8 denials coder jobs found in Boca Raton

Job TitleResponsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records.Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.Extracts pertinent data from the patient's health record, and determines appropriate coding for reports and billing documents.Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer...

Job DescriptionResponsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records.Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.Extracts pertinent data from the patient's health record, and determines appropriate coding for reports and billing documents.Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various...

Job TitleMedical Billing and Coding SpecialistJob DescriptionEssential Job FunctionsAnalyzes, investigates, and resolves account issues, including resubmitting and updating line and claim document information.Accesses available resources to locate missing or incorrect information. Updates medical claims with corrected billing information and releases claims for transmission to the payer.Investigates and documents actions taken to resolve medical billing discrepancies and unusual charges and credits.Works high priority Third-Party Liability/MVA/WC cases according to department policies and procedures.Conducts research to make the determination of related paid claims for subrogation cases, which includes identification and validation of TPL/MVA/WC claims cost avoidance.Receives and responds to incoming correspondence and calls pertaining to TPL/MVA/WC verification, billing, and collections inquiries from various sources.Evaluates case status based on established criteria and takes...

Summary/Objective Under limited supervision the Medical Biller reviews and verifies medical bills and invoices with accounts receivable ledger and patients. Ensures record accuracy, follow up, and makes necessary revisions. The Medical Biller processes changes in system to support accurate and efficient billing processes. The Medical Biller will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Analyzes, investigates, and resolves account issues, including resubmitting and updating line and claim document information. Accesses available resources to locate missing or incorrect information. Updates medical claims with corrected billing information and releases claims for transmission to the payer. Investigates and documents actions taken to resolve medical billing discrepancies and unusual charges and credits. Works high priority Third-Party Liability/MVA/WC cases according to department policies and procedures. Conducts...

Inpatient CoderInpatient coder with a minimum of 5 years of experience coding for an acute care teaching and trauma level 1 facility. Must be experienced in coding trauma and complex medical cases and surgical procedures across a wide range of specialties including but limited to cardiac, vascular, interventional radiology, spinal, neurosurgery, neurology, transplants, oncology, oral surgery, orthopedics, psyche/behavioral medicines, OB/GYN, neonatal, pediatrics, general medicine and general surgery. Must have experience with Cerner and 3M. Must have a RHIA, RHIT, or CCS credential with the appropriate experience listed above. Must be able to work full time. The schedule can be flexible after initial training with reason. 1 weekend day a week required. Prefer the majority of the shift between 8am and 5pm EST but can be more flexible within reason.QualificationsMinimum 2 years credentialed experience, 5+ years coding experience with acute care teaching and trauma level 1...

Job TitleCoder PhysicianJob DescriptionUnder limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures.Essential Job FunctionsResponsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records.Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.Utilizes technical coding principals and DRG/APC reimbursement expertise to...

Job Details Job Location: Palm Beach - Boca Raton - Boca Raton, FL 33486 Position Type: Full Time Travel Percentage: Up to 5% Job Shift: On Site Job Category: Operations Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness. Job Summary The Medical Center Supervisor will be in charge of the successful management and operation of medical practices to include all specialty disciplines and clinic sites. They provide all medical specialists with resources necessary to meet the needs of patients and meet the financial objectives of the practice and group. Management and Leadership skills are essential to the success of this...

ASAAR Medical is seeking a HCC Coder & Provider Engagement Specialist ***This is NOT a REMOTE Position *** May require travel *** Duties: Reporting to the Director of MRA and Risk Adjustment Coding. The HCC / MRA Coder will offer real-time support and coordination for Primary Care Providers and Care Coordinators for MRA Risk Coding in a value-based care setting. Engages providers by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts ASAAR Medical's overall success first. Review patient charts and pursues excellence: Seeks out learning, strives to develop and expand personally, and continuously helps practices upgrade their capability to contribute to the ACO. Helps to educate clinician and non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures. Assists in education and transition with onboarding new providers, optimally within...