129 denials coder jobs found

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...

Overview Lead a remote team focused on coding denials, reimbursement optimization, and operational performance. Work Style: Remote Location Requirement: Must reside in an authorized state (FL, GA, PA, NC, SC, TN, or TX) FTE: Full-Time (1.0 FTE) Manages the daily operations of the revenue cycle clinical denial coding team to ensure accurate, timely resolution of denied claims and optimization of reimbursement. Oversees workflows, assigns work, and monitors productivity and quality to drive performance and compliance. Collaborates with healthcare providers, coding teams, and insurance payers to resolve billing issues, support appeal processes, and expedite payment. Reviews financial and denial reports to identify trends, implement corrective actions, and improve overall denial management strategies. Trains and mentors staff on denial resolution, coding accuracy, and payer requirements while promoting best practices. Partners with cross-functional teams-including...

Datavant is seeking experienced outpatient coders who pay high attention to detail and possess a deep understanding of medical terminology. The role is fully remote and offers a flexible schedule. Responsibilities include reviewing medical records, assigning diagnoses and procedure codes accurately, and maintaining coding standards. Candidates should have AHIMA or AAPC certifications and at least 2 years of experience. Benefits include competitive pay, healthcare options, CEUs, and educational stipends. #J-18808-Ljbffr

Introduction Do you want to join an organization that invests in you as a Trauma Surgical Profee Coder? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Candidates with Trauma/Surgical Profee experience are strongly preferred. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft...

Overview North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD-10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations. Key Responsibilities Review medical records and documentation to assign accurate diagnosis and procedure codes Responsible for coding office visits and surgeries Collaborate between clinical, billing and patient services departments to ensure...

Benefits: Bonus based on performance Competitive salary Dental insurance Health insurance Paid time off Vision insurance edical Biller & Coder Florida Internal Medicine Associates (FIMA) FIMA is seeking an experienced and certified Medical Biller and Coder to join our growing private practice. This is a vital role within our organization, directly supporting the financial strength, compliance, and operational excellence of our practice. The ideal candidate is highly detail-oriented, self-motivated, and experienced in managing the full revenue cycle — from precise coding and claims submission to payment posting, denial resolution, and compliance oversight. Key Responsibilities Medical Coding & Documentation Review Accurately review provider documentation and assign appropriate CPT, ICD-10, and HCPCS codes for diagnoses, procedures, and services Ensure all coding aligns with payer regulations and documentation standards Payment Posting & Reconciliation Process...

Position Summary The Certified Physician Coder reviews, analyzes, and interprets physician documentation, operative and pathology reports, radiation oncology treatment records, and medical records to accurately assign CPT, HCPCS, ICD‑10‑CM diagnosis codes, modifiers, and other required billing information in accordance with coding guidelines, payer policies, and organizational standards. The Certified Physician Coder collaborates with physicians, clinical staff, and Revenue Cycle team to clarify documentation, resolve coding discrepancies, support accurate reimbursement, and maintain the integrity of coded data for billing, compliance, and reporting purposes. Core Essential Responsibilities Review operative reports, pathology reports, physician documentation, radiation oncology treatment records, and medical records to accurately assign CPT, HCPCS, ICD‑10‑CM diagnosis codes, and modifiers. Analyze, code, and abstract clinical information to support accurate reimbursement....

Certified Medical Coder II - Surgical Coder - $2000 sign on bonus Hybrid - Remote. Hourly Salary plus monthly bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit...

Job Title Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Job Description Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital...

Outpatient Surgery Coder Outpatient surgery coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures. Must be experienced with edits and denials. Experience with bariatric cases a plus. Cerner experience is a plus. The project will be working denials and edits primarily in cardiology with some bariatric as well. This is short term project estimated to be 3 months. This is open to fulltime or parttime candidates. The preferred schedule is M-F with hours worked between 7a-5p CST. Required Experience: NCCI/CCI edits and modifier indicators Medically Unlikely Edits (MUEs) Medical necessity denials Modifiers 59, XE, XS, XP, and XU Looking up NCDs and LCDs Cardiac Caths Interventions (PCI, stents, atherectomy, thrombectomy) Electrophysiology studies and ablations Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes) Structural heart procedures (TAVR/TMVR, Watchman) Experience with...

Coding Auditor Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines; possesses substantial...

CCC is seeking a self-motivated Certified Medical Coder , who is detail oriented. The Certified Medical Coder is responsible for accurate selection of ICD-10, CPT, modifier(s) and HCPCS codes, based on the medical record documentation for office, outpatient, and inpatient medical services. This is a high-volume position. WHAT YOU WILL BE DOING: Reviews clinical documentation to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing. Accurately codes conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA. Reviews provider medical records to identify opportunities for improvement in coding and documentation. Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues. Assists with coding questions and research...

Certified Medical Coder This is not a remote position. This position is on site. Become a part of our caring community. As Certified Medical Coder you will be accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Location: CenterWell Senior Primary Care office address: Multiple locations, The Villages, FL. Certified Medical Coder Role Overview: Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed. Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses. Utilize CPT/HPCS to assign and sequence all codes for services rendered. Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record...

Certified Coder – The Villages Citrus Cardiology Consultants is looking for a Coder for our offices in The Villages . This position is responsible for coding clinic and/or hospital charges for maximum billing. Duties Code charges received from physicians, accessing hospital portals for patient records in order to verify accurate billing Ensure patient record documentation meets requirements for selected codes. Work with Denials Department to identify patterns of omission, errors, or other documentation issues, and notify Administration in order to reduce future similar occurrences. Code hospital consults, follow ups and diagnostic testing. Code diagnostic testing performed in clinic as necessary. Seek out and identify any billing errors or omissions on a daily basis. Audit charts and works with the Medical Record Department to ensure accuracy in documentation (diagnosis, indication on reports, Physician signatures) including clinic office notes, hospital records, and...

Entry Level About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. What You'll Do * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a significant backlog of cases. Note: This is not a coding-heavy role....

Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

*Description* The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1.Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. 2.Utilizes critical thinking to analyze and evaluate documentation...

Job Description Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign...

Position Summary CCC is seeking a self‑motivated Certified Medical Coder who is detail oriented. The Certified Medical Coder is responsible for the accurate selection of ICD‑10, CPT, modifier(s) and HCPCS codes based on the medical record documentation for office, outpatient, and inpatient medical services. This is a high‑volume position. Responsibilities Reviews clinical documentation to extract data and apply appropriate ICD‑10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing. Accurately codes conditions and procedures as documented and in accordance with ICD‑10‑CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA. Reviews provider medical records to identify opportunities for improvement in coding and documentation. Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues. Assists with coding questions and research...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...