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15 edits denials coder jobs found

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Hospital for Special Care
Full Time
 
Inpatient Coding / Abstraction Specialist Hybrid Work Environment
Hospital for Special Care New Britain, CT
Hospital for Special Care is currently seeking an experienced Inpatient Coding Specialist to join our team. This is an excellent opportunity for a coding professional who enjoys working with complex medical records, collaborating with clinical teams, and using their expertise to support accurate documentation, coding, and reimbursement.  What You'll Do ·   Accurately code inpatient accounts and assign appropriate ICD-10-CM/PCS, CPT, modifiers, and DRGs in accordance with current coding guidelines. ·   Review medical records, identify documentation needs, and collaborate with HIM, physicians, clinical staff, and other departments to resolve coding questions, edits, and denials. ·   Monitor outstanding accounts and coding reports to ensure timely and accurate completion of inpatient records. ·   Utilize the Electronic Medical Record, 3M HDM, and clinical documentation tools to support efficient and accurate coding. ·   Serve as a coding resource and educator...

Aug 28, 2026
YN
Professional Medical Coder I
Yale NewHaven Health New Haven, CT
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Professional Coder I is responsible for a complete review of the medical record documentation and performs a variety of coding related activities for 1 or more specialties. Work may include, but are not limited to: charge review,coding review, prioritizing workload, resolving edits, researching denials, interacting with clinicians verbally and /or in writing, and performing other coding related tasks. EEO/AA/Disability/Veteran Responsibilities Reviews medical record documentation to determine appropriate ICD-10-CM codes for work identified for a coding review in accordance with official coding guidelines. Reviews medical record documentation and reviews clinician charging to...

Sep 26, 2026
YN
Professional Medical Coder I
Yale-New Haven Health New Haven, CT
Professional Coder ITo be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.The Professional Coder I is responsible for a complete review of the medical record documentation and performs a variety of coding related activities for 1 or more specialties. Work may include, but are not limited to: charge review, coding review, prioritizing workload, resolving edits, researching denials, interacting with clinicians verbally and/or in writing, and performing other coding related tasks. EEO/AA/Disability/VeteranResponsibilitiesReviews medical record documentation to determine appropriate ICD-10-CM codes for work identified for a coding review in accordance with official coding guidelines.Reviews medical record documentation and reviews clinician charging to...

Sep 25, 2026
EP
Full Time
 
Ophthalmology Coding Auditor
Eye Physicians & Surgeons Milford, CT
This is a non-remote position. We are seeking a detail-oriented, on-site Ophthalmology Coding Auditor to join our premier private practice. Under direct supervision of the Billing Manager, the Coding Auditor audits ophthalmology and optometry medical records for compliance with federal coding regulations and guidelines. Successful candidates will have extensive knowledge of auditing and education on CPT, ICD-10, and HCPCS codes and guidelines. In this role, you will work directly alongside our clinic team to review clinical documentation, surgical charts, and diagnostic reports, ensuring accurate coding, regulatory compliance, and optimal reimbursement. You will serve as our internal expert, identifying billing risk areas and providing face-to-face feedback and education to our providers and staff to support the financial health of our practice.   Key Responsibilities   Perform On-Site Audits: Conduct regular retrospective and prospective reviews of clinical...

Sep 08, 2026
HH
Outpatient Coder 2 Certified / HIM Coding
Hartford HealthCare Farmington, CT
Location Detail: 9 Farm Springs Rd Farmington (10566) Position Summary Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alphanumeric codes for billing, internal and external statistical reporting, research, regulatory compliance and reimbursement. Coding Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes. Analyzes medical records, interprets documentation and assigns proper ICD‑10‑CM, CPT/HCPCS, modifiers, and Evaluation & Management codes using designated software including Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material as required. Enters charges for procedures that are not soft coded as instructed for certain patient types. Adheres to all department coding/charging procedures, policies, guidelines...

Sep 28, 2026
GJ
Remote Medical coder - internal medicine
GrabJobs Bridgeport, CT
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...

Sep 27, 2026
Hu
Code Edit Disputes Medical Coder
Humana Hartford, CT
Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Sep 27, 2026
GB
Medical Coder - Internal Medicine
GeBBS East Haven, CT
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...

Sep 25, 2026
HH
Outpatient Coder 2 Certified / PB Coding
Hartford HealthCare at Home Farmington, CT
Outpatient Coder 2 Certified / PB Coding Work where every moment matters. Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what they do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and...

Sep 25, 2026
HH
Outpatient Coder 2 Certified / HIM Coding
Hartford HealthCare Hartford, CT
Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting,...

Sep 25, 2026
HH
Inpatient Coder 2 Certified / HIM Coding
Hartford HealthCare at Home Farmington, CT
Job PostingSep 23, 2026 Inpatient Coder 2 Certified / HIM Coding - ( 26164395 )LocationConnecticut-Farmington-9 Farm Springs Rd Farmington (10566)OrganizationHartford HealthCare Corp.DescriptionWork where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.Position Summary: Reviews inpatient...

Sep 25, 2026
HH
Outpatient Coder 2 Certified / PB Coding
Hartford HealthCare Farmington, CT
Coding SpecialistWork where every moment matters.Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.Job Summary:Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting, research, regulatory compliance and reimbursement.Job Responsibilities:Coding:Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes.Analyzes medical records, interprets documentation and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICD?10?CM), Current Procedural Terminology/HealthCare Common...

Sep 25, 2026
HH
Inpatient Coder 3 Certified / HIM Coding
Hartford HealthCare at Home Farmington, CT
Inpatient Coder 3 Certified / Him CodingWork where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.Position Summary: Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and all types of multifaceted accounts which includes, but is not limited to, interventional radiology, interventional cardiology, cardiovascular surgeries, major transplants, neurovascular surgeries, spinal fusions and coding level 1 trauma (multi significant)Position Responsibilities:Applies strong knowledge of anatomy and physiology, clinical...

Sep 25, 2026
HH
Outpatient Coder 2 Certified / HIM Coding
Hartford HealthCare at Home Farmington, CT
Outpatient Coder 2 Certified / Him Coding Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what they do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal...

Sep 25, 2026
HH
Outpatient Coder 2 Certified / PB Coding
Hartford HealthCare Farmington, CT
Work where every moment matters. Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical...

Sep 25, 2026
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