75 denials coder jobs found

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 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 an Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and procedures as well as medical terminology...

Senior Ambulatory Medical Coder EditsOptum 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 Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and procedures...

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely, handling CCI, MUE and Medical Necessity Edits, with focus on inpatient acute hospital coding accuracy based on documentation. You will query physicians under supervision and ensure compliant code assignments. Required are AHIMA/AAPC credentials or equivalent and 2+ years of inpatient coding experience. #J-18808-Ljbffr

Meduit | Driving Revenue Cycle Performance is seeking a Medical Coding Specialist II in Sartell, Minnesota (remote). The position entails coding healthcare claims and managing denials for optimal reimbursement, requiring a high school diploma and 5 years of experience in coding. Candidates must also have relevant certifications from AAPC or AHIMA. The job offers $26–$30 per hour, comprehensive benefits, and paid training. We are an equal opportunity employer. #J-18808-Ljbffr

UnitedHealth Group seeks an experienced Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct inpatient coding for MS-DRG/APR-DRG, handle three-day rule edits, denials, and related tasks ensuring accurate documentation and coding. Responsibilities include querying physicians, working with editors, and supporting payer and compliance reviews. Medical terminology and EPIC experience are beneficial. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst. The role involves remote work correcting MS-DRG/APR DRG coding, and handling denials with 3-day rule considerations. Responsibilities include querying documentation, ensuring accurate inpatient coding, and collaborating with Coding Operations Manager. Must have AHIMA/AAPC certifications and 2+ years inpatient coding experience. #J-18808-Ljbffr

Meduit is seeking a Medical Coder II to accurately code hospital outpatient and professional claims and analyze denials to maximize reimbursement. Remote position with a schedule of 8am–5pm ET/CT/MT/PT and a compensation range of $26–$30 per hour, depending on qualifications. The role requires 5 years of coding experience, proficiency with Epic or other EMR systems, and relevant coding certifications. The department is Insurance and reports to Coding Supervisor. #J-18808-Ljbffr

Optum is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst. This remote role supports inpatient coding, edits, and denial management across U.S. operations, with emphasis on MS-DRG/APR DRG, ICD-10-PCS, and documentation accuracy. You will query physicians to improve documentation quality and collaborate with the Coding Operations team to ensure compliant coding and billing outcomes. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to correct CCIs, MUE edits, and medical necessity edits, while handling three-day rule combinations and other queues. This remote role supports Allina Health in ensuring accurate inpatient coding. You will query physicians for documentation and assign MS-DRG/APR-DRG, with a focus on compliance and data integrity, leveraging strong coding knowledge. #J-18808-Ljbffr

Requisition number: 2374557 Job category: Medical & Clinical Operations 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 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 Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts....

Medical Coder II Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. The Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to obtain proper reimbursement. The Medical Coder accurately and efficiently codes hospital outpatient and professional service using official code sets and classifications systems to obtain the most accurate data based on documentation. Title: Medical Coder II Location: Remote Schedule: 8am 5pm in Eastern, Central, Mountain, or Pacific time zones Department: Insurance Reports To: Coding Supervisor Compensation: $26-$30 per hour, depending on qualifications Key Responsibilities: Read and analyze patient records Accurately and...

Unifeye Vision Partners (UVP) is hiring a full-time Medical Billing (AR) Specialist. This role is fully remote and supports ophthalmology billing with a focus on accuracy and payer requirements. The successful candidate will submit professional and institutional claims, review accounts, and resolve denials, ensuring HIPAA-compliant processes while collaborating with clinical and administrative teams. Starting pay is $22.00–$24.00 per hour. #J-18808-Ljbffr

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 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. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity. Schedule: Monday to Friday, 8am...

Join Optum 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. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review provider documentation and medical records to assign appropriate diagnosis and procedure codes Abstract and code professional fee services for non-invasive cardiology procedures, including but not limited to: Stress testing (exercise and...

UnitedHealth Group, via Optum, is seeking a Senior Medical Coder to ensure accurate CPT and E/M coding for maximum reimbursement and minimal denials. The role supports coding across charge review, claim edits, and denials, upholding revenue cycle integrity. Remote nationwide with standard hours, requiring CPC or RHIT/RHIA credentials and 3+ years of Pro-Fee coding experience. Strong ICD-10-CM/CPT knowledge is essential to guide documentation quality. #J-18808-Ljbffr

Senior 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.The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity.Schedule:...

Join OptumOptum 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.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Review provider documentation and medical records to assign appropriate diagnosis and procedure codesAbstract and code professional fee services for non-invasive cardiology procedures, including but not limited to:Stress testing (exercise and pharmacologic)Stress...

Meduitis a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus onoptimizingpayments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented.Learn more at www.meduitrcm.com. About the Role: The Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to obtain proper reimbursement. The Medical Coder accurately and efficiently codes hospital outpatient and professional service using official code sets and classifications systems to obtain the most accurate data based on documentation. Title: Medical Coder II Location: Remote Schedule: 8am – 5pm in Eastern, Central, Mountain, or Pacific time zones Department: Insurance Reports To: Coding Supervisor Compensation: $26-$30 per hour, depending on qualifications Key Responsibilities: Read and analyze...

At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full‑time and part‑time opportunities in a collaborative, team‑oriented environment. With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non‑surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive. Join us and become part of a trusted network committed to excellence in orthopedic care. Primary Functions & Responsibilities: Analyze and interpret patient medical records, visit encounters, and reports to assign and sequence appropriate codes upon reviewing billed information. Ensure ICD-10, CPT, and HCPCS codes...

The Medical Billing Specialist performs all functions as it relates to the billing and collections of accounts receivables for the billing for the Ambulatory Surgery Centers (ASC) for Twin Cities Orthopedics. This position will do training at the Golden Valley Business Center and then be fully remote. A $1,500 sign-on bonus will be offered, payable on first paycheck with a 12-month commitment. Internal applicants are not eligible for sign-on bonus. Essential Functions: Perform all daily functions as it relates to full accounts receivable management. Essential tasks include (but not limited to): Primary contact for all incoming receivable questions from both patients and insurances. Download and format SC Charge Entry Sheets using current software systems (Allscripts and Amkai) Responsible for timely action to claims populating the RCM queue in Amkai. Build relationships with ASC teams and supporting physician groups. Entry of Excel charges into Amkai and...

Medical CoderThe Medical Coder is responsible for reviewing medical documentation and assigning accurate diagnostic and procedural codes using ICD-10, CPT, and HCPCS coding systems. This role ensures correct billing and compliance with healthcare regulations, supporting the revenue cycle, and minimizing claim denials. The coder works closely with healthcare providers and billing staff to maintain accurate, complete, and up-to-date patient records.CompensationWe are committed to providing wage ranges for all open positions. Please note that the specific compensation for this role will be determined based on experience, education, and internal equity considerations. The hourly wage range for this position is $22.80-$32.18. This range reflects the base salary for this position.Key AccountabilitiesReviews and analyzes medical records to identify pertinent diagnoses and procedures for accurate coding and reporting.Assigns accurate medical codes using ICD-10, CPT, and HCPCS coding...

Medical Coder IIMeduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented.The Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to obtain proper reimbursement. The Medical Coder accurately and efficiently codes hospital outpatient and professional service using official code sets and classifications systems to obtain the most accurate data based on documentation.Title: Medical Coder II Location: Remote Schedule: 8am – 5pm in Eastern, Central, Mountain, or Pacific time zones Department: Insurance Reports To: Coding Supervisor Compensation: $26-$30 per hour, depending on qualificationsKey Responsibilities:Read and analyze patient recordsAccurately and efficiently code...

Summary Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. Duties Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and...

The Mayo Foundation for Medical Education and Research in Rochester, Minnesota, is seeking an experienced HB OP Coder for a hybrid position. This role involves reviewing, analyzing, and assigning codes from medical record documentation for outpatient medical and surgical encounters. Qualified candidates will have a high school diploma with 4 years of coding experience or an Associate's degree with 2 years of relevant experience. Mayo Clinic offers comprehensive benefits including medical, dental, vision, and a competitive retirement package. #J-18808-Ljbffr