9 denials coder jobs found

Summary The Medical Biller is responsible for ensuring all providers' encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving any rejections or denials through company billing portals.This position is essential to ensuring clean claim submission, reducing delays in reimbursement, and supporting compliance with payer and CMS guidelines. Essential Duties and Responsibilities Review, verify and submit provider encounters for accuracy in coding and documentation. Ensure timely and clean claim submission through appropriated billing software. Correct and resubmit rejected claims with proper supporting documentation or edits. Communicate with providers and clinical teams as needed to clarify documentation or encounter issues. Work closely with internal MRA coders to resolve discrepancies in diagnosis or procedures codes. Maintain billing logs and status update to ensure all encounters are accounted for and processed....

ABA Therapy Medical Billing Specialist Job Summary:House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time.As a critical member of our billing team, you will be responsible for handling both in-network and out-of-network claims, ensuring accurate and efficient billing processes, and maintaining compliance with insurance policies and industry regulations.Responsibilities:Process in-network and out-of-network claims efficiently and accurately Obtain Verification of Benefits (VOBs) and ensure all coverage details are reviewed Manage prior authorizations for ABA therapy services Handle Single Case Agreements (SCAs) and negotiate terms with insurance providers Submit insurance contracts and manage the entire credentialing and contracting process to enroll providers with insurance networks Coordinate all front-desk billing tasks, including managing various insurance portals and direct calls to payers Track...

Healthcare Coding and Consulting Services (HCCS) is seeking an experienced, highly skilled Inpatient Facility Coder with extensive Level I Trauma and DRG Validation experience to join our growing team. This is a fully remote, full-time opportunity for a coding professional who thrives in a Trauma Level I hospital environment and is looking for long‑term career stability with a family‑owned company. At HCCS, we believe in investing in our people. We are committed to providing stable, long‑term employment, not temporary contracts or project‑based work. Every member of our coding team is a direct‑hire W‑2 employee who plays an important role in delivering high‑quality coding services to our clients. We proudly keep all coding operations within the United States and never offshore our work, allowing us to maintain exceptional quality while supporting American coding professionals. If you are an expert inpatient coder with a passion for accuracy, complex coding, and DRG integrity,...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community.We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.Position Details:Location:Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status:Full time (non-exempt) Shift:7:00 AM to 3:30 PM Days:Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position.Sign on bonuses available! Responsibilities:The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems.Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis.Formulates physician queries and monitors bill hold...

Summary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed Responsibilities:Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Reviews appropriate inpatient coding work queues daily to address coding edits...

Billing and Coding AuditorBanyan Treatment Centers is seeking a detail-oriented and experienced Billing and Coding Auditor to support the accuracy and compliance of our billing practices across our behavioral health services. This critical role ensures the integrity of our claims processes and supports continuous quality improvement, staff education, and adherence to payer regulations.As a nationally recognized provider of addiction and mental health care accredited by The Joint Commissionwith 18 locations, robust Telehealth services, and backed by TPG's Rise Fund since 2023our 1,600employees are dedicated to delivering compassionate, high-quality care that transforms lives.Positions DetailsLocation:Flexible On-site (Pompano Beach, FL), Hybrid or Remote (USA)Reports to:Auditing Manager & Director of RCMSchedule:Full-timeKey ResponsibilitiesConduct regular audits of behavioral health billing and claims for accuracy and compliance.Review coding of all services (ICD-10, CPT,...

Medical Coder Educator - USFTGP RCOServes as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource.QualificationsRequired:High School Diploma or...

Medical Billing SpecialistJoin a team that makes a difference! Butterfly Effects is looking for a Medical Billing Specialist to support our national billing needs. In this role, you'll ensure clean claims and accurate submissions, allowing our field teams to focus on what matters most-helping children and families.What Would You Be Doing?Accurately input patient demographics, authorizations, CPT codes, and claim details before submission.Process claims using the First-In / First-Out method to prevent backlogs and meet deadlines.Identify and resolve billing errors to reduce claim denials.Correct and resubmit denied claims for billing errors.Review and address immediate rejections from the clearinghouse.Stay up to date with third-party payer requirements and regulatory guidelines.What Do You Bring to the Role?A positive, highly motivated attitude with a strong sense of accountability.High School Diploma or GED required.1-2 years of medical billing experience (Medicaid and commercial...

Our promise to you :Joining AdventHealth is about being part of something bigger.It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.All while understanding that together we are even better.All the benefits and perks you need for you and your family :Benefits from Day One :Medical, Dental, Vision Insurance, Life Insurance, Disability InsurancePaid Time Off from Day One403-B Retirement Plan4 Weeks 100% Paid Parental LeaveCareer DevelopmentWhole Person Well-being ResourcesMental Health Resources and SupportPet BenefitsSchedule :Full timeShift :Day (United States of America)Address :900 HOPE WAYCity :ALTAMONTE SPRINGSState :FloridaPostal Code :32714Job Description :Education...