41 jobs found in Denver

Humana Inc. in the United States seeks an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. The role involves extracting clinical information and assigning ICD-10-CM, ICD-10-PCS, and DRG codes to patient records, ensuring accurate payments. Responsibilities include reviewing records, auditing coding quality, investigating disputes, and collaborating with teams to improve payment accuracy. #J-18808-Ljbffr

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group  is seeking an experienced Medical Billing Specialist with demonstrated  Revenue Cycle Management (RCM)  expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage  full Revenue Cycle Management (RCM)  processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on  Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and...

Cognizant is seeking an ER Medical Coder – E/M, Injections & Infusions, to join our remote team. You will review clinical documentation and assign ICD-10-CM codes for outpatient surgery, ED, observation, and diagnostic encounters, using encoder tools in line with policies. We require 2+ years outpatient coding experience, ED/E/M coding knowledge, and certifications such as CCS/RHIT/RHIA/CPC/COC. Strong communication, independence, and collaboration in a fast-paced environment are essential. #J-18808-Ljbffr

UCHealth seeks a qualified Medical Coder for the UCHlth Professional Coding - OBGYN team. This full-time, 100% remote role focuses on accurate coding of diagnoses and procedures for assigned areas and record types. You will review medical records, assign charges, and coordinate with department managers on coding, compliance, and documentation, while pursuing ongoing education and credential maintenance. #J-18808-Ljbffr

Commercial Billing Specialist - Denver, CO (in-office) Salary: $52,000-62,000 annually, DOE Benefits: This position is eligible for medical, dental, vision and 401(k). Responsibilities Maintain accurate customer records, billing details, and project budgets for assigned accounts. Set up and manage contracts within the company’s financial system to ensure accurate and timely billing. Prepare, review, and distribute monthly invoices based on customer-provided data. Compile and summarize supplemental billing documentation to meet specific customer requirements. Communicate with clients via phone and email to resolve billing discrepancies and disputes in a timely manner. Investigate and respond to customer inquiries regarding invoices, account balances, and billing concerns. Perform billing, reporting, and reconciliation activities in accordance with monthly close deadlines. Collaborate with internal teams to ensure billing accuracy and resolve account-related issues....

How You’ll Make An Impact At Strive Health, patients come first. We’re on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You’ll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday. If you’re looking for meaningful work where your contributions truly matter, you’ll feel right at home at Strive! Benefits & Perks Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits. Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. Financial & Retirement Support –...

Coder Inpatient Location: UCHealth Admin Lowry, US:CO: Denver Department: UCHlth Inpatient Coding FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $25.80 - $38.70 / hour. Pay is dependent on applicant's relevant experience Summary: Assigns codes for medical diagnoses and procedures using the appropriate coding classification assigned using ICD-10 and PCS. Responsibilities: Reviews account day after admission and assigns appropriate ICD-10 and PCS codes. Review accounts throughout the stay and updates coding as documentation is added. Collaborates with physicians, CDI, and Quality to ensure accurate and complete coding, and to capture any quality measures needed. Partner with Compliance and department committees to clarify any coding issues. Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature. Within scope of job, requires critical thinking skills, decisive judgment and the ability to work...

Department: UCHlth Professional Coding - OBGYN Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $24.11 - $36.17 / hour. Pay is dependent on applicant's relevant experience Location: UCHealth UCHlth Admin Lowry, US:CO:Denver Department: UCHlth Professional Coding - OBGYN Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $24.11 - $36.17 / hour. Pay is dependent on applicant's relevant experience This position is an onsite role and does not offer a hybrid or remote option Summary Assigns codes to medical diagnoses and procedures using appropriate coding classifications for assigned areas/record types. Responsibilities Reviews medical records to determine all appropriate diagnostic and procedural code assignments using the appropriate classifications systems. Assigns charges for applicable clinics/departments as appropriate. Communicates with department manager/supervisor on coding, compliance and documentation issues. Seeks...

Description Location: UCHealth UCHlth Admin Lowry, US:CO:Denver Department: UCHlth Inpatient Coding Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $25.80 - $38.70 / hour. Pay is dependent on applicant's relevant experience This position is 100% remote. Eligible out-of-state candidates may be considered. Summary: Assigns codes for Medical diagnoses and procedures using the appropriate coding classification assigned using ICD-10 and PCS. Responsibilities : Reviews account day after admission and assigns appropriate ICD-10 and PCS codes. Review accounts through out the stay and updates coding as documentation is added. Collaborates with physicians, CDI, and Quality to ensure accurate and complete coding, and to capture any quality measures needed. Partner with Compliance and department committee's to clarify any coding issues. Enhances coding knowledge and skills with continuing education activities and by...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Medical Assistant Supervisor The mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for homeless and at-risk families, children, and individuals throughout Colorado. The Coalition advocates for and provides a continuum of housing and a variety of services to improve the health, well-being, and stability of those it serves. Our Philosophy of Service: We believe all people have the right to adequate housing and health care. We work to remove the barriers that restrict access to these rights. Society benefits when adequate housing and health care are available to everyone. We create lasting solutions to homelessness by: Honoring the inherent dignity of those we serve, affirming their capabilities and fostering their hope that a better life is possible. Building strong, caring and trauma-informed communities through the integration of housing, health care and supportive...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor 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. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Serco Inc. is seeking Medical Coding Auditing Specialists to support the Defense Health Agency's Medical Coding Program Branch (DHA-MCPB). The role focuses on auditing medical documentation, ensuring compliance with ICD-CM, CPT, HCPCS, and DRG guidelines, and developing audit plans across DHA markets. Ideal candidates will have 7+ years of coding/auditing experience, strong knowledge of CMS/NCD/LCD guidance, and professional certifications (RHIT/RHIA/CPC/CCS-P) with institutional certifications. #J-18808-Ljbffr

A leading global workforce solutions company is seeking a Qualified Security Assessor (QSA) for a remote position with up to 20% travel. This role involves conducting PCI DSS compliance assessments, developing remediation plans, and interacting with various stakeholders. Ideal candidates will have 5+ years in Information Security and a strong background in security assessments. Competitive pay ranging from $125K to $175K annually plus benefits. #J-18808-Ljbffr

Strivehealth seeks a Coder for Risk Adjustment Coding in Denver, Colorado. This hybrid remote role supports operations by reviewing coding for accuracy, ensuring compliance with regulations, and providing vital feedback to enhance care outcomes. Ideal candidates will hold a CRC or CPC certification and possess over 5 years of relevant experience. Benefits include comprehensive healthcare, a performance-based bonus, and professional development opportunities. #J-18808-Ljbffr

Metrea in Denver, CO is seeking a Quality Specialist to ensure compliance with the company quality manual and to inspect electronic assemblies and aircraft installation kits. You will collaborate with shop technicians to maintain high quality across MASD PMA processes and participate in periodic audits. The role requires strong attention to detail, good communication skills, and the ability to work in a fast-paced aviation manufacturing environment. #J-18808-Ljbffr

Become a part of our caring community The Inpatient Medical Coding Auditor 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Western Nephrology, a leading practice in Denver, is seeking a Billing Specialist to handle all aspects of medical billing. This role requires a minimum of two years of experience in full cycle medical billing and a high school diploma. You'll be responsible for entering insurance claims, following up on unpaid claims, and working with patients on payment plans. The job offers a supportive team environment with competitive pay ranging from $20 to $23 per hour. Enjoy regular hours from 8:30 AM to 5:00 PM, Monday through Friday, without evenings, weekends, or holidays. . #J-18808-Ljbffr

Option Care Home Health LLC in Denver, Colorado, is seeking an Infusion Reimbursement Specialist. This role involves submitting invoices, ensuring compliance with contractual terms, and evaluating payments. Ideal candidates should have a High School Diploma and some experience in reimbursement or admissions. Benefits include healthcare insurance, 401(k) matching, tuition reimbursement, and a supportive work environment focused on employee well-being and inclusivity. #J-18808-Ljbffr

A Day in the Life at Option Care Health Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re‑imagining the infusion care experience for patients, customers and team members. Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The CPC will ensure correct coding and proper documentation across medical, behavioral health, transportation and other healthcare services. The role requires 3+ years of coding experience, CPC certification, and strong knowledge of CPT/HCPCS/ICD-10, CMS guidelines, and ability to communicate findings to investigators and regulators. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...