5 denials coder jobs found

Quorum Health Corporation in Brentwood, TN, is seeking a Senior Coder to lead inpatient and outpatient coding operations remotely. You will oversee coding quality, guidelines adherence, and staff education while collaborating with CDI and audit teams. The role emphasizes accurate, compliant coding, denial management support, and process improvements across Revenue Cycle, with focus on AHIMA standards and federal/state rules. #J-18808-Ljbffr

Medical Billing SpecialistThe Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts.ESSENTIAL JOB DUTIES:Extract and verify billing information from medical recordsEnsuring collection of past due balances; follow up as neededEnsure all patient demographic and insurance is accurate prior to submitting claims to insurance companiesAnswer patient account inquiries; assists establish alternative payment plans when necessaryMaintain patient account records; settle third party payer issues as requiredReceive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS)Prepare and review patient statements prior to release through PMSEnsure timely filing of all Medicare, Medicaid, and third-party insurance claimsBalance daily charges;...

Medical Billing SpecialistThe Medical Billing Specialist processes hospital claims for reimbursement. Responsibilities may include data entry, reconciling billings, checking balances, filing appeals, and maintaining patient files. Works with insurance companies to perform insurance billing, review, and verification of accounts in accordance with program provisions.Monday Friday 8:00 AM 4:30 PMReporting Structure:Reports to the Revenue Cycle ManagerMinimum Qualification RequirementsEducation:High School diploma or GED Equivalent required. Some college business training.Work Experience:Must have six months to one (1) year general office experience. Medical hospital billing experience preferred.License/Certification:N/ACore CompetenciesMission, VisionCore Value/Standards of ConductAIDET/Organizational ExpectationsSafetyQualityFlexibilityCustomer ServiceDiversity and InclusionFinanceAbuse and Neglect of Adult PatientAbuse and Neglect of Pediatric PatientAcute Coronary Syndrome/Chest...

Come join our team and experience working in a positive environment with a true work-life balance with competitive salary and comprehensive benefit plan. Position Summary: We are a Franklin, TN based healthcare company seeking a Medical Biller to support Revenue Cycle operations.The ideal candidate should be able to demonstrate strong analytical and problem solving skills, be proficient in data aggregation and utilization, have excellent written and verbal communication skills, and be a self-motivated individual. Essential Functions: Works closely with insurance carriers for reimbursement requirements to ensure payment. Reviews outstanding AR accounts and contacts insurance for reimbursement explanation. Resolves denials and seeds to understand and prevent future denials. Effectively identifies trends that inhibit timely payment and escalates to management and operations to resolve root cause issues. Input codes into practice management system for billing. Assist team members with...

Remote Op CoderThe Op Coder works outpatient coding related alerts / edits for Same Day Surgery, Observation, and Wound Care, accounts, predominately post initial / final coding.The CARS-II performs the alert / edit resolution activities in the applicable systems.The alerts / edits shall be worked and corrected according to the established procedures and thresholds, and communicated as appropriate.Position Duties :Compiles daily work list from eRequest, CRT and / or other alert / edit systemsTakes action and resolves alerts / edits for the following patient types following established procedures and thresholds :Same Day Surgery (SDC)Observation (OBV)Wound CareOutpatient Cardiac CathProvides back up / coverage as needed for :Emergency Dept (ED)Recurring (RCR)Clinical (CLI)Provider Office Visit (POV), as applicableEnters detailed notes to update eRequest to provide details if the alert / edit cannot be resolved or must be rerouted to another responsible party for research /...