2362 denials coder jobs found

Outpatient Facility Denials Coder - Contract On-Site Job in Boston, Massachusetts We are seeking an experienced Outpatient Facility Denials Coder for a 14-week contract healthcare job supporting high-volume denial resolution work. This on-site medical coding role is ideal for a coding professional with strong expertise in post-claim denials , medical necessity review , and CPT validation . You will play an important part in protecting revenue integrity, ensuring compliant claim resolution, and collaborating with revenue cycle and clinical teams. Located in Boston, Massachusetts (02215) , this opportunity places you in one of the nation's most respected healthcare hubs, known for its world-class medical community, historic character, walkable neighborhoods, and vibrant dining and cultural scene. Job Details Weekly Estimated Pay: $1470-$1580 Assignment Type: Contract Specialty: Outpatient Facility Denials Coding Work Setting: On-Site...

Job Summary and Responsibilities As our Denials Coder, you will be a vital member of our revenue cycle management team, responsible for corresponding with commercial and government health insurance payers. Your expertise will be crucial in addressing and resolving outstanding insurance balances related to coding denials, ensuring compliance with established standards and requirements. You'll play a key role in protecting our financial health and contributing to our mission of providing compassionate care by ensuring accurate reimbursement. Every day you will conduct thorough follow-up processes, including reviewing medical records, contacting providers, and communicating with payers by phone, online, fax, and written correspondence. You'll efficiently manage work queues, research denial reasons, and resolve issues by crafting well-written appeals. Your proactive troubleshooting and analytical skills will be essential in analyzing denials and reimbursement methodologies to...

Job Summary and Responsibilities As our Denials Coder, you will be a vital member of our revenue cycle management team, responsible for corresponding with commercial and government health insurance payers. Your expertise will be crucial in addressing and resolving outstanding insurance balances related to coding denials, ensuring compliance with established standards and requirements. You'll play a key role in protecting our financial health and contributing to our mission of providing compassionate care by ensuring accurate reimbursement. Every day you will conduct thorough follow-up processes, including reviewing medical records, contacting providers, and communicating with payers by phone, online, fax, and written correspondence. You'll efficiently manage work queues, research denial reasons, and resolve issues by crafting well‑written appeals. Your proactive troubleshooting and analytical skills will be essential in analyzing denials and reimbursement methodologies to achieve...

Job Description Job Description Description: At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare. Our People make the difference. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. e4health solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us...

Position Summary We are seeking a highly analytical and detail-oriented Certified Professional Coder (CPC) to join our team. This role is highly focused on Denial Management and Revenue Integrity. The ideal candidate is not just a coder but a problem solver who can investigate the root cause of unpaid claims, correct coding errors, and successfully appeal denials. While this role focuses on coding, candidates with a strong background in hard coding (coding directly from operative reports/medical records without relying solely on encoders) and end-toend medical billing will be given top priority. Key Responsibilities Denial Management & Coding Analyze and resolve complex claim denials resulting from coding errors (CCI edits, medical necessity, bundling issues, and modifier usage). Review medical records and "hard code" accurately from documentation to support appeals, ensuring the highest level of specificity for ICD-10-CM, CPT, and HCPCS levels. Draft and submit...

A remote healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should have a CPC certification and a strong coding background. This full-time position is fully remote, with compensation of up to $10/hr. If you are detail-oriented and possess an investigative mindset, this role is for you. #J-18808-Ljbffr

A company is looking for a Coder, Edit/Denials. Key Responsibilities Review medical records to identify pertinent facts for appealing denied claims Collaborate with facility liaisons to resolve coding issues and provide documentation feedback Research payer policies and review clinical documentation for accurate coding Required Qualifications CCS, AHIMA, CCS-P, CPC, AAPC, CPC-A, or AAPC Credentials Three or more years of coding experience Knowledge of ICD-10 and CPT coding Experience working in a remote environment Proficiency in Microsoft Office, including Outlook, Excel, and Teams

Edit & Denials Coder Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies. Duties and Responsibilities: Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims. Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals....

Med A/Rx is seeking a Medical Coder II to work remotely. The successful candidate will be responsible for accurately coding healthcare claims, analyzing denials, and ensuring compliance with federal and state standards. Candidates must have at least five years of coding experience and relevant AAPC or AHIMA certification. The position offers a pay range of $26 to $30 per hour, depending on qualifications, along with comprehensive benefits including medical insurance and a 401(k) program. #J-18808-Ljbffr

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 future...

Overview Manages the daily operations of the patient financial services team to ensure accurate and efficient billing and collections. Coordinates with healthcare providers and insurance companies to resolve billing issues and expedite payments. Monitors patient accounts for compliance with financial policies, trains staff on handling inquiries and payment plans, and implements process improvements to optimize revenue cycle management. Requires reviewing financial reports to identify trends and collaborating with other departments to streamline patient registration and insurance verification, all while maintaining strict confidentiality and data protection standards. Responsibilities Manage and oversee all payer denial activities to support low denial rates and optimal reimbursement. Direct daily operations of the denial management process and identify opportunities for workflow and process improvements. Establish departmental goals, measure process effectiveness and...

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 future...

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 future...

Hours of Work :8-5Days Of Week :M-FWork Shift :Job Description :The Coder 3 works closely with the business office to research, monitor, and resolve coding denials for a large and robust medical group with multiple specialties. The position reviews third party payer reimbursement denials based on the following: provider documentation, coding accuracy, medical necessity, modifier assignment, applicable federal, state and local guidelines and payer policies. Using data from these reviews, the coder 3 identifies and works to resolve documentation and/or coding issues, and takes part in creating education materials for coding staff and providers to follow-up on best practices for coding and documentation. The position is involved in auditing and coding compliance responsibilities as well as other coding duties as needed.Your Job Requirements:High School Diploma or GED required.AAPC or AHIMA coding certification required.Strong knowledge of Microsoft Office Suite required.In-depth...

A healthcare staffing agency is seeking an experienced outpatient surgical coder for a remote, 6-month contract position based in the United States. The role involves reviewing coding denials and ensuring accurate coding for outpatient surgical procedures. Candidates should have 2-5 years of surgical coding experience, appropriate certifications like CCS, CPC, RHIA, or RHIT, and a strong understanding of medical terminology. The position offers a competitive pay range of $23.00/hr – $35.00/hr. #J-18808-Ljbffr

Professional Credit Service is seeking a Multispecialty Denials Coding Specialist for a full-time remote position. Responsibilities include reviewing documentation for professional coding, researching claim denials, and submitting appeals. Candidates must have proficiency in MS Office and Athena, along with certifications such as CPC or CCS. This role offers a flexible schedule, a supportive remote environment, and excellent benefits including health insurance and a 401k plan. #J-18808-Ljbffr

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...

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...

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...

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...

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...

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...

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...

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...