11 coder edits denials jobs found

Medical Coder (Epic / Outpatient Focus) Location: Remote (Hybrid / Occasional On-Site as Needed - Lansing, MI) Employment Type: Long term contract assignment with employee benefits. W2 employment... NO C2C or 3rd party vendors support. $25-35/hour Job Overview We are seeking an experienced Medical Coder to join a major healthcare system supporting revenue cycle operations. This role sits at the intersection of Revenue Cycle and Health Information Technology. With significant Epic IT system integrations underway across the region, we are looking for credentialed coding professionals who can hit the ground running in a dynamic environment, deliver high coding quality, and support related billing workflows as needed. Key Responsibilities Medical Coding (Primary Focus): Perform accurate ICD-10-CM/PCS, CPT, and HCPCS coding for facility and professional services, with a heavy emphasis on outpatient records as well as select inpatient charts....

Job Description Job Description Healthrise is seeking experienced, U.S.-based Radiology Coders to support our revenue cycle services in either Diagnostic Radiology or Interventional Radiology (IR). Each coder works within a single specialty track. Coders translate radiology and procedural documentation into accurate, compliant claims data. Success in the role comes down to coding precision, steady production, and sound judgment on documentation gaps, with the goal of cleaner claims and fewer downstream denials. Duties and Responsibilities Core Coding Operations • Knows, understands, incorporates, and demonstrates the Healthrise Core Values in all interactions with team members, clients, and stakeholders. • Review radiology reports and supporting documentation and assign accurate CPT, HCPCS, ICD-10-CM, and applicable modifier codes. • Meet established productivity and accuracy benchmarks, to be defined with the client. • Query providers when documentation is...

Medical CoderCandidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered.This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases (ICD) coding rules and regulations.Responsibilities:Codes...

Medical CoderCandidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered.This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases (ICD) coding rules and regulations.Responsibilities:(25%)...

Job Details POSITION SUMMARY : The HIM Coding Specialist, Outpatient, is responsible for the timely and accurate coding of outpatient, ambulatory surgery, observation, recurring, rehabilitation, and skilled care accounts. This role supports optimal reimbursement and regulatory compliance through the application of ICD-10-CM, CPT-4, APC assignment, NCCI edits, modifiers, and coding guidelines while maintaining productivity, quality, and turnaround standards. EMPLOYMENT TYPE: Direct- Hire WORK LOCATION : Remote SCHEDULE : Monday-Friday | 40 Hours Per Week SYSTEMS EMR, Outlook, VitalWare, Lawson, Encoder Software, Excel START DATE COMPENSATION: $22.49 - $34.25/hour, based on coding experience and years of acute care outpatient coding experience. ONSITE REQUIREMENTS (PLEASE REVIEW CAREFULLY) Although this is a remote position, limited onsite attendance is required. Candidates must attend one full week of onsite orientation and training at Covenant HealthCare at...

Health Information Management Coding Specialist Outpatient The Health Information Management Coding Specialist Outpatient provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation, recurring accounts to support the facility coding needs. This may include coverage on some Rehab or Skilled Care accounts. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adhere to...

Work Arrangement: Office or remote Reports to: Revenue Cycle Manager Role Type: Individual Contributor Compensation: $28.00 - $32.00 per hour FLSA Classification: Non-Exempt Lucas James Talent Partners is partnering with Phothera, a Madison Industries company, to identify a driven and proactive Medical Billing & Follow-Up Specialist to join their growing Revenue Cycle team. Phothera provides innovative in-home phototherapy solutions that help patients safely manage autoimmune skin conditions such as Psoriasis, Atopic Dermatitis, and Vitiligo. As the organization scales rapidly, they are investing in strengthening their revenue cycle infrastructure, including implementing a new RCM platform and building focused work queues to support a high-performing billing team. This is an opportunity to join during a pivotal growth phase and play a meaningful role in improving processes, accelerating cash flow, and driving operational excellence. The Opportunity This position is focused...

GENERAL SUMMARY: Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. PRINCIPAL DUTIES AND RESPONSIBILITIES: · Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical record. · May analyze provider...

WHY HENRY FORD: Remote Position GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. PRINCIPLE DUTIES AND RESPONSIBILITIES: • Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical...

Employment OpportunitiesProvides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.Essential Functions:Knows, understands, incorporates, and demonstrates the Trinity Health Mission,...

Location: Caledonia, Michigan, United StatesCompany: Corewell HealthPosted: Inpatient Senior CoderThe inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes per industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstracts coded data from the Epic electronic medical record according to the established standard of work, while maintaining established quality accuracy and productivity standards. Works collaboratively with leadership, financial and clinical teams to ensure Diagnostic Related Groups (DRG) or All Patient Refined Diagnostic Related Groups (APR-DRG) accuracy.Outpatient Senior CoderThe outpatient senior coder will review multiple service lines of outpatient services (ambulatory surgery, observation, interventional radiology/cardiology, emergency) record accounts to assign correct ICD-10-CM diagnosis codes, CPT procedure codes, add modifiers,...