43 denials coder jobs found

Join Med-MetrixExperience these exceptional benefits:8-Hour ShiftsDay 1 HMO with 2 of your dependents covered for FREEGroup Life InsuranceMedical Cash AllowanceRice AllowanceClothing AllowanceHoliday GiftBereavement AssistancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding...

Job Description Job Description PLEASE SUBMIT YOUR CV IN ENGLISH Bilingual Full-Cycle Medical Biller Location: Remote  Employment Type:  Full-Time Industry:  Healthcare / Medical Billing / Revenue Cycle Management Salary:  $1,400 - $1,600 USD/month About the Role We are seeking a highly detail-oriented, organized, and proactive  Bilingual Full-Cycle Medical Biller  to support U.S.-based healthcare providers with medical billing, claims processing, accounts receivable follow-up, and revenue cycle management operations. This role is ideal for someone with experience in U.S. healthcare billing workflows who thrives in fast-paced environments, understands medical coding and insurance processes, and can confidently communicate with both patients and insurance providers in English and Spanish. The ideal candidate has strong analytical skills, excellent follow-through, and the ability to manage multiple billing and claims processes accurately while maintaining HIPAA...

POSITION SUMMARY The Physician Practice Coder position is responsible for accurate and compliant coding of surgical cases for multiple specialties across all care settings. This position directly impacts revenue integrity by ensuring optimal CPT / ICD-10-CM / HCPCS II coding and appropriate modifiers, along with minimizing payer front end rejections and denials. The Physician Practice Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician coding and billing. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Position: Coder-Surgical Department: BUMG Corporate PBO General Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES Perform coding and related duties of moderate and high complexity surgical cases, and Evaluation and Management services, using established guidelines in an accurate and timely...

Northeast Allergy, Asthma, and Immunology in Leominster, MA, seeks a Billing & Certified Medical Coder for a hybrid role. You will code, submit claims, post payments, and manage denials to support accurate patient billing. Requirements include CPC or CCS certification, 5+ years of medical billing/coding in allergy/immunology, and strong CPT/ICD-10-CM/HCPCS/EHR experience; in-office duties required weekly. #J-18808-Ljbffr

The Elliot Health System is seeking a Hospital Inpatient Coder to accurately assign ICD-10 and DRG codes for hospital inpatient services, ensuring compliance with guidelines, payer rules, and regulatory requirements. This role supports revenue cycle integrity and timely, precise coding to minimize denials. You'll collaborate with providers and coding leadership to resolve discrepancies, participate in audits, and contribute to quality improvement in a dynamic hospital environment. #J-18808-Ljbffr

The Outpatient Coder I reviews and abstracts icd-10 codes per the outpatient coding guidelines. Reviews CCI and LCD/NCD edits for all lab accounts. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. PRIMARY DUTIES AND RESPONSIBILITIES: Communicates directly with physicians to ensure that clinical documentation is coded timely,...

Outpatient Coder IThe Outpatient Coder I reviews and abstracts ICD-10 codes per the outpatient coding guidelines. Reviews CCI and LCD/NCD edits for all lab accounts.Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.Primary Duties And Responsibilities:Communicates directly with physicians to ensure that clinical documentation is coded timely,...

Physician Practice Coder-Anesthesia The Physician Practice Coder-Anesthesia position is responsible for reviewing documentation in the outpatient/inpatient EHR. This position is responsible for assigning ICD-10-CM diagnosis codes and CPT, ASA, HCPCS II and appropriate modifiers to patient records from BMC Anesthesia Departments. The Physician Practice Coder II Anesthesia position is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician coding and billing. Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Essential Responsibilities / Duties: Perform coding and related...

Overview: We are seeking a detail-oriented and experienced Billing & Certified Medical Coder to join our Allergy & Asthma practice. This role is responsible for accurate medical coding, timely claim submission, payment posting, denial management, and ensuring compliance with payer and regulatory requirements. Experience in allergy, immunology, and asthma-related billing is strongly preferred. This is a Hybrid position located in Leominster, Massachusetts and requires weekly in-office duties. Responsibilities: Medical Coding Accurately assign CPT, ICD-10-CM, and HCPCS codes for allergy and asthma services Code office visits, diagnostic testing, procedures, and treatments including: Allergy skin testing (e.g., 95004–95075) Immunotherapy injections (e.g., 95115, 95117) Allergy serum preparation (e.g., 95165) Pulmonary function testing (e.g., spirometry) Asthma and allergy-related E/M services Biologic medications and injections (e.g., Xolair, Dupixent, Nucala,...

Department Description:The Critical Care Auditor/ Coder position will be working directly with the Department of Anesthesia, Critical Care and Pain Medicine and will have the opportunity to work remotely following an initial onsite training period. The incumbent will be required from time-to-time to attend billing onsite staff meetings and meetings with the physicians they support. AFS, LLC is located in Needham Heights, Massachusetts. Job Location:Virtual Job Summary:Performs professional certified coding and provides administrative and project support to the department. Analyzes surgical-medical documentation, provides the individual surgeon/physician with the application of appropriate ICD-10/CPT/HCPCS descriptor codes including the appropriate use of modifiers to ensure compliance for reimbursement. Essential Responsibilities:Analyzes evaluation and management, including critical care, procedures and other notes and documents to determine the scope and complexity of the...

Medical CoderOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding.Schedule (40 hours): Following training, hours will be 8 hours Monday-Friday between the hours of 6am-6pm EST. Candidates residing in...

HIMS CoderMedical HIMS Coder Full-Time career opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your passion and values? Join our team where we believe in careers close to home and heart. Your role is vital in ensuring accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, you'll contribute to quality patient care. As a HIMS Coder, responsibilities include precise coding based on ICD-10-CM and CMS 13 group codes and maintaining compliance with regulatory guidelines and company policies. If you're eager to make a meaningful impact, explore this exciting opportunity with us where your expertise meets personal values.A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a...

Medical Billing Specialist Valley Medical Group is looking for a Medical Billing Specialist to join our team. If you are looking for a dynamic environment, this is your opportunity! Position: Medical Billing Specialist Location: Greenfield, MA or Easthampton, MA after training period Hours: 40 hours, Monday-Friday generally between 8:00am-4:30pm. Hours may vary depending on department needs. Exact schedule to be discussed at time of interview. We are looking for an individual who can work independently, multi-task, and prioritize in a busy, fast paced multi-specialty billing office. Previous medical collections experience and general insurance billing practice knowledge preferred but not required. Job Responsibilities: Charge Entry: Responsible for accurate entry and processing of assigned charge entry within the Practice Management System. Research/Correction of Claims: Ensure Follow-up/Denial Claims are managed in an efficient and accurate manner. Patient...

Medical Billing SpecialistValley Medical Group is looking for a Medical Billing Specialist to join our team. If you are looking for a dynamic environment, this is your opportunity!Position: Medical Billing SpecialistLocation: Greenfield, MA or Easthampton, MA after training periodHours: 40 hours, Monday-Friday generally between 8:00am-4:30pm. Hours may vary depending on department needs. Exact schedule to be discussed at time of interview.We are looking for an individual who can work independently, multi-task, and prioritize in a busy, fast paced multi-specialty billing office. Previous medical collections experience and general insurance billing practice knowledge preferred but not required.Job Responsibilities:Charge Entry: Responsible for accurate entry and processing of assigned charge entry within the Practice Management System.Research/Correction of Claims: Ensure Follow-up/Denial Claims are managed in an efficient and accurate manner.Patient Assistance: Ensure patient...

Purpose of Position To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure and level codes and patient demographic information into computer system. Description Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers. Ensures that coding compliance, regulatory and...

Medical CoderOptum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding.Schedule (38.75 hours): Following training, hours will be 7.75 hours Monday-Friday between the hours of 6am-6pm EST. Candidates residing in...

Position Summary: Billing Compliance Auditor III (hybrid). Under general supervision performs audits of clinical documentation, physician billing and payment records and applicable industry standard codes by analyzing medical records, coding records and health system bills validating clinical documentation in conjunction with the bill; assessing the level and accuracy of coding, determining that governmental and third party payer regulations are being complied with; and evaluating appropriateness of billing and coding procedures. Evaluates accuracy and risk level of coding and billing performance by individuals and clinical units. Prepare reports and provide individual and/or group instruction to physicians and others based on results of audit. Works collaboratively with appropriate personnel to identify and recommend strategies for process improvement and to develop and draft billing and coding policies for the CHB Foundations in coordination with the Hospital. Assists in response...

Location: Braintree, Massachusetts, United StatesCompany: HealthSouthPosted: Medical HIMS Coder Full-Time career opportunityValued for your Expertise in HIMS CodingAre you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your passion and values? Join our team where we believe in careers close to home and heart. Your role is vital in ensuring accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, you'll contribute to quality patient care. As a HIMS Coder, responsibilities include precise coding based on ICD-10-CM and CMS 13 group codes and maintaining compliance with regulatory guidelines and company policies. If you're eager to make a meaningful impact, explore this exciting opportunity with us where your expertise meets personal values.A Glimpse into Our WorldAt Encompass Health, you'll experience the difference the moment you become...

Coding Education SpecialistThe Coding Education Specialist is responsible for assisting with design, development, and delivery of all Coding Quality and Education components for all areas supported by Professional Billing. This individual is a member of a cross functional team, which includes practice leadership, business owners, IT, the professional billing office, revenue cycle teams and others as needed. This individual will work closely with these various groups to develop, implement and manage medical record review, communication, and education strategies that are needed to achieve desired results. As a highly strategic department representative, this individual consistently demonstrates solid project management skills and behaviors, in addition to continually striving to meet and exceed customer expectations.Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is...

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding. Schedule (38.75 hours): Following training, hours will be 7.75 hours Monday-Friday between the hours of 6am-6pm EST. Candidates residing in EST or CST...

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

Medical Billing Specialist Valley Medical Group is looking for a Medical Billing Specialist to join our team. If you are looking for a dynamic environment, this is your opportunity! Position: Medical Billing Specialist Location: Greenfield, MA or Easthampton, MA after training period Hours: 40 hours, Monday-Friday generally between 8:00am-4:30pm. Hours may vary depending on department needs. Exact schedule to be discussed at time of interview. We are looking for an individual who can work independently, multi-task, and prioritize in a busy, fast paced multi-specialty billing office. Previous medical collections experience and general insurance billing practice knowledge preferred but not required. Job Responsibilities: Charge Entry: Responsible for accurate entry and processing of assigned charge entry within the Practice Management System. Research/Correction of Claims: Ensure Follow-up/Denial Claims are managed in an efficient and accurate manner. Patient...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are...

eClinical Solutions helps life sciences organizations around the world accelerate clinical development initiatives with expert data services and the elluminate Clinical Data Cloud - the foundation of digital trials. Together, the elluminate platform and digital data services give clients self-service access to all their data from one centralized location plus advanced analytics that help them make smarter, faster business decisions. eClinical Solutions is committed to driving innovation in clinical trials through a better approach to data management and data analytics. We use the eClinical Solutions technology platform, elluminate , throughout the data management process to accelerate timelines for our clients and automate manual processes. We believe in a more agile approach to data management using our core technology elluminate - enabling our life sciences clients to proactively manage their clinical programs and make decisions. You will make an impact: The Medical Coder is...