478 coder edit denials jobs found

Coder I, Professional This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies all billable services. Reviews all applicable data sources, including but not limited to, electronic...

Job Description The Outpatient Specialty Medical Coder is responsible for coding outpatient records, Facility, and/or Professional, for the purpose of reimbursement in compliance with federal, state, and regulatory agencies’ guidelines using the most current taxonomic and classification systems. Performs coding, charge entry, and charge review including but not limited to, reviewing clinical documentation, appending modifiers and/or correcting edits. The Outpatient Specialty Medical Coder I will be responsible for coding the following services: Non Centra Medical Group (CMG) Vascular, Endoscopy, Orthopedic Surgery, Gynocologic Surgery, Surgical Observation, General Surgery, Plastic Surgery, Neurosurgery, Urology, Bariatric Surgery, and Pain Management. Responsibilities Reviews clinical documentation and assigns appropriate outpatient facility and/or professional codes, reviews/posts charges for the purpose of reimbursement, research, and compliance in accordance with...

Overview We are seeking highly experienced Orthopedic Medical Coders with current expertise in orthopedic coding to support a dynamic healthcare organization. This role requires coders who are actively coding orthopedics on a regular basis. The ideal candidate will be fully up to date on current orthopedic coding guidelines and comfortable providing coding feedback and education to orthopedic providers, particularly regarding bundling/unbundling rules, modifier usage, and coding compliance. Key Responsibilities Charge Review Work Queues Review provider-submitted coding in EPIC against clinical documentation Resolve EPIC edits and recommend coding corrections to departments Claim Edit Work Queues Review provider-submitted coding and address clearinghouse rejections and claim edits Recommend appropriate coding corrections based on documentation Follow-Up Work Queues Review post-bill denials and payer edits Analyze documentation and recommend coding updates to resolve issues...

Shift : Sunday - Thursday, Flexible day/evening hours Department : Coding & Data Management - 3M ER Coding Team. Remote Compensation : • Base Pay Range: $22.00 - $34.74 per hour, based on experience ABOUT THE JOB MU Health Care is looking for a detail-oriented Medical Coding Specialist to join our team. As a crucial member of our healthcare family, the ideal candidate will possess a passion for precision and a commitment to maintaining the highest standards in medical coding. We value individuals who demonstrate a deep understanding of technical coding principles, coupled with a strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT codes. Our ideal candidate advances their coding expertise through continuous education, ensuring accurate and compliant coding practices. We seek someone who thrives in a fast-paced environment, excels in problem-solving, and actively contributes to audits, troubleshooting, and training initiatives. If you're ready to make a meaningful...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.06 - $32.29 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not...

Coder II Professional Fee This is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address coding issues and concerns. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana - Missouri- Mississippi- Nebraska-...

Hello,Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile.Thank you,Human Resources## Important Applications Instructions:**Please complete this application in entirety by providing all of your work experience, education and certifications/****license. You will be unable to edit/add/change your application once it is submitted.**## Job Requisition ID:R00048788## Job Category:Clerical and Customer Service## Organization:Rev Cycle - PB Surg Coding## Location/s:Central Billing Office-Clinton## Job Title:Medical Coder-Professional## Job Summary:Medical...

Hello, Thank You For Your Interest In Career Opportunities With The University Of Mississippi Medical Center. Please Review The Following Instructions Prior To Submitting Your Job Application Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application. You can only apply one time to a job requisition. Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we...

Medical Records Coder III, Complex page is loaded## Medical Records Coder III, Complexremote type: Remotelocations: 2619 West Henrietta Roadtime type: Full timeposted on: Posted Todayjob requisition id: R268867As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.**Job Location (Full Address):**2619 W Henrietta Rd, Rochester, New York, United States of America, 14623**Opening:**Worker Subtype:RegularTime Type:Full timeScheduled Weekly Hours:40Department:900370 Health Info Mgmt-CodingWork Shift:UR - Day (United States of America)Range:UR URG 107 HCompensation Range:$23.06 - $32.29*The referenced pay range represents the minimum and maximum compensation for this...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address) 2619 W Henrietta Rd, Rochester, New York, United States of America, 14623 Opening Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.06 - $32.29 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education,...

Job Title: OP Ancillary / Physician Coder (ProFee – Radiology) Duration: 3 months with possible conversion In this role, you will be responsible for the complex sequencing of ICD-10-CM and CPT codes for diagnostic radiology procedures. Responsibilities Specialized Coding: Assign and sequence ICD-10-CM, CPT, and HCPCS codes for diagnostic radiology, ensuring strict adherence to bundling rules and coding guidelines. Revenue Cycle Optimization: Manage Epic Follow-Up and Claim Edit work queues to resolve denials and identify opportunities for billing improvements. Provider Education: Perform monthly analysis on coding change trends and provide feedback/education to physicians to improve documentation quality. Charge Integrity: Review weekly "Missing Charge Reports" to identify unbilled services and maximize legitimate reimbursement. Compliance Oversight: Participate in monitoring programs and benchmarking comparisons to ensure all coding meets organizational and...

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is a senior level professional fee coding position with at least three (3) or more years’ experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following...

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem-solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. Responsible for reviewing, analyzing, and interpreting physician...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Come join us a Coder I, Professional at SSM Health! You will play a crucial role in ensuring accurate and timely coding of medical records. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of our organization. Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates to reside in MO, IL, OK, or WI (additional states my be considered) Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures....

Certified Coder Our Central Billing Office is growing! We are looking for a Certified Coder to join our team! Position is a full-time remote position, Monday - Friday. Our certified coders provide coding support to multiple departments as well as practitioners and staff. Responsibilities: Timely input of charges in accordance with department needs. Maintain strict established charge batch turnaround times set by the department. Utilize web-based tools, coding books and other available resources to facilitate accurate charge entry. Assist in reducing denials by maintaining required accuracy levels and following outline protocols. Process any discrepancy reconciliation and closing of charge batches across all systems. Respond to inquiries from provider offices and various internal departments in a timely and professional manner. Responsible for Claim Edit Reports and Unassigned Money Reports. Comply with and enforce all policies and procedures related to the position,...

UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to join our coding team to work on surgical coding. This position will be a work-from-home position working Monday through Friday during normal business hours. To be considered for this position, you must have three years of coding experience. In this role, you will have the same responsibilities as Coder II, but also be responsible for assigning PQRS codes and assist in the development of templates and processes to obtain the appropriate documentation. Provide feedback to the physicians on coding, documentation, edit, and denial issues. Responsibilities: Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. Refer problem accounts to appropriate coding or management personnel for resolution. Make forward progress within the...

Coder II Professional Fee This is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address coding issues and concerns. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana - Missouri- Mississippi- Nebraska-...

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application. You can only apply one time to a job requisition. Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of...

Role Requirements: Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology Must be able to abstract the chart review to capture all billable charges EPIC experience: charge entry and charge review experience required Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can be remote Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment Bonus/nice to have: Bonus: GYNONC coding experience Bonus: Experience working on denials Bonus: GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for...

Benefits: Flexible schedule Join our team! We are seeking an experienced Facility and Professional Fee (Profee) Coder to support accurate and compliant coding for our Critical Access Hospital (CAH). This role is essential in maintaining the integrity of our outpatient billing and reimbursement processes. The coder will be responsible for coding facility services, including Emergency Department (ED), Observation, and Clinic services, as well as professional fee services, including outpatient and ancillary services. What You’ll Do Assign ICD-10-CM, CPT, and HCPCS codes for outpatient encounters including emergency, observation, surgery, and ancillary services. Code both facility and professional fee components accurately. Review and resolve claim edits and denials related to coding or medical necessity. Collaborate with providers and the revenue cycle team to ensure complete and compliant documentation. Stay current with coding regulations, payer guidelines, and CAH...

Benefits: Flexible schedule Facility, Ancillary + Profee Coder – Critical Access Hospital Join our team! We are seeking an experienced Facility, Ancillary, and Professional Fee (Profee) Coder to support accurate and compliant coding for our Critical Access Hospital (CAH). This role is essential to maintaining the integrity of our billing, coding, and reimbursement processes. The coder will be responsible for assigning accurate codes for facility services, including Emergency Department (ED), Inpatient, and Swing Bed services. Responsibilities also include coding professional fee services for Radiology, Pathology, Emergency Department, Clinic, and Hospitalist providers, as well as ancillary services such as Radiology, Diagnostic Imaging, CT (Cat Scan), Occupational Therapy, Physical Therapy, and Laboratory services. The ideal candidate will ensure coding accuracy, compliance with regulatory requirements, and proper documentation to support appropriate reimbursement....

Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33163 Shift Details: Monday to Friday, Days. This is a remote position and is only open to candidates in Florida. Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare...

This position is open to remote candidates who reside in one of the following states only: Texas, Arizona, Utah, Florida, Idaho, Oregon, Washington, or California. Due to business operations, tax registration, and employment compliance requirements, we are only able to hire individuals who currently live and work in these states. Applicants must maintain residency in one of the approved states as a condition of employment. Position Purpose To be responsible for accurately assigning diagnostic and procedural coding for all encounters associated with Renown Health Network and Ambulatory Services. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. Assignment of ICD-10-CM and CPT codes must be consistent with CMS' Official Guidelines and any regulatory agency guidelines. Nature and Scope Incumbents must be proficient with CPT and ICD-10-CM coding systems and...