18 denials coder jobs found in Dallas

Certified Mobile Notary Service https://certifiedmobilenotaryservice.com Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary, Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission Escalate exhausted appeal efforts for resolution Work payer projects as directed Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled...

Overview The Revenue Cycle Medical Billing Specialist is responsible for the overall account resolution of patient accounts within the revenue cycle management (RCM) process. Ensures timely billing of claims to payers and follow up of denials, appeals, recoupments and balance management. Ability to audit and provide feedback on the billing process and outcomes. Works cooperatively with other departments to ensure timely billing, reporting and patient account management. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities Reviews submission of claims by third party billing team to the clearinghouse to ensure accuracy. Processes reimbursements and payment adjustments with attention to detail, timeliness, and accuracy. Makes corrections and prepares appeals related to claim...

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. The Role: Accounts Receivable Specialist The Accounts Receivable Specialist performs collection and follow up activities with third party payers to resolve outstanding balances, secure accurate and timely adjudication, and achieve successful closures of aged accounts receivable. What You'll Be Doing: Performing online account status checks and following up with payers by phone, email, etc. on outstanding claim balances of assigned accounts Clearly document in EMR system patient account notes, the payment status of the account, and/or actions taken to secure payment. If applicable, requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing. Must note all actions taken within the notes section to ensure all prior touches have been...

Hours of Work : 8-430 Days Of Week : M-F Work Shift : Job Description : Location: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships: Reports to Coding Manager Certification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications High school diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies Independently disciplined in time management and productivity Experience in electronic medical record software, preferably Epic Microsoft Office proficient Ability to communicate written and oral coding information...

Coding SpecialistHours of Work: 8-430Days Of Week: M-FWork Shift:Job Description: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus.Job Relationships: Reports to Coding ManagerCertification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC PreferredSkills, Credentials, Professional Qualifications: High school diploma or equivalent; Associate degree is an asset. A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding. Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies. Independently disciplined in time management and productivity. Experience in electronic medical record software, preferably Epic. Microsoft Office proficient. Ability to communicate written and oral coding information to healthcare professionals.Job Summary:...

Description Coding surgeries directly use PMD Pull up auto note and fill out work 13-15 cases an hour The Coding Specialist performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. Skills Surgery Coding, General Surgery coding, breast surgery coding, Gastro surgery coding, GYN coding, Clinical COding Additional Skills & Qualifications Detail Oriented Confident Good at collaborating with team Not afraid to ask questions Experience Level Entry Level Job Type & Location This is a Contract to Hire position based out of Dallas, TX. Pay and Benefits The pay range for this position is $25.00 - $28.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements...

Driven by a bold pursuit of science and fueled by an unwavering commitment to patients, Sun Pharma is a leading global pharmaceutical company, providing high-quality medicines trusted by healthcare professionals and patients. As part of our mission to Reach People and Touch Lives, we deliver Innovative Medicines, Generics and Consumer Healthcare products that improve the lives of millions of people. With a broadly diversified portfolio of products that span multiple therapeutic areas, we improve access to effective, affordable treatments that promote better health and well-being. Reaching People. Touching Lives. Job Summary The Field Medical Associate Director, Dermatology & Immunology - West, leads a team of MSLs to advance Sun Pharma’s medical strategy through external scientific engagements with healthcare providers and managed care accounts. As a part of the field medical team, this role will report to the National Field Director, Medical Affairs, Dermatology &...

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations. Key Responsibilities Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes Validate E/M level selection for emergency department visits Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA) Identify under coding, over coding, and documentation deficiencies Prepare detailed audit reports with corrective recommendations Provide education and feedback to coders and providers Train and mentor offshore coding teams on ER coding guidelines and audit findings Conduct regular quality review sessions and calibration meetings with offshore staff Develop and update training materials,...

Job Description Job Description Role Description This is a full-time on-site role for a Medical Billing Specialist. As a Medical Billing Specialist, you will play a crucial role in ensuring the financial health of our customers. We seek individuals with a strong work ethic, excellent problem-solving skills, and a genuine passion for medical billing. Your responsibilities will include managing insurance communications, reconciling insurance EOBs and payments, maintaining patient confidentiality, managing denials, utilizing ICD-10 codes, verifying insurance information, and working with commercial and government insurance providers. Due to the nature of the healthcare industry, a high degree of professionalism and attention to detail is essential.   Responsibilities Function as a subject matter expert in support of other billing team members. Demonstrate a good understanding of payer benefits requirements, claims status, submissions of claims, insurance follow-up, payment...

Certified ER Medical Coding AuditorThe Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.Key ResponsibilitiesAudit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codesValidate E/M level selection for emergency department visitsEnsure compliance with payer guidelines and regulatory standards (CMS, HIPAA)Identify under coding, over coding, and documentation deficienciesPrepare detailed audit reports with corrective recommendationsProvide education and feedback to coders and providersTrain and mentor offshore coding teams on ER coding guidelines and audit findingsConduct regular quality review sessions and calibration meetings with offshore staffDevelop and update training materials, Review SOPs, and coding...

Want to Make a Difference Through a Career in Healthcare? Welcome to Serenity. If you've ever wanted to use your billing and leadership expertise to make a difference, this is your sign. Serenity Healthcare is redefining what mental wellness looks and feels like, and our Accounts Receivable team plays a critical role in that mission. We're not just looking for people who know medical billing codes by heart. We're looking for detail-oriented leaders who thrive on accuracy, process improvement, and team success. If you can oversee complex receivables, ensure timely collections, and support your team with integrity and care, you're our kind of person. Role Medical Accounts Receivable Supervisor | Las Colinas, TX. The Accounts Receivable Supervisor leads a team that ensures we collect payments accurately and timely, enabling Serenity to continue to grow in its mission to help more people take back their lives from mental health challenges. This is a great opportunity to grow your...

DISCOVER IES Integrative Emergency Services (“IES”) LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit.  POSITION SUMMARY Integrative Emergency Services, LLC (“IES”) is seeking a  Certified Medical Coding Specialist  with emphasis on surgical services. Although a surgical related coding certification...

Build our future together: At Regeneron, we use science and innovation to develop life-changing medicines for people with serious diseases. We are seeking an Associate Director, Field Medical Affairs, to join our Gastroenterology team, supporting healthcare providers and payers in a field-based role. In this role, you will establish and maintain scientific exchange with medical specialists and decision-makers, ensuring accurate and timely dissemination of clinical data on in-line and pipeline products, while collaborating with Global Medical Affairs leadership and clinical research investigators. This position offers the opportunity to contribute to a fast-growing, science-driven organization making a meaningful difference to patients worldwide. Where & when: Location: TX, OK, AR, LA, MS, NM Travel: Capable of engaging in frequent business travel (approximately 40-50% of the time), including air travel, overnight and occasionally on weekends. Discover your role: Engage in...

Methodistsurgicalassociates is seeking a Coder for a full-time position in Dallas, Texas. This role involves reviewing medical records for accurate assignment of CPT, HCPCS, and ICD-10 codes, ensuring compliance with guidelines. The ideal candidate must possess coding certifications and have experience in surgical coding. Our team enjoys competitive salaries and an excellent benefits package, including medical, dental, and retirement plans, contributing to our reputation as a great place to work. #J-18808-Ljbffr

Methodist Health System is looking for a remote coder to ensure accurate assignment of medical codes including CPT®, HCPCS, and ICD-10 for professional services. Responsibilities include reviewing documentation and engaging with healthcare providers to enhance coding accuracy. Candidates should possess coding certifications and at least two years of coding experience. The role offers comprehensive benefits such as medical, dental, and vision insurance, as well as a matched retirement plan. #J-18808-Ljbffr

Location Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Hours of Work 8:00-4:30 Days of Week M-F Job Description Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships Reports to Coding Manager Certification Requirements Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications High school diploma or equivalent; Associate degree is an asset. A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding. Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies. Independently disciplined in time management and productivity. Experience in electronic medical record software, preferably Epic. Microsoft Office proficient. Ability to communicate...

Overview Texas Oncology is looking for a Medical Assistant Supervisor to join our team! This position will support the Dallas Presbyterian location. This is a full-time Monday - Friday (hours 8:30am-5pm) position with no weekends, call, or major holidays. Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology , we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas Oncology treats half of all Texans...

Benefit Coder The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. Review, analyze and handle client benefit information requests received via SalesForce.com or email. Assess completeness and accuracy of data, resolve issues based on acquired learning and tools and escalate issues on a timely basis. Ensure that individual, team-specific and site-wide metrics are achieved. Activities include but are not limited to manual coding, execution of macros and testing. Good interpersonal skills Analytical and fact-based decision-maker Ability to quickly identify issues and risks and provide recommendations High motivational skills Experience in team interactions and facilitation Fast, enthusiastic learner Open to change Receptive to feedback Team player Average communication skills Ability to do multiple tasks Details oriented Attention to accuracy and...