Edits denials coder jobs in Remote, Remote

Part Time

South Shore Billing Services, LLC Remote

South Shore Billing Services is seeking an experienced, detail-oriented Medical Billing and Coding Specialist to join our team. We provide professional billing support to primary care, OB-GYN, and behavioral health practices, helping providers maintain accurate, compliant, and efficient revenue-cycle operations. The ideal candidate is dependable, organized, and comfortable managing multiple priorities in a fast-paced medical billing environment. This individual should possess strong communication and problem-solving skills and be able to work both independently and collaboratively. Schedule Part-time: 20 hours per week Monday through Friday 8:30 a.m. to 12:30 p.m. Responsibilities Answer telephone calls and respond professionally to billing inquiries Review and resolve assigned work queues Perform charge review and verify coding accuracy Research and correct claim edits Submit clean claims promptly Post insurance and...

Full Time

Pathology Coder

APS Medical Billing Remote

APS Medical Billing, located in Toledo, Ohio, is seeking certified professional coders with experience in pathology to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. Requirements Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology preferred Experience in reviewing, resolving and preventing coding denials Understanding and application of CMS initiatives including NCCI Edits, MIPS and NCD/LCD polices Competitive wages; benefit package (Health, Health Savings Account, Dental, Vision, Personal Health Care Advisor, EAP, Life, 401k, Paid Holidays, Vacation & Earned Time Off (ETO). APS Medical Billing is an Equal Opportunity Employer....

Contract

Medical Coders (ER, SDS and IP) and Data Quality Auditors

Pena4 Inc. Remote

Multiple ED, SDS and IP Coding Assignments Available & Data Quality Auditors Needed Description: Coders and Auditors with 3-5+ years of facility coding experience are needed to provide coverage to Pena4’s clients. Responsibilities : Pena4 M edical Coders are responsible for accurately assigning ICD-10-CM/PCS diagnosis and CPT procedure codes for inpatient and outpatient hospital services. This role ensures coded data is complete, compliant, and supports appropriate reimbursement, quality reporting, and regulatory requirements. Coders must meet or exceed determined productivity and quality standards for respectively assigned client engagements in order to ensure the highest level of coding. Summary: Position Type: 1099 Independent Consultant 100% Remote Assignments Schedule/Shift varies per assignment. See current assignment details below. Credentials: CPC, CCS, RHIA, RHIT (preferred) 3-5+ years of Facility Coding Will be required to complete ED,...

Full Time

Billing Specialist / AI Trainer

Undeniable Health Remote (United States)

About Us Undeniable Health puts AI billing agents to work inside the revenue cycle operations of healthcare providers and the billing companies that serve them. We handle the full claim lifecycle: charge entry, credentialing, prior authorization, claim submission, claim management, and denial recovery, including the denied claims traditional billing teams can't afford to chase. We work inside our clients' existing systems, under their credentials, as an embedded member of their team. No software to sell. No dashboards to manage. We get the money back. We're backed by investors who know the RCM space, and led by co-founders Alex Poon and Jason Griffith, repeat entrepreneurs with multiple successful exits. We service all specialties, with a current focus on diagnostic labs and behavioral health. The Role This is a production billing job, and we mean that as a compliment. You'll work inside client billing systems every day doing the work that keeps revenue moving: entering...

Full Time

Outpatient Coder - Facility Clinics

Sage Clinical RCM Remote

Outpatient Coder - Facility Clinics (FT) Remote Worker - SL Description Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Core Responsibilities Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. For more information and to apply Follow this link Outpatient Coder - Facility Clinics

Full Time

ProFee Coder - Hospitalist IP

Sage Clinical RCM Remote

Responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties, supporting single-specialty or multi-specialty engagements. Core Responsibilities Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Follow Link for more information and to apply Sage IP Pro fee Coder

6 edits denials coder jobs found in Remote, Remote