18 denials coder jobs found in Springfield

Sarah Bush Lincoln Health Center is seeking a Coder to assign ICD-CM, CPT, and HCPCS codes, modifiers, and E/M codes. The role interacts with medical staff and outside organizations on coding audits and documentation needs. It supports professional encounters across clinic, hospitalist, and other services with emphasis on accuracy and compliance. Responsibilities include auditing EM codes, educating staff, resolving denials, and maintaining data quality while contributing to optimal #J-18808-Ljbffr

Providers Care Billing LLC is a growing medical billing and revenue cycle management company dedicated to helping healthcare providers improve reimbursement, streamline operations, and stay compliant. We are currently looking for a detail-oriented Medical Coder to join our dynamic team. Job Summary As a Medical Coder, you will be responsible for accurately assigning CPT, ICD-10, and HCPCS codes to medical services and diagnoses based on patient records. Your accuracy and understanding of coding guidelines will ensure timely and correct reimbursement for our healthcare clients. Key Responsibilities Review and analyze medical documentation to assign accurate diagnosis and procedure codes. Ensure coding complies with federal regulations and insurance guidelines (CMS, HIPAA). Work with providers to clarify documentation and resolve discrepancies. Assist in claims audits, rejections, and denials as needed. Maintain updated knowledge of medical coding standards and guidelines....

Job Summary We are seeking an experienced and certified Medical Coder - Inpatient & Outpatient to join our Health Information Management/Revenue Cycle team.The Medical Coder is responsible for accurately reviewing and coding inpatient and outpatient hospital medical records in accordance with official coding guidelines, CMS requirements, payer regulations, and hospital policies.This position plays an essential role in ensuring coding accuracy, regulatory compliance, timely reimbursement, and the integrity of clinical and financial data.The successful candidate will demonstrate strong knowledge of hospital coding, medical terminology, anatomy and physiology, reimbursement methodologies, and regulatory requirements.Essential Duties and Responsibilities Review inpatient and outpatient medical records and accurately assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on assigned account type. Assign and validate appropriate MS-DRG/APR-DRG, APC, Present on Admission (POA),...

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. What We're Looking For We're looking for experienced and credentialed inpatient 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...

Location: Springfield, Illinois, United StatesSalary: $100,000 to $125,000Company: University of IllinoisPosted: Associate Director, Simulation and Integrative Learning Institute - Medical EducationHiring Department:Medical EducationLocation:Chicago, IL USARequisition ID: Posting Close Date:Friday, March 27, 2026Salary:The budgeted salary range for the position is $100,000 to $125,000. Westrive to provide a competitive salary, considering factors such as availablemarket data, internal equity, candidate experience and qualifications, andbudget constraints. The final salary offer will be determined through athorough assessment of these elementsAbout the University of Illinois ChicagoUIC is among the nation's preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI),...

Coder OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family — our community. Position Details: Hourly Base Rate: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Job Summary: Certified Coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of sources. Ability to work...

Job Description We are hiring for Social Compliance & Human Rights auditors. UL Solutions is seeking experienced professionals in the Northeast Region near Massachusetts, New Jersey and Connecticut to join our mission of promoting responsible sourcing and protecting human rights across global supply chains. As a Responsible Sourcing Auditor, you’ll conduct on‑site assessments at factories and facilities—helping leading brands ensure their suppliers meet labor, safety, and sustainability standards. This role goes beyond compliance—it’s a chance to influence how companies operate and improve lives around the world. You’ll be part of a forward‑thinking team that values transparency, innovation, and your expertise. Responsibilities Perform independent, high‑quality audits focused on labor practices, health and safety, and ethical sourcing. Review documentation and prepare thoroughly for each site visit. Deliver clear, professional audit reports in English—accurate, timely, and...

Job Overview We are a well-established chiropractic wellness center seeking a detail-oriented and dependable Medical Billing Specialist to join our team part-time.The ideal candidate has experience with chiropractic billing, insurance claims, payment posting, and accounts receivable management. Responsibilities Accurately assign CPT codes and ICD-10 diagnosis codes for chiropractic procedures Prepare and submit clean claims to insurance companies and third-party payers Post insurance and patient payments accurately Manage accounts receivable and collections follow-up Review and correct claim denials and rejections Stay current with updates in medical coding regulations, insurance policies, and industry best practices to ensure compliance Communicate professionally with insurance companies and patients as needed Qualifications Minimum 2 years of medical billing experience is prefered Chiropractic billing experience strongly prefered Knowledge of CPT, ICD-10, and insurance claim...

COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health Description COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more...

Coding Auditor - Professional Department: Physician coding Hours: Full-Time (40 hours per week) Location: Remote or onsite. Must reside in one of the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Pay: Starts at \$23.87/hour, based on experience. Estimated compensation range \$23.87 - \$37.00. Responsibilities Assist coders with coding questions. Conduct collection and reporting of provider and coder audit results and education. Work with coders and providers to ensure appropriate documentation for clinic services. Report results to Coding Supervisor – Professional. Demonstrate ability to code all types of encounters. Maintain 95% accuracy in diagnoses and procedures coding. Ensure data quality and optimum reimbursement under federal and state payment systems. Identify and refer trend patterns of coding and...

Seeking an experienced Coding & Charge Capture Supervisor to lead and coordinate team activities while ensuring accuracy, compliance, and timely claim submission. The ideal candidate will have strong knowledge of governmental regulations and payer guidelines, along with the ability to collaborate effectively across Revenue Cycle departments to optimize workflows and support financial performance. Schedule: 40 hours per week Shift: Day Shift Hours ESSENTIAL DUTIES AND RESPONSIBILITIES Oversees the daily operations by monitoring workload and productivity of partners to achieve weekly and monthly goals while ensuring accuracy of work. Assists in the development of guidelines, policies, and procedures for areas of responsibility, retain compliant with governmental regulations or other reporting obligations as required by contract. Coordinates coding and quality audits to ensure compliance with governmental regulations and/or third party requirements. Report any infractions to...

Location John H. Stroger, Jr. Hospital Department Health Information Management Shift 7:00 AM - 3:00 PM Pay Range $37.658 hourly Job Summary Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally...

Certified Professional Coder (CPC)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.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews 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.Activities...

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...

The Women's Group of Northwestern is an independent practice located on the Magnificent Mile with a satellite office in Northbrook.Our staff of 18 providers (MD's, Physician's Assistants and Nurse Practitioners) deliver the highest level of patient care and patient satisfaction.If you are an experienced Certified Medical Coder & Surgical Scheduler, we would love to meet you! (MUST HOLD A CERTIFIED CODER LICENSE) Our team of staff members work together to give our best to our patients and to each other.Our leaders are committed to ensuring that you are successful in everything you do and want you to understand how much we value you.We offer a highly competitive salary, excellent benefits including 3 weeks of PTO per year, a 401K with profit sharing, and an environment that respects you as a professional.If you have experience providing stellar customer service in a medical setting, excellent prior performance and attendance, and experience with Epic/Epic Op-Time or Athena, we...

Overview Certified Medical Coder (CPC or CCS) - Remote | WFH job at Get It - Healthcare. Springfield, NJ. Job Summary: We are looking for a detail-oriented and motivated Certified Medical Coder to join our team. As a key member of the coding department, you will be responsible for ensuring the accuracy and quality of medical coding for surgical and hospital outpatient services. You\'ll play an essential role in reviewing patient medical records, assigning proper codes, and supporting billing processes to ensure smooth and efficient medical payment collection. This is an exciting opportunity to contribute your expertise while working remotely in a supportive and dynamic environment. Responsibilities Analyze medical records to assign accurate codes for services, procedures, diagnoses, and treatments. Resolve coding-related billing issues promptly and efficiently. Code and bill for vascular scans and other medical services. Assign appropriate ICD-10 and CPT codes for outpatient...

Department:10116 Enterprise Corporate - Administration: Medical Staff ServicesStatus:Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:This role covers two hospital sites Condell Medical Center and Good Shepherd Hospital. It is also hybrid. 2-3 days a week in office and the rest from home.Pay Range$30.70 - $46.05Leads, plans, organizes and is responsible for the day to day operations of the Medical Staff Services Department so that all aspects of the Organized Medical Staff are supported, including credentialing activities, professional relations, meeting management, and peer review activities. Additionally, compliance is maintained, with accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, and State and Federal Law and other standards and regulations.Major Responsibilities:Implements, coordinates, monitors, and maintains effective credentialing processes for...

Job Overview We are a well-established chiropractic wellness center seeking a detail-oriented and dependable Medical Billing Specialist to join our team part-time.The ideal candidate has experience with chiropractic billing, insurance claims, payment posting, and accounts receivable management.Responsibilities Accurately assign CPT codes and ICD-10 diagnosis codes for chiropractic procedures Prepare and submit clean claims to insurance companies and third-party payers Post insurance and patient payments accurately Manage accounts receivable and collections follow-up Review and correct claim denials and rejections Stay current with updates in medical coding regulations, insurance policies, and industry best practices to ensure compliance.Communicate professionally with insurance companies and patients as needed Qualifications Minimum 2 years of medical billing experience is prefered Chiropractic billing experience strongly prefered Knowledge of CPT, ICD-10, and insurance claim...