77 denials coder jobs found

Job Summary and Responsibilities As our Payment Recovery Specialist, you will accurately review records for coding errors and correct diagnostic and procedural codes in billing system for the purpose of reimbursement utilizing ICD-10-CM, CPT, HCPCS, and proper modifiers. Every day, you will analyze and interpret complex data. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. You must be able to identify and communicate payer and/or system trends to Management. Maintains thorough knowledge of payer contracts, regulations and guidelines, as well as state and federal laws relating to billing and collection procedures to ensure accurate and compliant billing processes. Communicate with courtesy and tact to fellow employees and external customers to promote better quality and more efficient customer service. Utilizes Centricity and/or related modules to obtain, analyze and...

Job Description Job Description Job Title: Medical Coder (Full-Time) Location: Tucson, Arizona Employment Type: Full-Time Position Summary: We are seeking a detail-oriented and reliable Medical Coder to join our healthcare team in Tucson, Arizona. The Medical Coder will be responsible for accurately reviewing, assigning, and verifying diagnostic and procedural codes for patient records to ensure proper billing and compliance with all applicable regulations. This role plays a key part in optimizing revenue cycle performance while maintaining high standards of accuracy and confidentiality. Key Responsibilities: Review patient medical records, provider notes, and clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes Ensure coding accuracy and compliance with federal, state, and payer-specific regulations Work closely with healthcare providers to clarify diagnoses and procedures as needed Identify and resolve coding discrepancies or...

Professional Services Certified Coding ReviewerAll KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country.Ensures data quality in compliance with State, Federal and regulatory requirements. Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. Codes all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers. Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance, training, and on-going coding education when instructed, to physicians and their office staff and other ancillary departments on both general and specific coding issues to include documentation and guidance in quality coding for proper...

Join to apply for the Professional Billing Coder II role at Onvida Health 2 days ago Be among the first 25 applicants Join to apply for the Professional Billing Coder II role at Onvida Health Get AI-powered advice on this job and more exclusive features. Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and...

Select Ortho in Tucson, AZ is seeking a Billing Specialist/Medical Coder to act as a liaison with external billing departments and support internal billing needs. The role focuses on insurance follow-up and accounts receivable management, with experience in DME or Podiatry a plus. Key duties include timely filing of claims, maintaining AR performance, working denials, coordinating across software systems, and communicating billing updates to clinics and management. #J-18808-Ljbffr

Responsibilities Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work directly with providers to resolve specific medical coding issues Analyze data for errors and report data problems Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input Work with clinical and non-clinical groups to identify undesirable coding trends Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalation of issues that may impact this immediately to the Compliance Committee Abide by HIPAA and Coding Compliance standards Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment Accomplish other tasks as assigned Qualifications 2+ years coding 2+ years medical billing experience (preferred but not required)...

Job Details Job Location: Tucson, AZ 85715 Position Type: Full Time Education Level: None Travel Percentage: None Benefits The high value we place on our employees is reflected in our competitive pay and exceptional benefits package, which includes Medical insurance (company pays 75% of the premium), Dental and Vision (company pays 100% of the premium), free life insurance, generous paid vacation time, paid sick time, paid company holidays, and more! Position Summary A Billing Specialist/ Medical Coder serves as a liaison to outside clinic’s billing departments and to assist with internal billing needs. The Billing Specialist/ Medical Coder is responsible for insurance follow up and Accounts Receivable Management. This position may also be responsible for Charge Review, Claims Mailing, Documentation Attachment and other duties as necessary to get charges submitted. Experience in DME or Podiatry is a plus! Essential Functions Timely filing of claims Actively working to maintain a...

About Optima Medical Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team! This role will transition to a fully remote position after up to 30 days of training To be eligible, you'll need to complete your initial training onsite at our...

Staff Position Description Position Title: Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements. Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. Codes all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers. Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance,...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder (Remote) 30+ days ago Requisition ID: 1131 GENERAL SUMMARY OF DUTIES: Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. SUPERVISION EXERCISED: None ESSENTIAL FUNCTIONS: Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes;...

Certified Coder Payment Recovery SpecialistInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.The posted compensation range of $24.33 - $36.19 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.Job Summary and ResponsibilitiesAs our Payment Recovery Specialist, you will accurately review records for coding errors and correct diagnostic and...

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Addison Group Recruiter - National HIM & CDI at Addison Group Job Title: Ophthalmology Coder Location (city, state): Phoenix, Arizona Compensation: $22-$30 Benefits: This position is eligible for medical, dental, vision. Qualifications: AAPC or AHIMA Certification Job Description: *Willing to Train on Ophthalmology* Chart Types: Ophthalmology (including ASC surgeries & procedures – CPTs), Anesthesia, Pain Management, Clinic Denials, Rebills, J-Codes/Meds, E/M surgeries (Provider & Facility-based). Systems: NextGen (preferred), RVMed, Codify (AAPC). Duration: Contract to Hire. REQUIRED Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin,...

Responsibilities • Review provider medical coding of services rendered for medical claim submission • Review and respond to medical coding inquiries submitted by providers and staff • Work directly with providers to resolve specific medical coding issues • Analyze data for errors and report data problems • Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input • Work with clinical and non-clinical groups to identify undesirable coding trends • Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee • Abide by HIPAA and Coding Compliance standards • Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment • Accomplish other tasks as assigned Qualifications • 2+ years coding • 2+ years medical billing...

Job Description Staff Position Description Position Title: Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements. • Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. • Codes all professional charges to ensure accurate and timely billing • Perform coding reviews and/or surgical coding for practices and providers. • Evaluates and report audit findings or reviews and reports on results to physicians and/or...

Medical Coder, Tucson, AZ We are currently looking for a Medical Coder. This position is 100% Onsite and NOT Remote. Medical Coder Responsibilities: Make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Comply with medical coding guidelines and policies. Receive and review patients' charts and documents for verification and accuracy. Follow up and clarifying any information that is not clear to other staff members. Collect information made by the Physician from different sources to prepare monthly reports. Implement strategic procedures and choosing strategies and evaluation methods that provide correct results. Examine any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence. Medical Coder Qualifications: A strong understanding of physiology, medical terms and anatomy. Knowledge of federal, state,...

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

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. What We're Looking For We're looking for experienced and credentialed inpatient 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...

Job Description Job Description WE’RE HIRING: Medical Coding Specialist (In-Office) | $1,000 Sign-On Bonus If you’re looking for a coding role that challenges your skills, grows your career, and comes with benefits you can actually count on - welcome to  MY DR NOW . Why This Role Stands Out: $1,000 signing bonus  to get you started Performance-based bonuses  that reward your results FREE UHC PPO medical insurance option - yes, free 401k with company match  and full benefits package No layoffs in 19 years  and growing stronger every year Work with Epic , the #1-rated EMR in healthcare Career advancement that’s real - we promote from within Fun workplace culture : Taco Tuesdays, Feast Fridays, and even dogs at the office About MY DR NOW: We’re Arizona’s largest privately owned primary care group. We’ve built something different - accessible, affordable care available every day of the year, because patients deserve more. Our...

Inpatient Coder Work From Home We are looking for a remote inpatient coder -- this position can work for home full time! Requirements: Successful completion of an accredited coding program CCS, RHIT, or RHIA A minimum of 3 years inpatient coding in an acute care setting When sending candidates -- they must list on their resume what kind of inpatient charts they have coded at each facility they have worked at Candidate details: 2+ to 5 years experience Ideal candidate: Minimum of 3 years of inpatient coding experience. Very accurate Willing to work from home -- the position must be day shift though - they have to work normal business hours, they do not get to set their own hours. All your information will be kept confidential according to EEO guidelines.

Research Compliance Auditor Position Highlights The Human Subjects Protection Program (HSPP) provides administrative and regulatory support to the University of Arizona Institutional Review Board (IRB). Through collaboration with the research community, the HSPP promotes ethical and compliant human research. The HSPP is seeking a Research Compliance Auditor who will primarily conduct routine audits of research protocols for adherence to federal, state and institutional policy. The Research Compliance Auditor will collaborate with the Quality Assurance officer and a varied group of auditors across multiple departments to ensure a broad cross-section of research projects are reviewed. They will identify mitigation strategies through analysis of corrective actions which increase adherence to policy, and are identified by compliance committees in the research division. The Research Compliance Auditor will assist with development of tools and resources to assist investigators regarding...

Medical Coder - Inpatient Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential...

Job Details Profession: Non-Clinical - Health and Information Management Pay: $2,014.00 to $2,206.00 Weekly Assignment Length: 26 Weeks Schedule: 5x8-Hour 08:00 - 17:00 Openings: 1 Start Date: 10/12/2026 Experience: 1 Year Facility Info: Log in to view details Charting System: Epic Want a job close to home? We've got you! We'll work with you to build the career of your dreams.

Certified Coder For Cardiology Clinic Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers' commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS Care Center is currently searching for a professional, compassionate and knowledgeable individual to fill the position of Certified Coder for our Cardiology Clinic in Avondale. The Certified Coder will be accountable for processing medical claim information through data-entry in the Practice Management System and researching and correcting data entry errors using various electronic healthcare systems. This position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim...

Specialist - Concurrent Coding / Inpatient Coder Full-time Company Description Accounting and Finance/Healthcare Job Description Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical...