8 coder edit denials jobs found

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...

A company is looking for a Professional Fee Multi Specialty Coder (temp). Key Responsibilities Review provider-submitted coding in EPIC against documentation and recommend necessary coding changes Address claim edits and denials by analyzing submitted coding and suggesting corrections Provide feedback to orthopedic providers regarding coding guidelines and compliance Required Qualifications and Education Current CPC or equivalent certification through AAPC or AHIMA required Minimum of five years of experience with professional fee hospital coding Ability to maintain a quality score of 95% or greater in coding accuracy EPIC experience preferred Comfortable using technology such as MS Office and Teams

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

Job Description Job Description University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family. The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians’ practice at hospitals and medical offices throughout the region. University of Toledo Physicians offers competitive pay and benefits including: 403B, Pension, health and tuition waiver at UT. POSITION SUMMARY The Revenue Integrity Analyst II performs advanced level work related to clinical denial management and ensuring accurate claim submission. This position works within the Revenue Integrity Department and is...

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family. The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians' practice at hospitals and medical offices throughout the region. University of Toledo Physicians offers competitive pay and benefits including: 403B, Pension, health and tuition waiver at UT. POSITION SUMMARY The Certified Coder is responsible for coding ICD diagnosis and CPT facility and professional codes. Assignment may include outpatient clinic visits, diagnostic procedures, outpatient surgeries, observation and inpatient encounters, and emergency room...

Description In an environment of continuous quality improvement, the Certified SDC Coder is responsible for coding the professional and facility diagnoses and procedures for OR procedures based on provider documentation. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times. Job Functions: Assigns codes for diagnosis, treatments, and procedures according to the appropriate classification for surgical encounters and maintaining 90% quality standards. Codes charts within an appropriate number of charts per hour. Remain informed about coding issues to comply with federal regulations. Complies with all legal requirements regarding coding procedures and practices. Utilizes time effectively. Consistently codes and abstracts at minimum productivity standards while ensuring accuracy of coding. Ability to code OR procedures, is also expected to assist in certified outpatient, ancillary or charge as assigned. Responds promptly to internal and...

Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements JOB SUMMARY • Responsible for coding and abstracting all outpatient patient records using ICD-10 and CPT/HCPCS codingrules, federal guideline and KHN guidelines. Supports hospital’s accounts receivable goals through timelyprocessing of records and physician record completion activities.• Impacts delivery of quality patient care and enhanced clinical decision making process.• Supports clinical outcomes measurement and assessment process for service lines.• Completes assigned duties and other related tasks.• The list is not inclusive, duties may be modified to fulfill departmental needs or goals. JOB REQUIREMENTS Minimum EducationAssociate degree or higher in Health Information Management - Preferred Required Licenses[Ohio, United States] Coder, Health InformationRHIT or RHIA certification and/or CCS certification.Member of AHIMA - preferredRHIT/RHIA eligible will also be...

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery.Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family.The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians' practice at hospitals and medical offices throughout the region.University of Toledo Physicians offers competitive pay and benefits including:403B, Pension, health and tuition waiver at UT.POSITION SUMMARYThe Certified Coder is responsible for coding ICD diagnosis and CPT facility and professional codes.Assignment may include outpatient clinic visits, diagnostic procedures, outpatient surgeries, observation and inpatient encounters, and emergency room charges for the...