157 denials coder jobs found

Description Are you Compassionate, Collaborative, Respectful and strive for Excellence? If so, you share our CORE Values and we invite you to join our team as a Business Office Representative. Certified Coder Location: Onsite Reports to: Business Office Manager Organizational Peers: Business Office Personnel Direct Reports: N/A Position Details: Non Exempt, Full Time, M-F, 40 hours a week Pay Range : $25.75-33.99/hour Job Summary: Responsible for precise and accurate translation of patient medical records into CPT, ICD-10-CM, and HCPCS codes within an office environment as well as conducting provider audits. Essential Job Responsibilities: New Clinician Audits Clinician audits for correct coding and optimal reimbursement (Random Audits) Provider education to clinicians with coding/documentation Reports quarterly on Bell Curves Possesses expertise in ICD-10, CPT, and HCPCS codes, as well as HIPAA regulations and LCD/NCCI edits. Responsible for Work Lists in EMR-...

4 days ago Be among the first 25 applicants This range is provided by PrismHR. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.00/hr - $2,428.00/hr Direct message the job poster from PrismHR Huntington Valley Healthcare Center is a 140-bed facility centrally located in Huntington Beach, CA. We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. About the Role Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Qualifications Must have experience in SNF billing (applications...

Specialty Physician Coder 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...

Lifekind Health is looking for a full-time Certified Coder III (CPC or CCS) to join our team. The Medical Coder III is a senior-level role responsible for highly complex coding assignments. This role serves as a subject matter expert and contributes to coding education and process improvement within the Coding Team. Our mission is to bring care that's whole, human, and healing. Blending medical, behavioral, and lifestyle support into a single plan because restoring life takes more than a prescription. At Lifekind Health we strive every day to live up to that definition by providing the best care possible for our complex patient population. Our team of medical doctors, psychologists, chiropractors, acupuncturists, and dietitians work together within a revolutionary transdisciplinary model that addresses the quadruple aim of healthcare: enhancing patient experience, improving patient health, reducing healthcare costs, and increasing employee satisfaction. Learn more about us at...

Position Summary 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, delivering coding presentations to diverse audiences including physicians and other staff. Schedule & Location Schedule: 9/80 work schedule - hybrid Location: 7898...

Job Description Job Description Salary: $28-34 Hi! We are looking for a certified coder and biller for our Highland clinic. This is an in-person position for coding, billing, claims, payer follow-up, refunds, and billing queues. The job includes coding visits and entering charges within 48 hours of encounter completion. This person will also work Athena queues; missing slips, holds, messages, unpostables, denials, collections items, and related follow-up. We need someone who knows their stuff! Other work may include: insurance refunds, Medi-Cal and normal overpayment cases, credentialing support, payer enrollment, and contract submissions and related items. This position will also help keep billing spreadsheets updated for revenue, payments, fee-for-service, refunds, and reporting. If you have experience with these fields, please, apply! The person in this role may also answer billing questions from patients and staff, and assist with billing and chart audits. --- We...

Job Description Professional Fee Coder – Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines, performing in‑depth reviews of physician documentation, presenting findings and recommendations to the department, assigning codes based on clinical chart reviews, resolving coding issues from denials, and identifying areas for improvement. Responsibilities Provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Perform in‑depth reviews of physician documentation. Present findings and recommendations to the department on physician education. Assign codes based on review of clinical charts. Resolve coding issues based on...

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpreting, and operationalizing medical and utilization management policies to ensure accurate coding, appropriate authorization requirements, compliant claims processing, and effective utilization oversight. This position serves as a key clinical and coding...

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: Lead the training and mentorship of new billing hires, ensuring rapid...

Medical Coder and Biller (Vascular Procedures) Location: Sacramento, CA (or Remote) Schedule: Full-Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. About Us With a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures. We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and podiatric research at all of...

Medical Biller & Revenue Cycle Manager Benefits: Dental insurance, employee discounts, health insurance, paid time off, vision insurance Location: Brentwood, CA Work Arrangement: In person Employment Type: Full time, exempt Schedule: Monday through Friday, business hours Compensation: $71,000 to $75,000 annually, depending on experience and qualifications Bonus Eligibility: Eligible for quarterly performance incentives based on measurable revenue cycle goals Key Responsibilities Review and submit claims daily for accuracy, timeliness, and payer compliance. Monitor accounts receivable and follow up on outstanding claims, denials, underpayments, and billing delays. Partner with outsourced billing vendors to support timely and accurate billing processes. Track missing or incomplete documentation, service logs, and timesheets that may impact billing. Support credentialing and payer enrollment tracking for commercial insurance, Medicare, Medicaid/Medi-Cal, Regional Centers, and...

La Jolla LASIK Institute Medical Biller Help us take La Jolla LASIK Institute to the next level. "As CEO of La Jolla LASIK Institute, I am looking for a talented and experienced medical biller. The successful individual in this critical position will be responsible for properly coding and billing in a timely fashion. You will also be responsible for developing and implementing billing procedures, accurately generating and analyzing reports, proactively identifying and resolving insurance credentialing and claim submission issues. You will be part of a challenging role that is both the first step in creating an amazing patient experience and a key contributor in the financial success of the business. As we significantly grow our LASIK practice during the next few years, detail oriented and efficient and accurate medical billing will make a big impact on the company’s overall success.” Angela Nahl, MD, CEO At La Jolla LASIK Institute, we are committed to our core values:...

Position Overview This role is responsible for accurately assigning codes to physician diagnoses and procedures, ensuring compliance with the latest medical billing and reimbursement policies. The specialist reviews medical records to identify all appropriate coding, adhering to CMS guidelines and current reimbursement standards. Duties include generating invoices for insurance and patient billing, managing paperwork, handling insurance claims, and performing collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for each visit. Key Responsibilities Maintain a safe and clean work environment, following unit safety and infection control protocols. Coding: Utilize electronic health records (EHR) to support claim coding. Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines. Review physician notes for accuracy and completeness. Communicate with physicians to clarify...

MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to our community. Our vision is "Improving the Health and Well-Being of Our Community." Our core values are Integrity, Compassion, and Excellence. Employees are expected to demonstrate a strong commitment to the mission, policies, goals, and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II is responsible for the billing and collection activities for the clinic's primary care, pediatric, behavioral health, and dental services. This position works closely with providers, Front Office staff, and the Quality Improvement Department. ESSENTIAL DUTIES & RESPONSIBILITIES Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. An individual must be able to perform each essential duty satisfactorily to be successful in this...

Medical Coding Specialist Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s). Essential Duties: Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic). Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes. Provides completed patient data to billing staff or designated personnel. Answer incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues. Review and resolve insurance denials by examining the provider documentation. Consults with medical providers to clarify missing or inadequate record information...

Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s). Essential Duties: Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic). Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes. Provides completed patient data to billing staff or designated personnel. Answer incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues. Review and resolve insurance denials by examining the provider documentation. Consults with medical providers to clarify missing or inadequate record information and to determine...

Orthopedic Surgery Coder Insight Global is looking for an Orthopedic Surgery Coder. This person will primarily be responsible for reviewing and abstracting orthopedic surgical cases, handling a high volume of complex procedures at an expected rate of approximately 8 surgeries per hour. They will assign CPT, ICD-10, and modifiers while validating diagnoses, medical necessity, and LCD requirements. The coder will work through 1012 edits per hour, ensuring claims are accurate before submission. Daily responsibilities also include returning charges to providers with clear documentation, supporting minimal denials work, and collaborating with physicians to clarify surgical documentation when needed. Orthopedic Case Types: Spinal surgeries (anterior and posterior approaches performed simultaneously) Joint procedures and sports medicine cases Podiatry cases Trauma cases (e.g., motor vehicle accidents; high complexity) Bone oncology procedures We are a company committed to...

Benefits Dental insurance Employee discounts Health insurance Paid time off Vision insurance Location: Brentwood, CA Work Arrangement: In person Employment Type: Full time, exempt Schedule: Monday through Friday, business hours Compensation: $71,000 to $75,000 annually, depending on experience and qualifications Bonus Eligibility: Eligible for quarterly performance incentives based on measurable revenue cycle goals Celebrations Speech Group is seeking an experienced Medical Biller & Revenue Cycle Manager to support accurate billing, timely claims submission, AR follow-up, credentialing visibility, payer compliance, and revenue cycle reporting across our clinic, home, and school-based services. This is a hands‑on role for someone who understands medical billing from start to finish, takes ownership of follow‑up, and enjoys bringing structure to detailed billing processes. The ideal candidate is organized, accountable, and comfortable working with leadership,...

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and identify areas of improvement. Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and...

Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s). Essential Duties: Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic). Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes. Provides completed patient data to billing staff or designated personnel. Answer incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues. Review and resolve insurance denials by examining the provider documentation. Consults with medical providers to clarify missing or inadequate record information and to determine...

Billing Medical Coder The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. Starting Bonus : $5,000 Location: This role is located in Midtown - Sacramento, CA (95811). This role allows a hybrid schedule requiring 1-2 days per week on site. Training Period : 4-6 weeks onsite, 5 days per week ESSENTIAL FUNCTIONS Review and adjudicate coding of services from documentation in a timely manner. Code physician/provider visit procedure notes to identify appropriate ICD10 and CPT4 codes for charge processing. Ensures that all diagnosis ICD10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement. Assigns Evaluation and Management codes and key concepts/elements documented in the patient note,...

Position Overview This role is responsible for accurately determining codes for physicians' diagnoses and procedures, ensuring compliance with the latest medical reimbursement policies and CMS guidelines. The specialist reviews medical records to identify all appropriate coding, generates invoices for insurance and patient billing, and manages insurance claims and collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for patient visits. Key Responsibilities Maintain a safe and clean work environment, adhering to unit safety and infection control standards. Coding Duties: Utilize Electronic Health Records (EHR) to support claim coding. Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines. Review physician notes for accuracy and completeness. Communicate with physicians to clarify or correct documentation as needed. Ensure all medical records are complete,...

Position: Medical Coder and Biller (Vascular Procedures) Location: Sacramento, CA (or Remote) Schedule: Full-Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. Job Brief We are seeking an experienced medical coding professional with vascular coding experience to provide doctors and scribes with coding and charting guidance. Must be proficient with 2022 CPT, HCPCS, ICD-10, CCI edits, DRG, and correct use of modifiers. Minimum 2+ years of surgical coding. Must have thorough knowledge of human anatomy and medical terminology, and an analytical mind. The role requires consulting, advising, interpreting, and coding patients' medical records, transcriptions, test results, and other documentation, ensuring a smooth billing process. Essential Functions Research proper coding options for medical procedures (scope: lower extremities, both office and surgical) Attend conferences, symposiums,...