177 denials coder jobs found

American Eye Associates in Chula Vista, CA is seeking a full-time Biller/Coder to support on-site billing for our Ophthalmology practice. This role will work at our Chula Vista location and provide billing support to the corporate office and satellite clinics. Ideal candidates have ophthalmology claims experience and are proficient with CPT/ICD-10/HCPCS, modifiers, and denial resolution. The position requires accuracy, efficiency, and a professional demeanor in a fast-paced environment. #J-18808-Ljbffr

Job Description Job Description Description The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.  This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with...

Description Summary: Reviews patient medical charts and documents to translate diagnoses, procedures, and services into universal codes for billing, insurance reimbursement, and data tracking. Core responsibilities include analyzing patient records, assigning the correct codes according to medical coding systems such as CPT and ICD-10, communicating with physicians to clarify documentation, and ensuring compliance with coding guidelines to prevent claim denials. This role is responsible for processing claims in a timely manner and managing assigned work queues to adhere to health center and Ochin EPIC best practices. This position is responsible for recovering costs for medical care by billing patients, insurers, third-party payers, or various medical aid programs. Also, may perform complex technical accounting assignments generally related to medical billing. This position will navigate complex PPS/APM payment models while maintaining compliance with state and federal healthcare...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly growing company! We are a mobile surgical physician wound care group expanding into new markets of the United States. T he Lead Medical Biller is a critical leader responsible for ensuring the financial health of our organization by overseeing the daily operations of the billing team. This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). You will be the primary subject matter expert, driving team performance, resolving complex billing issues, and upholding strict adherence to all federal, state, and FQHC-specific billing regulations. Position is hybrid at our office in Playa Vista, CA Responsibilities: Supervise & Train: Lead the training and mentorship of new billing hires, ensuring rapid integration and consistent...

Certified Coder and Biller We are looking for a certified coder and biller for our Highland clinic. The role is in‑person and involves coding, billing, claims, payer follow‑up, refunds, and billing queues. Coding visits and entering charges should occur within 48 hours of encounter completion. You will work Athena queues, handling missing slips, holds, messages, unpostables, denials, collections items, and related follow‑up. Other responsibilities may include insurance refunds, Medi‑Cal and normal overpayment cases, credentialing support, payer enrollment, and contract submissions. You will help keep billing spreadsheets updated for revenue, payments, fee‑for‑service, refunds, and reporting. The position may also answer billing questions from patients and staff, and assist with billing and chart audits. Qualifications CPC or equivalent coding certification Experience with medical coding, billing, charge entry, claims submission, and payer follow‑up Comfort working with...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

1.0 FTE Full time Day - 08 Hour R2658919 Remote USA 108610021 Admin Compliance Business & Administration Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Billing and Coding Compliance Auditors conduct audits and monitoring activities to identify and address compliance risks related to billing and coding practices. They review and evaluate healthcare regulatory compliance, focusing on the detection of documentation, coding, and billing errors. Responsibilities include assessing the adequacy and accuracy of documentation supporting billed services, including ICD, CPT, HCPCS, and other third-party payer codes, as well as adherence to Teaching Physician guidelines, Evaluation & Management criteria, DRG and APC assignments, medical necessity, and reimbursement accuracy. Auditors serve as a communication channel, partnering with Billing and Coding Compliance Educators to address compliance issues. They are responsible for conducting...

Our Client, a Healthcare company, is looking for a Specialty Physician Coder for their Fountain Valley, CA location. Responsibilities: Achievement of productivity standards as established by management. Achievement of quality standards as established by management. Analyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Review and natively code surgical operative and/or procedure reports. Follow established workflow for working claim denials in the Follow Up work queues and identify opportunities for billing and coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs. Work in...

Specialty Physician Coder | Remote (Southern California) Contract 3-6+ Months Have your specialty coding skills, but tired of feeling like a number? We're looking for an experienced Specialty Physician Coder to join a growing Coding Compliance team, remote, with real variety in your day-to-day work. Why coders like this role: Fully remote (must reside in Southern California) M-F, 8:00 am to 5:00 pm, a schedule you can actually plan your life around 3 to 6 month assignment with strong potential to extend Real variety: office, hospital, surgical, inpatient, and outpatient coding, not the same claim type on repeat Direct collaboration with physicians and revenue cycle teams, not buried in a queue A seat at the table for coding compliance and documentation improvement initiatives What you'll be doing: Reviewing physician documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes Coding office visits, hospital encounters, outpatient and...

Job TitleJob TitleJob DescriptionLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.Job Summary:Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surguery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.Job Requirements:Education and Work Experience:High School...

Specialty Physician Coder | Remote (Southern California) Contract 3-6+ MonthsHave your specialty coding skills, but tired of feeling like a number? We're looking for an experienced Specialty Physician Coder to join a growing Coding Compliance team, remote, with real variety in your day-to-day work.Why coders like this role:Fully remote (must reside in Southern California)M-F, 8:00 am to 5:00 pm, a schedule you can actually plan your life around3 to 6 month assignment with strong potential to extendReal variety: office, hospital, surgical, inpatient, and outpatient coding, not the same claim type on repeatDirect collaboration with physicians and revenue cycle teams, not buried in a queueA seat at the table for coding compliance and documentation improvement initiativesWhat you'll be doing:Reviewing physician documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codesCoding office visits, hospital encounters, outpatient and inpatient services, and surgical or procedure...

Specialty Physician CoderOur client, a healthcare company, is looking for a Specialty Physician Coder for their Fountain Valley, CA location.Responsibilities:Achievement of productivity standards as established by management.Achievement of quality standards as established by management.Analyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines.Review and natively code surgical operative and/or procedure reports.Follow established workflow for working claim denials in the Follow Up work queues and identify opportunities for billing and coding improvements.Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.Work in the...

Riverside University Health System (RUHS)is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

Job Description Job Description Lead Medical Biller Los Angeles, CA Job Description Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly growing company! We are a mobile surgical physician wound care group expanding into new markets of the United States. The Lead Medical Biller is a critical leader responsible for ensuring the financial health of our organization by overseeing the daily operations of the billing team. This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). You will be the primary subject matter expert, driving team performance, resolving complex billing issues, and upholding strict adherence to all federal, state, and FQHC-specific billing regulations. Position is hybrid at our office in Playa Vista, CA Responsibilities: Supervise & Train:...

About the Company La Jolla LASIK Institute is a successful locally‑owned and privately‑funded eye institute that offers a highly personalized and medically world‑class system of patient care. With a focus on precision, service, and integrity, the institute is positioned to more than double revenues again this year. Position Overview Medical Biller. The primary focus is insurance billing, credentialing, and claim submissions. Responsibilities also include front‑office administration, patient scheduling, and record keeping. Responsibilities Insurance billing, verification, and credentialing. Take claim denials, close the loop and resubmit; perform follow‑up duties, adjustments, and collections. Create accurate reports for accounts payable and receivable. Answer inbound calls, schedule appointments, and address patient concerns. Create, implement, and manage an orderly record‑keeping and filing system. Core Values Integrity in medical and business dealings. Service to...

Job TitleDuties included but are not limited to: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program...

Job TitleResponsible for entering data electronically to process charges, payments, denials and adjustments. Analyze and code procedures and diagnosis using ICD-9 & CPT codes. Perform insurance/ billing clerical duties, including review and verification of patient account information. Receive and answer billing related inquires and problems. Follow up on balances due from insurance companies and patients. Interact with physicians on a professional level. Work collection list, by calling patient and alerting them to status. Work bi-weekly denial log. Prepare data for daily, weekly, and monthly reports. Special projects as assigned.Licenses and/or Certs: Certified Medical Coder or equivalent experienceWage Range: $23.00/hr - 33.86/hrQualificationsEducation: High School or better in Education.Experience: 1 year: 1 year experience in healthcare billing or equivalentEqual Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal...

DaMar Staffing is seeking a Billing Specialist to enter data electronically, process charges, payments, denials and adjustments. You will analyze and code procedures using ICD-9 and CPT, perform insurance/billing clerical duties, and verify patient account information. You will follow up on balances due from insurers and patients and interact with physicians as needed. The role requires 1 year of healthcare billing experience and certification as a Medical Coder or equivalent; high school #J-18808-Ljbffr

Job Description Job Description Vascular Surgery Medical Group is a busy and growing vascular practice specializing in minimally invasive vascular procedures, vascular ultrasound, and patient-centered care. Our mission is to help patients improve their quality of life through advanced vascular treatment and compassionate care. We are a collaborative, team-oriented practice focused on delivering exceptional patient outcomes while maintaining the highest standards of safety, professionalism, and clinical excellence. We are currently seeking an experienced Medical Billing Specialist to join our administrative team.   Position Summary The Medical Billing Specialist supports the financial operations of the practice by ensuring accurate, timely billing and follow-up for vascular surgery services. This position is responsible for charge entry, claims submission, payment posting, insurance follow-up, denial management, account resolution, and maintaining accurate billing records in...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities Accurately process and submit medical claims to insurance companies, government payers, and other third‑party organizations. Perform medical coding using ICD‑10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within EHR/EMR...