15 denials coder jobs found

APS Medical Billing, located in Toledo, Ohio, is seeking certified professional coders with experience in pathology to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. Requirements Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology preferred Experience in reviewing, resolving and preventing coding denials Understanding and application of CMS initiatives including NCCI Edits, MIPS and NCD/LCD polices Competitive wages; benefit package (Health, Health Savings Account, Dental, Vision, Personal Health Care Advisor, EAP, Life, 401k, Paid Holidays, Vacation & Earned Time Off (ETO). APS Medical Billing is an Equal Opportunity Employer....

Job Summary The Medical Billing & Revenue Cycle Specialist will be responsible for managing and supporting the medical billing process from claim submission through payment and resolution. This individual will work closely with our administrative team, therapists, payers, and other team members to ensure accurate and timely billing, follow up on outstanding claims, resolve denials and billing issues, and support efficient revenue cycle processes. The ideal candidate is organized, detail-oriented, proactive, and comfortable working independently while also collaborating closely with a growing healthcare team. Responsibilities Prepare, review, and submit accurate claims to commercial insurance companies, Medicaid/managed Medicaid plans, and other applicable funding sources. Review claims and billing information for accuracy and completeness prior to submission. Monitor claim status and follow up on unpaid, denied, or rejected claims. Investigate and...

Full-time    8-5 M-F Remote - must live in Texas Requirements Education:   High school diploma or equivalent  Certification :  Medical Coding certification through AAPC, AHIMA, RHIA or RHIT required Skills:   Computer literate, detailed oriented, demonstrates initiative, time management, able to multi-task, strong knowledge of medical terminology and anatomy, familiar with current insurance guidelines, understands payer coding denials, highly organized to work effectively and efficiently, goal driven, ability to multi-task, uses comprehensive and critical thinking for problem solving, effective verbal and written communication skills Experience:   Radiology coding required 2+ years current coding; 2+ years in medical office or related setting Job Description: CPT and ICD coding Radiology Procedures Assign “Merit-based Incentive Payment System” codes (MIPs) Maintain quality assurance standards for department Report any discrepancies...

Benefits/Perks -Competitive Compensation -Great Work Environment -Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team!  As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients.  you will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.  The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending time on the phone. Responsibilities - Enter all billing and payment information into the system properly and without errors - Follow up with clients and insurance companies - Post payments - Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare - Note and...

JOB SUMMARY: Support the Director of Health Information Management (HIM) by conducting comprehensive claim audits and reviewing hospital outpatient and professional fee (ProFee) claims for coding accuracy, revenue integrity, and billing compliance. Utilizing proprietary software, this role evaluates coding opportunities, identifies revenue cycle improvement recommendations, and assists clients in optimizing claim quality and reimbursement outcomes. The ideal candidate is an experienced outpatient facility coding professional with strong analytical skills, extensive knowledge of revenue cycle operations, and the ability to communicate complex coding concepts clearly to both clients and internal team members. This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:  Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of...

At this time, we are prioritizing candidates with at least one year of professional coding experience due to current training capacity.   Position Summary We are seeking detail-oriented Clinical Coding Specialists at all experience levels (entry, intermediate, and senior) to join our team. This role is designed as a unified opportunity for candidates with varying levels of coding expertise. Based on experience and qualifications, candidates will be aligned to the appropriate level within our coding structure. Clinical Coding Specialists are responsible for assigning accurate, compliant diagnosis and procedure codes across inpatient and outpatient services. This role works collaboratively with Health Information Management (HIM), Revenue Cycle, and clinical teams to ensure timely, high-quality coding that supports organizational, regulatory, and reimbursement requirements. Key Responsibilities Assign compliant, complete, and accurate codes based on clinical...