11 claim edit coder jobs found

Job Description Job Description Description: Position Overview The Professional Billing Coder – Surgical Specialty is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements: Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding Apply appropriate modifiers, bundling rules, and NCCI edits Ensure compliance with CMS, AMA, and payer-specific billing guidelines • Identify documentation gaps and communicate clarification needs as appropriate Meet established productivity and quality standards • Participate in internal quality reviews and audits as required Required...

Job Description Job Description Description: Position Overview The Professional Billing Coder – Cardiothoracic / Special Surgical is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements: Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding Apply appropriate modifiers, bundling rules, and NCCI edits • Ensure compliance with CMS, AMA, and payer-specific billing guidelines Identify documentation gaps and communicate clarification needs as appropriate Meet established productivity and quality standards Participate in internal quality reviews and audits as required...

Job Description Our client is in need of an Inpatient Rehabilitation Medical Coder. As an IRF Coder you will be responsible for coding and applying ICD-10-CM and PCS codes as applicable to code medical records for a large rehabilitation hospital in Florida. Responsibilities will include but not be limited to reviewing data from the medical record to determine or confirm codes, perform analysis of physician documentation, and provide feedback for improvement, collaborate with internal and external resources to obtain additional documentation to support the services provided, documentation and codes billed. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy),...

Benefits 401(k) matching Bonus based on performance Company parties Dental insurance Employee discounts Health insurance Opportunity for advancement Paid time off Parental leave Training & development Vision insurance The Medical Billing Specialist is responsible for the billing and collection of office visits, procedures, nurse procedures, and all other billing events as a result of practice activities. Additional responsibilities include keeping up to date with coding and billing regulations as well as maintaining an understanding and compliance with all Skin Wellness Physicians policies and procedures. Essential Duties and Responsibilities Develops and implements, with the Practice Administrator, procedures for all aspects of the billing process including charge entry, day end balancing, claims submission and edit, insurance follow up, patient balance follow up, denials, transfers to patient balance, cash collection, collection accounts, adjustments and...

Certified Medical Coder II - Surgical Coder - $2000 sign on bonus Hybrid - Remote. Hourly Salary plus monthly bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital...

Job Type Full-time Description Summary/Objective: Obtain accurate reimbursement for healthcare claims. Essential Functions Reviews and resolves all assigned charges thoroughly based on coding guidelines, chart documentation and related charges in billing system. Audits task manager work files with charges reviewed by Claims Manager that were found to have coding errors/omissions. When appropriate communicates approved coding changes and/or questions to Physician's and their office staff. Also alerts providers of missing or late charges. Alerts management to coding trends discovered while working daily charges/edits. Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific State of Florida billing guidelines. Consistently stays within the department production goal set for your area Requirements Required Education and Experience: High School Graduate or Equivalent. Must be a...

Medical Billing Specialist -(Local Candidates Only) * LOCAL CANDIDATES ONLY Who We Are The Hirsh Center is a specialty healthcare practice committed to delivering exceptional care and building meaningful, long-term relationships with our patients. We take pride in providing a supportive and collaborative work environment where team members are valued, trained, and given opportunities to grow. Why Work Here At The Hirsh Center, we believe great care starts with a great team. This is a great opportunity for an experienced billing professional who enjoys working in a specialty practice, values teamwork, and wants a stable schedule with long-term growth potential. We offer a predictable weekday schedule, no nights or weekends, and we are closed for major holidays, supporting strong work-life balance. * This is an onsite based position located in Delray Beach, FL, Monday-Friday . No remote or hybrid candidates will be considered. Position Summary The Medical Billing Specialist...

Overview Lead a remote team focused on coding denials, reimbursement optimization, and operational performance. Work Style: Remote Location Requirement: Must reside in an authorized state (FL, GA, PA, NC, SC, TN, or TX) FTE: Full-Time (1.0 FTE) Manages the daily operations of the revenue cycle clinical denial coding team to ensure accurate, timely resolution of denied claims and optimization of reimbursement. Oversees workflows, assigns work, and monitors productivity and quality to drive performance and compliance. Collaborates with healthcare providers, coding teams, and insurance payers to resolve billing issues, support appeal processes, and expedite payment. Reviews financial and denial reports to identify trends, implement corrective actions, and improve overall denial management strategies. Trains and mentors staff on denial resolution, coding accuracy, and payer requirements while promoting best practices. Partners with cross-functional teams-including...

* LOCAL CANDIDATES ONLY Who We Are The Hirsh Center is a specialty healthcare practice in Delray Beach, FL committed to delivering exceptional care and building meaningful, long-term relationships with our patients. We take pride in providing a supportive and collaborative work environment where team members are valued, trained, and given opportunities to grow. Why Work Here At The Hirsh Center, we believe great care starts with a great team. This is a great opportunity for an experienced billing professional who enjoys working in a specialty practice, values teamwork, and wants a stable schedule with long-term growth potential. We offer a predictable weekday schedule, no nights or weekends, and we are closed for major holidays, supporting strong work-life balance. * This is an onsite based position located in Delray Beach, FL, Monday-Friday . No remote or hybrid candidates will be considered. Position Summary The Medical Billing...

All the benefits and perks you need for you and your family :Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and SupportOur promise to you :Joining AdventHealth is about being part of something bigger.Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.All while understanding thattogetherwe are even better.Shift:Monday- Friday Full time 8am-5pmJob Location:RemoteThe role you will contribute :Responsible for reviewing accounts for accuracy using the charge capture audit system in compliance with local, federal, and state guidelines, as well as managed care reimbursement practices.This position uses clinical knowledge and...