Full Time coder edit denials jobs

Full Time

Senior Billing Specialist for a Busy Infertility Practice -ONSITE

Reproductive Medicine Institute Oak Brook, IL

Position Overview We are seeking an experienced Billing Specialist to join our busy infertility practice. The ideal candidate is preferred to have billing experience in women's health care. This role requires strong knowledge of medical billing workflows, insurance follow-up, denial management, payment posting, claims resolution, and patient account management specific to women’s health. Key Responsibilities Submit clean claims accurately and timely through our EMR system Review and resolve claim rejections and denials across all insurance platforms Follow up with insurance companies on unpaid claims Post insurance and patient payments accurately in our EMR system Work aging reports and outstanding AR Review patient accounts for billing accuracy and follow-up needs Handle billing corrections, resubmissions, and appeals Communicate with registration/front desk, clinical staff, and management to resolve billing issues Maintain compliance with...

MM

Full Time

CERTIFIED ANESTHESIA CODER

Medisys Management Hybrid (Melville, NY)

JOB SUMMARY: CERTIFIED ANESTHESIA CODER ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES • Review anesthesia records, operative reports, and medical documentation for completeness and accuracy. • Ensures accurate coding, billing compliance. • Analyzes Epic electronic medical record for assigning appropriate CPT, ICD-10-CM, HCPCS and Modifiers for anesthesia services. • Apply appropriate anesthesia modifiers such as AA, QK, QX, QY, QZ • Identify documentation deficiencies and communicate via EPIC query with providers for clarification. • Review denials, coding corrections related to anesthesia services. • Maintains confidentiality of patient information as per the MediSys Health Network policy. • Meeting productivity levels of charts,60-100 anesthesia charts per day not limited to number of transactions filed or complexity of the account. • Reviews assigned work queues. •...

Full Time

Experienced Medical Billing Specialist - Remote

PedsOne Remote

Summary The Experienced Medical Billing Specialist provides best-in-class full RCM billing services for our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols. Responsibilities Learn and become proficient with the premiere pediatric system in the industry - Physician’s Computer Company (PCC) Billing. Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. Post payments, organize processing of patient correspondence and statements. Answer phone inquiries from...

Full Time

Certified Coding Specialist - Multi Specialty

Revenue Cycle Coding Strategies Remote (United States)

SCOPE/GENERAL PURPOSE OF JOB: The Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, and units from the medical record documentation. Other responsibilities include accurately entering data into coding/billing software and/or Excel reports. Performing accurate coding using applicable guidelines and facility protocols and communicating with staff and/or providers as needed. Provide written feedback of coding results as needed in the form of comments, summary of findings, and recommendations. Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assign ICD-10 CM and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/or Professional fee coding) depending on the specific...

Full Time

HIM Professional Billing Coding Manager (Hybrid)

El Camino Health Hybrid (Mountain View, CA)

Lead Coding. Drive Revenue Integrity. Shape Provider Performance. El Camino Health is seeking a highly experienced HIM Professional Billing Coding Manager to lead coding operations across its medical network. This is a critical leadership role directly tied to revenue cycle performance, compliance, and provider documentation excellence. If you bring deep expertise in professional billing (PB) coding, auditing, and provider education , this is your opportunity to make a meaningful impact within a respected, nonprofit health system. About El Camino Health El Camino Health is an integrated, nonprofit health system known for delivering high-quality, patient-centered care across its communities. With a strong commitment to innovation, compliance, and clinical excellence, the organization plays a vital role in driving healthcare outcomes and access across the region. This position is onsite in Mountain View, CA 2 days a week, with 3 days available for remote work....

MG

Full Time

Certified Coding Auditor Primary Care

Marwood Group Hybrid (New York, NY)

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers....

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). We are an Equal Opportunity Employer committed to a...

AB

Full Time

Medical Coder

Advanced Billing Consultants Remote

Medical Coder It's your choice, choose Advanced Billing Consultants. Advanced Billing Consultants specializes in medical billing services, accounts receivable, and information management for medical practices. Join our growing team. We promote a fun and friendly work environment. We encourage work/life balance and we offer competitive wages and benefits. The Multi-Specialty Coder is responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies. The Coder accurately and efficiently codes office visits using ICD-10 and CPT codes to obtain the most accurate data based on documentation. This position requires a strong understanding of Evaluation and Management codes. Job Duties: Reads and analyze patient records Determines correct codes for patient records Accurately and efficiently codes E/M and Surgery Records for multiple clinics Submits clean claims for payment Maintains an error rate of 5% or less Monitors,...

8 coder edit denials jobs found