81 denials coder jobs found

Intergrated Pain Management SC seeks a Medical Biller in Chicago, specializing in Pain Management, Orthopedics, Imaging, and Home Health billing. This position demands exceptional attention to detail and expertise in denial management and Workers' Compensation claims. The ideal candidate will manage the complete revenue cycle, ensuring accurate billing and appeals. With a competitive salary and benefits including health coverage and a 401(k), this full-time role offers opportunities for advancement in a supportive environment. #J-18808-Ljbffr

Overview This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and response to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates in the onboarding...

Inpatient Coding Auditor Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the...

Job Description Job Description Description: Northwestern OB-GYN Consultants is seeking an experienced Medical Biller/Coder to join our busy private OB-GYN practice. This role is responsible for accurate coding, charge entry, claims submission, payment posting, and accounts receivable follow-up to ensure timely reimbursement. Responsibilities: Accurately assign CPT, ICD-10, and HCPCS codes Manage OB global billing, deliveries, procedures, and gynecologic services Code and bill ultrasound services (Level I, Level II, Dopplers, etc.) Submit claims electronically and resolve rejections/denials Post insurance and patient payments Monitor and follow up on outstanding AR Communicate with providers regarding documentation and coding clarification Ensure compliance with payer guidelines and HIPAA regulations Qualifications: 2+ years of medical billing and coding experience required OB/GYN experience strongly preferred Strong knowledge of CPT, ICD-10, and HCPCS coding...

Clinic Coder I The Clinic Coder I is responsible for conversion of diagnosis and treatment procedures into codes utilizing the current Revision of the International Classification of Diseases and Operations, Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT-4), Evaluation and Management (E&M), and HCPCS coding for Professional (Physician) services received in the CMH Health Services system. Requires skill in the sequencing of diagnosis/procedures to optimize reimbursement and compliance to documentation and medical policy guidelines for all payers. Ensures that records are coded in an accurate and timely manner. Performs audits on chart information, level of care charged and provides education to staff and providers on compliant coding. General Duties, Tasks and Responsibilities Selects appropriate codes for reimbursement purposes; enters non-office charges into system as needed; investigates and solves all claims questions releasing the claim for...

Ambulatory Coder Chicago The Ambulatory Coding and Reimbursement Specialist is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The Specialist ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines Interprets outpatient office visit notes and charge documents to determine services provided and accurately assign CPT, Modifiers, and ICD-10 coding to these services. Performs comprehensive...

Job Description Job Description Overview We are seeking a detail-oriented and highly skilled Claim Specialist/Coder to join our busy Ophthalmology Surgery Center. The ideal candidate will possess a comprehensive understanding of medical coding, billing, and claims processing, ensuring accurate and efficient submission of insurance claims and processing claim denials and appeals. The Claim Specialist/Coder will play a vital role in optimizing revenue cycle operations while maintaining compliance with industry standards and regulations. Hours are Monday through Friday 8:00am to 4:30pm. Responsibilities Resolve claim denials or rejections and implementing corrective actions with the proper appeals. Collaborate with medical biller to ensure proper documentation supports coding decisions and accuracy. Occasional billing of charges. Stay current with updates to coding guidelines, payer policies, and regulatory changes affecting medical billing practices. Maintain detailed...

Job Description Job Description Description: ABOUT US For over 55 years, we have been considered one of the innovative world leaders in the enhancement and improvement of care for foot and ankle medical conditions, sports medicine and clinical programs. Our mission is to improve the quality of life in a patient focused environment by providing the most advanced and knowledgeable foot and ankle care. WFAI has experienced phenomenal development, with expansion into 5 states and a future dedicated to continuing with that growth strategy. As our family expands, we stand by our core values, which include integrity, excellence, trust, caring, tradition and innovation. Position Summary: Responsible for reviewing clinical documentation to abstract and/or validate CPT and ICD-10 coding for Podiatry based coding experience, including evaluation & management (E/M) and surgical coding experience. The coder will ensure that medical records are coded in an accurate and timely...

Insight Hospital and Medical Center Chicago At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides patient care second to none! Position Purpose Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses,...

Coder/Quality Review Analyst This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and responds to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates...

Benefits 401(k) 401(k) matching Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Training & development Vision insurance Role Overview We are seeking a highly detail-oriented Medical Biller with specialized experience in Pain Management, Orthopedics, Imaging, Physical Therapy, and Home Health billing. The ideal candidate isn't just a data entry clerk; you are a denial management expert who understands the complexities of Workers’ Compensation (IWCC) and commercial insurance claims. You will take ownership of the revenue cycle, from initial submission to the final appeal of a denial. Specific Requirements Specialty Expertise: Proven experience billing for Professional Imaging, Physical Therapy (understanding timed units), and Home Health services. Injury Claim Specialist: Deep understanding of Commercial and Injury claims, specifically navigating the Illinois Workers’ Compensation Commission (IWCC) guidelines. Portal...

General Summary The PFS Medical Coder is responsible for the transformation of healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes. The coder assigns and verifies the correct codes used to describe the type of service(s) the patient received. The coder ensures codes are applied correctly during the medical billing process, which includes removing information from documentation, assigning appropriate codes, and creating a claim to be paid by insurance carriers. Coders work with hospitals, clinics, and physician offices as needed to provide personalized, professional healthcare services to the communities we serve. Principle Duties And Responsibilities Assign codes to diagnoses and procedures using ICD-10, CPT, and HCPCS codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Know and understand how to properly code using medical coding books. Follow up with the provider on...

Job Title Medical Coder Open to remote staff Position Summary The Medical Coder is responsible for accurately assigning diagnostic and procedural codes across multiple service lines of the hospital complex, including inpatient acute, emergency, ICU, surgery, outpatient, physician clinic, swing-bed/skilled nursing, assisted living, specialty clinics, and therapy/diagnostics. This role ensures compliant, complete, and timely coding to support accurate claim submission, appropriate reimbursement, and regulatory compliance for a Critical Access Hospital. Essential Functions Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes to inpatient, outpatient, emergency, surgical, and clinic encounters based on clinical documentation. Code across all service lines, including acute inpatient, swing bed, SNF, ER, observation, outpatient surgery, physician clinic (professional services), therapy, and diagnostics. Apply appropriate revenue codes, modifiers, and occurrence/value/condition codes...

Overview The Abstractor/Coder II performs complex, specialty‑specific coding in support of orthopedic practices across multiple locations. This role applies advanced knowledge of CPT, ICD‑10, and HCPCS coding systems, along with payer and regulatory requirements, to ensure accurate, compliant charge capture and documentation. Working with minimal supervision, the Abstractor/Coder II codes highly complex services, resolves coding edits, denials, and rejections, and partners with providers to improve documentation and optimize reimbursement. The role serves as a subject matter expert to clinical staff and supports revenue integrity through issue resolution and education. This position also contributes to quality and compliance efforts by identifying coding trends and risks, conducting reviews, and supporting training initiatives. The Abstractor/Coder II mentors less experienced coders and adheres to all HIPAA and organizational standards. Responsibilities Maintain an expert level...

PFS - Coder I FT Gibson City, IL 60936 Overview Salary Range $21.00 - $32.00 Hourly Position Type Full Time Description The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve. Principle Duties and Responsibilities Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes. Ensure...

Medical Coder (Remote) - Contract Opportunity Job ID: 297083 Location: Remote Facility: Hopedale Medical Complex Employment Type: Contract Duration: 13 Weeks Schedule: Day Shift Start Date: ASAP (Quick Start Available) Position Summary Hopedale Medical Complex is seeking an experienced Medical Coder to join its team on a contract basis. This remote opportunity is ideal for a coding professional with strong experience across multiple healthcare service lines and a commitment to coding accuracy, compliance, and revenue cycle integrity. The Medical Coder will be responsible for reviewing clinical documentation and assigning accurate diagnostic and procedural codes for a variety of patient encounters within a Critical Access Hospital environment. This position plays a key role in supporting compliant billing practices, reimbursement accuracy, and regulatory requirements. Key Responsibilities Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a skilled professional to take on the role of Vascular Access Registered Nurse. This role involves reviewing physician documentation and accurately assigning appropriate codes for professional billing services in the field of vascular surgery. This position will play a critical part in ensuring compliance and maintaining high standards of accuracy in medical coding. Key Responsibilities Review physician documentation and accurately assign CPT, ICD-10-CM, and HCPCS codes for professional billing services. Code a variety of vascular surgery encounters, including inpatient, outpatient, office, and procedural services. Interpret operative reports and assign appropriate codes for open vascular procedures, endovascular interventions, diagnostic studies, and related services. Ensure compliance with federal...

* Maintains an expert level of knowledge of CPT, ICD-10 and HCPCS coding principles, modifier usage, medical terminology, HIPAA compliance, governmental regulations and third-party payer requirements pertaining to billing, coding and documentation.* Codes highly complex services in orthopedic specialty, maintaining departmental standards for productivity and accuracy.* Works under minimal supervision using specialized expertise in the subject matter.* Ensures all services documented in the patient’s medical record are coded with appropriate diagnoses and procedure codes. When services are not documented appropriately, seeks to attain proper documentation in a timely manner based upon established protocols.* Researches and resolves coding related system edits, payer rejections, and insurance denials.* Acts as a knowledge resource to clinical staff in billing code matters. Provides feedback to providers on how to improve documentation and charge capture to ensure revenue...

Position Summary The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing of offshore inpatient coding auditors to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Inpatient Coding Auditor will report to the Huron Managed Services Domestic Coding team. Key Responsibilities Perform a variety of activities involving the coding of medical records, resolving coding related denials, and auditing of coders to ensure coding accuracy standards are met. Demonstrate Huron’s Vision and Values in behaviors, practices, and decisions. Utilize encoder software applications and all applicable online tools to assign ICD-CM diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Apply coding guidelines established by CDC, CMS, AHA, AMA, AHIMA, and client procedures. Conduct quality checks/audits on...

Overview Location: Quincy, IL Pay Range: $20.57 – $30.86 per hour | Based on Relevant Experience Schedule: Full-Time, Monday – Friday, 8:00 a.m. – 5:00 p.m. About the Role: Join our Revenue Integrity team as a Certified Coder. You’ll review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes to support correct billing, clean claims, and timely reimbursement. This role blends careful attention to detail with clear communication to providers and clinic staff. Primary Responsibilities Review provider documentation and assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT/HCPCS). Apply current E/M guidelines, modifiers, NCCI edits, and payer rules to ensure compliance. Work coding work queues in the EMR; resolve edits and charge capture issues for clean claim submission. Perform pre-bill reviews and post-bill audits; identify trends and recommend fixes. Partner with providers on documentation improvement; send clear, compliant queries when...

Job Description Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Pay Range: $27.47 - $43.27 per hour Rush salaries are determined by many factors including, but not limited to, education, job‑related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary This position is responsible for overseeing the billing, coding guidelines and entire charge capture process for physicians including research charges for Rush University. This includes reconciliation of all charge tickets, assigning ICD-9, and ICD-10, and CPT codes, correct use of modifier linkage, and ensuring correct...

The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement policies such as surgical...

Overview Job Number: 26-00718 Progress on your journey to success! ECLARO is currently recruiting for an Outpatient Coder in the Chicago, IL area for one of our clients. ECLARO’s client is a leading provider of healthcare workforce software and solutions. If you’re up to the challenge, then take a chance at this rewarding opportunity! Position Overview Outpatient Coder – specifically ED coding and strong hospital charge related ED. AHIMA Certification required - RHIA, RHIT, or CCS. Strong academic and regional medical center coding experience required. Responsibilities Review clinical documentation in order to assign diagnostic and procedural codes for outpatient medical records according to the appropriate classification system Ensure accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines Monitor documentation turnaround...