54 denials coder jobs found

Him Coding/Compliance Auditor 2 Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge...

Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Ensures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned. ESSENTIAL FUNCTIONS Selects the appropriate procedural and diagnostic code based on provider documentation, utilizing HIPAA Standardized Code Set and applying CMS/payor guidelines. Ensures that teaching physician documentation and billing requirements are met and are clearly reflected. Review provider coding and provide training and feedback on coding questions and issues. Assists billing and collections staff with denials and charge correction requests as needed. Resolves coding TES edits. Continually refreshes and applies knowledge of government regulations as they relate to coding and billing Note: The intent of this list of primary duties is to provide a representative summary of...

Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: • Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. • Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. • Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. • Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. • Liaison between coding and other...

Medical Biller - Orthopedic Silver Spring, MD Pay From: $24 per hour MUST: EMR experience is required Experience processing Workman's Comp and Liability claims 5 plus years of full cycle medical billing experience Certified Professional Coder or Certified Medical Biller DUTIES: Responsible for following entire revenue cycle from charge entry through insurance and patient payments Work through an electronic claims worklist to follow up with insurance companies to investigate status of claims Appeal denials, resubmit claims, send medical records and process any additional information as needed Answers telephone, and responds to inquiries from insurance carriers, patients, case workers and co-workers Investigate and resolve billing discrepancies resulting in overpaid/underpaid accounts Establishes payment plans to help patients manage payment of bills Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records...

Orthopedic and Plastic Surgery Medical Coding Specialist Orthopedic and Plastic Surgery Medical Coding Specialist 1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. We have an immediate opening for a part-time Orthopedic and Plastic Surgery Medical Coder. Candidate will be a highly skilled and detailed-oriented Certified Medical Coder with specialized experience in Ambulatory Orthopedic and Plastic Surgery Coding for Same-Day Surgeries (outpatient procedures). The idealcandidate will possess extensive knowledge of CPT, ICD-10-CM and HCPCS coding systems, along with a strong understanding of outpatient surgical documentation and regulatory compliance. Preference will be given to candidates with same-day surgery coding and ASC coding specialties. Purpose The Medical Coding Specialist plays a key part in ensuring accurate coding for optimal reimbursement and compliance with all coding and billing guidelines. Organizational...

Job Description I. General Summary Under direct supervision, 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. II. Principal Responsibilities and Tasks 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 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. Utilizes critical thinking to analyze and evaluate documentation issues with...

*Rehab Inpatient Coder (Remote - CST/EST Only)* * $36-$40/hr | Temp-to-Perm Opportunity* *100% Remote | Daytime Schedule* Join a leading, nationally recognized healthcare system in a critical role supporting inpatient rehabilitation coding. We are seeking an experienced *Rehab Inpatient Coder* who brings strong knowledge of ICD-10-CM, ICD-10-PCS, DRG coding, and *IRF-PAI* to accurately code complex rehab cases while ensuring regulatory compliance and data integrity. This is a *fully remote, temp-to-perm* role offering the chance to join a high-performing health system known for excellence, growth opportunities, and a collaborative work culture. *Position Overview* The Rehab Inpatient Coder is responsible for reviewing inpatient rehabilitation medical records and assigning accurate ICD-10-CM, ICD-10-PCS, DRGs, and IRF-PAI codes. The role supports quality documentation, compliance, and timely billing. You will collaborate with providers and clinical staff to clarify documentation...

*OB/GYN Medical Coder (Remote - Cannot be located in CA, AK, HI)* *Contract to Hire | 6 Months* *Pay Rate: $25-$32/hour* We are seeking an experienced *OB/GYN Medical Coder* to support a large, well-established *acute care hospital system in Maryland*. This is a *100% remote contract opportunity* for a highly skilled professional with a strong background in *OB/GYN professional and surgical coding* within an *acute hospital setting*. This role offers the chance to partner with a respected healthcare organization, contribute to accurate reimbursement and compliance, and work remotely while making an impact in women's health services. *What You'll Do* * Review and interpret operative reports and physician documentation to accurately assign ICD-10-CM and CPT codes * Ensure coding accuracy, compliance, and optimal charge capture in accordance with established guidelines * Serve as a liaison between clinical teams and billing departments, responding to inquiries in a timely...

Apply Refer a Friend Back Share This Page Share on Facebook Share on Twitter Share on LinkedIn Share via Email Job Details Requisition #: 662764 Location: Johns Hopkins Regional Physicians, Baltimore, MD 21201 Category: Clerical and Administrative Support Schedule: Day Shift Employment Type: Full Time YOU BELONG HERE Why Staff love working at Johns Hopkins Regional Physicians Part of an amazing global healthcare organization! Excellent compensation package! Awesome benefits! Free Parking! We are seeking a detail-oriented and organized Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding, and facilitating timely collections. This role requires a strong understanding of medical terminology, coding systems, and the ability to navigate medical records efficiently. The Medical Biller will play a crucial role in maintaining the...

Apply Refer a Friend Back Remote Work from Home Share This Page Share on Facebook Share on Twitter Share on LinkedIn Share via Email Job Details Requisition #: 645840 Location: Johns Hopkins Health System, Baltimore, MD 21201 Category: Coding Schedule: Day Shift Employment Type: Full Time YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: https://jhhs.mybenefitsjhhs.com/ Position Summary: The Coding Specialist IV, under the supervision of the Coding Supervisor, Inpatient Coding analyzes and interprets the most complex clinical electronic health documentation by...

Job Description I. General Summary Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. II. Principal Responsibilities and Tasks 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. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and...

Job Description Job Description Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit...

Luminis Health Title: Supervisor, Security Reports To: Manager- Safety and Security Operations & Training Job Code: 000105 FLSA Status: Non-Exempt To provide and supervise assigned personnel personal asset protection for patients, visitors and employees throughout the Medical Center facility, and to prevent any potentially hazardous conditions through continuous monitoring of all areas. This position is responsible for coordinating the day-to-day security operations and performs duties to ensure its smooth operation as required. Orients, trains, schedules, monitors, and provides direction to staff. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. This position has authority to perform supervisory duties including but not limited to hiring, evaluating performance, issuing final disciplinary actions under the review of Human Resources, and recommending discharge in collaboration with...

Datavant is a leading data platform company revolutionizing health data exchange. Our mission is to ensure that every healthcare decision is made with the right data, delivered timely and in the appropriate format. Powered by the most extensive health data network in the U.S., our platform guarantees secure, accessible, and usable data to enhance health decisions. We are proud to be trusted by the foremost life sciences organizations, government bodies, and healthcare providers. By joining our team, you will be part of a high-performing and values-driven culture. Together, we are addressing some of healthcare's most challenging issues with innovative technology solutions. We embrace a diverse array of professional and personal experiences among our team members as we pursue our ambitious goals for healthcare. What We're Seeking We are on the lookout for seasoned and certified inpatient coders to join our team. The perfect candidate will have exceptional attention to...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance...

Job Description About the Role: Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives. Requirements and Qualifications: At least 3 years of extensive experience in inpatient medical coding within a hospital setting. Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records. Comprehensive knowledge of the evidence requirements for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Excellent communication skills for effective collaboration with the billing department on coding-related matters. Up-to-date with the latest ICD-10-CM,...

Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity. Responsibilities: Perform diagnosis coding of inpatient, outpatient, and physician office medical records...

Title: Clinical Supervisor Job Code: 000747 FLSA Status: Non - Exempt Reports To : Clinical Director - Nursing Position Objective The Clinical Supervisor directly supervises staff and is a clinical expert practitioner specific to the unit at education/staff development functions as well as designated management functions to promote high quality, cost effective health care. This position has authority to perform supervisory duties including but not limited to hiring, evaluating performance, issuing final disciplinary actions under the review of Human Resources, and recommending discharge in collaboration with members of management and Human Resources Essential Functions 1. 1. Clinical Decision Making/Judgment • Demonstrates expert clinical knowledge and skill in the specialization of the unit or initiative. • Provides for the coordination of patient care throughout the continuum for areas of responsibility. • Serves as an expert clinician,...

Ivyhill has an immediate need for a Regulatory Analyst Coder that will support their Publication Surveillance project. The position will mostly be remote, but may require travel to our Hyattsville, MD location. This is an excellent opportunity for a detail-oriented professional with strong analytical skills to join a dynamic team focused on regulatory compliance and data evaluation. (Note: This position does not involve IT or programming coding. It entails inputting, organizing, and classifying data to identify themes and relationships within regulatory content.) Key Responsibilities: Apply analytical methodologies and regulatory principles to support compliance initiatives. Evaluate industry data and advertising materials to identify trends and implement strategic response. Collect, code, and model data to create performance measurements aligned with project goals. Organize and classify regulatory data to identify key themes, issues, and patterns....

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

Ivyhill has an immediate need for a Regulatory Analyst Coder that will support their Publication Surveillance project. The position will mostly be remote, but may require travel to our Hyattsville, MD location. This is an excellent opportunity for a detail-oriented professional with strong analytical skills to join a dynamic team focused on regulatory compliance and data evaluation. (Note: This position does not involve IT or programming coding. It entails inputting, organizing, and classifying data to identify themes and relationships within regulatory content.) Key Responsibilities: Apply analytical methodologies and regulatory principles to support compliance initiatives. Evaluate industry data and advertising materials to identify trends and implement strategic response. Collect, code, and model data to create performance measurements aligned with project goals. Organize and classify regulatory data to identify key themes, issues, and patterns. Support...

Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth, which now includes three hospitals - TidalHealth Peninsula Regional in Salisbury, Maryland; TidalHealth Nanticoke in Seaford, Delaware; and Atlantic General Hospital in Berlin, Maryland. All three hospitals are "A" rated by Leapfrog Hospital Safety Guide, and the facilities have received numerous other honors. TidalHealth is regularly adding new practices to grow our offerings in specialty and subspecialty services. These include neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care, clinical trials and research, and more. TidalHealth is also home to a growing graduate medical education program to prepare the next generation of physician specialists. Located on the beautiful Delmarva Peninsula, close to the beach, becoming part of Team TidalHealth also offers an ideal opportunity for work-life balance. Take advantage of our...