insurance companies and other payors. The medical biller posts payments or adjudications as appropriate. Using knowledge of billing practices and standards including third party payor requirements, the medical biller will investigate denials to process appeals and collect payment. In addition, this position is responsible for reviewing coding for outpatient services for reimbursement and research compliance. Medical Billing: Performs claim...