6 coder edit denials jobs found

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...

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. We're looking for experienced and credentialed outpatient 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 you to help shape the...

Company Description : Job Summary : We are seeking a knowledgeable and detail‑oriented Certified Ambulance Biller / Coding Specialist to join our billing team. This role is responsible for reviewing patient care reports, applying proper ambulance billing codes, ensuring compliance with federal and state regulations, and submitting clean claims for timely reimbursement. The ideal candidate understands EMS industry billing practices and has experience with accurate documentation review and denial prevention. #osmcareers Please make an application promptly if you are a good match for this role due to high levels of interest. Responsibilities : Review Patient Care Reports (PCRs), run sheets, and supporting documentation for accuracy and completeness. Apply correct ambulance billing codes, including HCPCS, CPT, and ICD‑10, according to documentation and payer requirements. Determine appropriate levels of service (BLS, ALS1, ALS2, SCT, mileage, etc.)...

This position reviews and accurately codes and abstracts the most complex hospital services, in‑patient procedures, overnight / multi‑night stay services, and all other complex medical services. The coder utilizes appropriate coding guidelines to assign ICD and CPT codes, conforms to applicable Medicare, Medicaid and other third‑party payer guidelines to ensure accurate reimbursement, and collaborates with the Clinical Documentation Improvement team to ensure accurate DRG assignment. The role works closely with management to resolve problems and meet deadlines. Education Required – High School diploma or equivalent Preferred – Completion of an American Health Information Management Association (AHIMA) accredited coding program with certification. Work Experience Required – 3 years coding experience Certifications Required – Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA), or Registered Health Information...

Do you know of someone that would be a great fit for this position? Share the opportunity! Hello, We Are ruralMED! Join our mission of supporting rural healthcare through collaboration focused on strategically tailored services, effective leadership, and industry-specific expertise. How This Role Makes an Impact: Support rural healthcare facilities to achieve excellence and thrive in ever-changing landscapes Work alongside a team of dedicated and driven experts passionate about supporting rural healthcare with revenue cycle expertise Apply problem-solving and critical thinking skills in the development of processes and workflows, enhancing efficiency and accuracy Ensure facilities achieve accurate and compliant billing, providing the highest quality of care to patients and communities What It’s Like Working at ruralMED: Elite and highly skilled professionals driven by delivering superior results, always striving for new levels of excellence Flexibility and autonomy with a...

Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary: Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE *this is not a remote position* Work Schedule: Mon - Fri, full-time, flexible 8-hour daytime shifts Codes professional charges for surgical...