16 coder edit denials jobs found

Medical Coder This position is primarily responsible for overseeing that all procedures are coded correctly and documented in the surgeon's notes according to AMA, ICD-10, and NCCI coding guidelines while maximizing payment. The Coder is responsible for gathering, verifying and entering into our PM system (EPIC) all scheduled surgical procedures and all outside encounters performed at associated facilities. Responsibilities also include correcting billing information according to insurance guidelines, including all insurance, Medicare, Workers Comp, MVA and Third party carriers. The Coder will communicate with provider coding discrepancies and provide accurate answers and documentation to the physicians when responding or addressing their coding questions or issues. Responsibilities Reviews all procedure and diagnosis codes submitted by provider for accuracy and maximum reimbursement against the documentation and according to AMA, ICD-10, NCCI and AAOS coding guidelines....

divh2Medical Coder/h2pThis position is primarily responsible for overseeing that all procedures are coded correctly and documented in the surgeons notes according to AMA, ICD-10, and NCCI coding guidelines while maximizing payment. The Coder is responsible for gathering, verifying and entering into our PM system (EPIC) all scheduled surgical procedures and all outside encounters performed at associated facilities. Responsibilities also include correcting billing information according to insurance guidelines, including all insurance, Medicare, Workers Comp, MVA and Third party carriers. The Coder will communicate with provider coding discrepancies and provide accurate answers and documentation to the physicians when responding or addressing their coding questions or issues./ph3Responsibilities/h3ulliReviews all procedure and diagnosis codes submitted by provider for accuracy and maximum reimbursement against the documentation and according to AMA, ICD-10, NCCI and AAOS coding...

Overview Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family‑friendly design. As the largest pediatric provider in the region with a 140‑year legacy of excellence, kids and their families are at the center of all we do. Location: 680 Lake Shore Drive, Chicago, IL, United States. Responsibilities Timely and accurate coding and abstracting of inpatient visits. Review inpatient encounter documentation for diagnoses, treatments, and services. Perform daily coding and abstracting using ICD‑10 Code sets and DRG Grouping systems. Validate MS‑DRG and APR‑DRG assignments for appropriateness to the encounter. Weekly coding of inpatient interim bill requests. Review Clinical Documentation Specialists’ notes and queries to ensure capture of queried conditions. Validate admission diagnosis assignment and coordinate correction with Case Management...

Certified Coder Join our Revenue Integrity team as a Certified Coder. You'll review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes to support correct billing, clean claims, and timely reimbursement. This role blends careful attention to detail with clear communication to providers and clinic staff. Primary responsibilities include: Review provider documentation and assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT/HCPCS). Apply current E/M guidelines, modifiers, NCCI edits, and payer rules to ensure compliance. Work coding work queues in the EMR; resolve edits and charge capture issues for clean claim submission. Perform pre-bill reviews and post-bill audits; identify trends and recommend fixes. Partner with providers on documentation improvement; send clear, compliant queries when needed. Research payer policies (LCD/NCD), coverage rules, and denials; assist with appeals. Maintain productivity and accuracy targets; document...

Abstractor/Coder The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities: Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on...

Abstractor/Coder II The Abstractor/Coder II performs complex, specialty-specific coding in support of orthopedic practices across multiple locations. This role applies advanced knowledge of CPT, ICD-10, and HCPCS coding systems, along with payer and regulatory requirements, to ensure accurate, compliant charge capture and documentation. Working with minimal supervision, the Abstractor/Coder II codes highly complex services, resolves coding edits, denials, and rejections, and partners with providers to improve documentation and optimize reimbursement. The role serves as a subject matter expert to clinical staff and supports revenue integrity through issue resolution and education. This position also contributes to quality and compliance efforts by identifying coding trends and risks, conducting reviews, and supporting training initiatives. The Abstractor/Coder II mentors less experienced coders and adheres to all HIPAA and organizational standards. Responsibilities: Maintains...

Pediatric Coding Specialist Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location: 680 Lake Shore Drive Job Description: Responsible for timely and accurate coding and abstracting of Inpatient visits. Codes and abstract patients following established coding guidelines and utilizing ICD-10 code sets. This position ensures that revenue cycle, customer service, quality, individual, and team goals are met. Essential Job Functions: Thorough review of inpatient encounter documentation for diagnoses, treatments, services. Performs daily coding and...

The salary range for this position is $29.13 - $39.32 (Hourly Rate). Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well‑being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose‑driven and committed to our mission to deliver world‑class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've...

Pediatric Coding Specialist Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location: 680 Lake Shore Drive Job Description: Responsible for timely and accurate coding and abstracting of Inpatient visits. Codes and abstract patients following established coding guidelines and utilizing ICD-10 code sets. This position ensures that revenue cycle, customer service, quality, individual, and team goals are met. Essential Job Functions: Thorough review of inpatient encounter documentation for diagnoses, treatments, services. Performs daily coding and...

Overview Employment Type : Full Time In-Office Position 82 Orland Square Drive Orland Park, Illinois 60462 Benefits : M/D/V, Life Ins., 401(k) JOB SCOPE: Under general supervision, the Billing Specialist is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow-up with patients and third-party payers. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards. HOURLY RANGE : $19.00 - $29.00 The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer! About The US Oncology Network The US Oncology Network is one of the nation's...

Overview Location: Quincy, IL Pay Range: $20.57 – $30.86 per hour | Based on Relevant Experience Schedule: Full-Time, Monday – Friday, 8:00 a.m. – 5:00 p.m. About the Role: Join our Revenue Integrity team as a Certified Coder. You’ll review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes to support correct billing, clean claims, and timely reimbursement. This role blends careful attention to detail with clear communication to providers and clinic staff. Primary Responsibilities Review provider documentation and assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT/HCPCS). Apply current E/M guidelines, modifiers, NCCI edits, and payer rules to ensure compliance. Work coding work queues in the EMR; resolve edits and charge capture issues for clean claim submission. Perform pre-bill reviews and post-bill audits; identify trends and recommend fixes. Partner with providers on documentation improvement; send clear, compliant queries when...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a skilled Primary Care E/M Coder with a focus on coding accuracy and regulatory compliance within a centralized business office setting. The primary responsibilities include reviewing and abstracting clinical documentation, managing Physician Billing workflows, and ensuring integrity and compliance of documentation to enhance the "Clean Claim Rate." Key Responsibilities Coding Accuracy: Review and abstract clinical documentation to assign appropriate E/M levels (99202-99215) and associated CPT codes for Primary Care visits, including annual wellness exams, preventive medicine, and office-based procedures. PB Specialist Focus: Manage Physician Billing (PB) workflows, ensuring seamless charge capture within the Epic (Resolute) system. Documentation Integrity: Identify and resolve documentation gaps by...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

Overview Location: Quincy, IL Pay Range: $20.57 - $30.86 per hour | Based on Relevant Experience Schedule: Full-Time, Monday - Friday, 8:00 a.m. - 5:00 p.m. About the Role: Join our Revenue Integrity team as a Certified Coder. You'll review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes to support correct billing, clean claims, and timely reimbursement. This role blends careful attention to detail with clear communication to providers and clinic staff. Primary Responsibilities: • Review provider documentation and assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT/HCPCS). • Apply current E/M guidelines, modifiers, NCCI edits, and payer rules to ensure compliance. • Work coding work queues in the EMR; resolve edits and charge capture issues for clean claim submission. • Perform pre-bill reviews and post-bill audits; identify trends and recommend fixes. • Partner with providers on documentation improvement; send clear,...

Overview The Abstractor/Coder II performs complex, specialty‑specific coding in support of orthopedic practices across multiple locations. This role applies advanced knowledge of CPT, ICD‑10, and HCPCS coding systems, along with payer and regulatory requirements, to ensure accurate, compliant charge capture and documentation. Working with minimal supervision, the Abstractor/Coder II codes highly complex services, resolves coding edits, denials, and rejections, and partners with providers to improve documentation and optimize reimbursement. The role serves as a subject matter expert to clinical staff and supports revenue integrity through issue resolution and education. This position also contributes to quality and compliance efforts by identifying coding trends and risks, conducting reviews, and supporting training initiatives. The Abstractor/Coder II mentors less experienced coders and adheres to all HIPAA and organizational standards. Responsibilities Maintain an expert level...