Denials coder jobs | Healthcare Careers

Remote Professional Medical Coder II - Denials & Compliance

OU Health Kansas City, MO

OU Health in Missouri is seeking a Professional Coding Specialist II to handle complex professional coding tasks across multiple specialties. Responsibilities include coding encounters, resolving edits and denials, and collaborating in quality review programs. The ideal candidate must have at least 3 years of relevant experience and hold a CPC or CCS-P certification. This position offers a supportive environment with competitive compensation and flexible remote options. #J-18808-Ljbffr

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Senior Medical Coder and Denials Specialist

Dormont Manufacturing Co St. Louis, MO

Dormont Manufacturing Co in St. Louis is seeking a coding specialist to manage appeals and ensure compliance with payer policies. This role involves working closely with medical staff to resolve reimbursement issues and coding responsibilities. Ideal candidates should have coding credentials like CCA, CCS, or CPC, along with knowledge of ICD-10 and CPT codes. The position offers competitive benefits and a structured working environment. #J-18808-Ljbffr

Full Time

Medical Coding & Appeals Specialist (HYBRID)

Washington University in St. Louis Hybrid (St. Louis, MO)

Champion Accurate Coding. Win Appeals. Make an Impact. Primarily Remote | Monthly Onsite Love the challenge of proving you’re right? This role is for coders who don’t just assign codes — they defend them. You’ll be part of a team that ensures providers are paid accurately for the care they deliver. When a payer says no, you build the case that turns it into yes. Your coding expertise, clinical insight, and persistence directly impact reimbursement and provider success. What makes this role exciting You’ll advocate for correct payment, not just code charts Your work directly reverses denials and underpayments You’ll collaborate with physicians, payers, and fellow coding experts Every appeal you win is a tangible victory What you’ll do Review medical records to validate accurate ICD‑10, CPT, and HCPCS coding Identify documentation or coding issues that impact reimbursement Build, submit, and follow payer...

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Medical Coding Specialist Certified

University of Missouri Columbia, MO

Hiring Department University Physicians Job Description #upjobs This position is a dual post linked to Job ID 59697 -MCS and the department will be hiring for two positions. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to...

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Multi Specialty Surgery Pro-Fee Coder

Phenom People O'Fallon, MO

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

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Medical Coding Specialist

The Chronicle of Higher Education Columbia, MO

Hiring Department University Physicians Job Description This position is a dual post linked to Job ID 59698 - MCS-C and the department will be hiring for two positions. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records to identify potential problems with coding and reimbursement, such as edits, denials, and appeal letters. Act as liaison between third-party payers and assigned departments to coordinate all aspects of professional coding. Provide assistance to faculty, residents, and department staff in standards of medical record documentation and coding. Assist in the presentation of training sessions for faculty, residents, and staff to inform them of changes made to Medicare billing, federal laws and regulations, and other specific standards...

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Coder Reimbursement Specialist - Hospital

TecTammina Cape Girardeau, MO

Coder Reimbursement Specialist - Hospital Full‑time position. The Coding and Reimbursement Specialist (CCS) is responsible for coding and abstracting clinical data from the medical record, including inpatient, outpatient, commercial, Medicare, Medicaid, Illinois Public Aid, and all other payor types. Accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis and DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. The CCS manages workload, assigns work to three inpatient and two outpatient coders, and oversees day‑to‑day operations of the coding/reimbursement area. The CCS monitors regulatory sources to keep HIM coding and other staff informed and trained on coding rules, regulations and related issues, works closely with patient financial services to resolve claim denials, assists in...

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Sr. Coder- Dickory- Remote

Ochsner Health Louisiana, MO

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! Job Overview This position reviews and accurately codes and abstracts hospital services, inpatient procedures, overnight/multi‑night stay services or complex professional medical services. The coder applies appropriate coding guidelines to assign ICD and CPT codes, conforming to Medicare, Medicaid, and third‑party payer requirements to ensure accurate reimbursement. In the inpatient setting, the coder collaborates with the Clinical Documentation Improvement team to ensure accurate DRG...

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Inpatient Coder

Aya Healthcare Saint Joseph, MO

Inpatient Coder III Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator Mosaic places the holistic needs of patients first by providing the right care at the right time and place offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee’s individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued including concierge services employee lounge wellness programs free covered parking free on-site and virtual health clinics and many more. When paired with compensation and recognition it is what continues to make us the employer of choice for employees at any stage of their journey. Details: Remote Inpatient Coder III Inpatient Coding PRN Status Day Shift Pay: 24.74 - 37.11 / hour Summary: Candidates residing in the following states will be...

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Medical Coder

Columbia Orthopaedic Group Columbia, MO

Description Columbia Orthopaedic Group Fast-paced. Detail-driven. Team-focused. Every claim, code, and detail matters in delivering accurate, compliant, and timely patient care behind the scenes. If you take pride in precision and enjoy working in a collaborative healthcare environment, this role is for you. Why This Role Is Different This is not just a coding role-it is a key part of the revenue cycle that directly impacts the success of orthopaedic care delivery. Your work ensures providers are accurately represented, claims are clean, and reimbursement flows efficiently. You'll partner closely with physicians, billing, and administrative teams in a highly collaborative environment where accuracy, communication, and compliance are essential. About the Role The Medical Coder is responsible for accurately coding orthopaedic services to support timely and compliant claim submission. This role ensures documentation integrity, supports revenue cycle...

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Certified Medical Biller & Coder

Kidney Associates of Kansas City Kansas City, MO

Certified Medical Biller & Coder Kidney Associates of Kansas City is seeking a detail-oriented and experienced Medical Biller & Certified Medical Coder to join our team. This role plays a vital part across the entire revenue cycle-from coding and claim submission through payment posting and follow-up-ensuring accuracy, compliance, and optimal reimbursement. Position Details Full-time schedule: Monday–Thursday: 8:30 AM – 5:00 PM Friday: 8:30 AM – 4:30 PM Hybrid work option: 3 days onsite / 2 days remote (after training) Must reside in the Kansas City area Key Responsibilities Review medical codes (ICD-10, CPT, HCPCS) for accuracy prior to claim submission Perform internal coding audits to ensure accuracy and compliance with regulations and payer requirements Submit claims to insurance carriers in a timely manner Post payments and reconcile accounts Perform claims follow-up, including denials, corrections, appeals, and resubmissions...

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Coder Reimbursement Specialist - Hospital

Tech Tammina Cape Girardeau, MO

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

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Trauma Surgical Coder – ProFee Coding Specialist

HCA Healthcare Kansas City, MO

HCA Healthcare is seeking a Profee Coder in Kansas City, MO. In this role, you will review and code clinical notes and operative reports, coordinate schedules for charge capture, and collaborate with the A/R team to resolve denials. A minimum of two years' coding experience and a coding certification are required. The position offers comprehensive medical coverage, 401(k) matching, and educational assistance. HCA Healthcare values diversity and is an equal opportunity employer. #J-18808-Ljbffr

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Trauma Surgical Profee Coder

HCA Healthcare Kansas City, MO

Job Summary As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative reports for assigned specialty/specialties. Coordinates and reconciles multiple schedules to ensure complete charge capture. Charge entry of codes into billing system in a timely manner. Work in conjunction with A/R team on follow up and resolution of coding related denials and rejections, including recommendation of new/updated coding edits....

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Medical Biller & Denial Specialist - Remote

J&B Medical Supply Co Inc MO

Job DescriptionJob DescriptionDescription :HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES :FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WVReady for a change? Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT?APPY NOW!Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!!NEW HIRE ORIENTATIONS START SEPT 10TH AND 24TH!The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies.The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims.Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction.Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner.Demonstrate a high level of expertise in the management of denied...

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Full Time

Coder 1

Anesthesia Associates of Kansas City Hybrid (Kansas City, MO)

Anesthesia Associates of Kansas City (AAKC) seeks a full-time Coder to join our team in Overland Park, KS. Must reside in Kansas or Missouri. The Coder is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, and ensuring compliance with payer guidelines and regulatory standards. Responsibilities: · Ensure diagnosis and procedure codes comply with regulatory requirements and payor guidelines; review medical records, obtain additional information, request clarification and/or amendment to documentation, and enter appropriate codes. · Update billing systems with additional required information per medical records. · Produce medical claims for billing, completing all required steps and fields, and ensure adherence to billing guidelines and insurance carrier requirements. · Contribute to the advancement of AAKC by participating in meetings, actively engage in discussions,...

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HIM Coder II

Billings Clinic Billings, MO

HIM Coder II – Billings Clinic Main Campus Location: Billings, Montana Shift: Day Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 80 hours every two weeks (Non-Exempt) Starting Wage (DOE): $21.70 - $27.12 Position Summary: Responsible for coding and abstracting diagnoses and procedures from patient charts using ICD-CM, ICD PCS and/or CPT-4/HCPCS codes for statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services. Also audits or assigns CPT and E&M codes to clinic encounters, captures primary and secondary ICD-CM diagnoses, adds HCPCS modifiers, and verifies units of service for pharmacy items and supplies. Actively queries physicians for clarification, provides coding education, and serves as an on‑site resource for providers and staff. Calculates MSDRG and APR-DRG, ensuring adherence to all internal and regulatory compliance policies and procedures governing medical records coding, billing, and...

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HIM Specialty Coder II

Billings Clinic Billings, MO

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. Billings Clinic has been in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006. And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community‑owned, not‑for‑profit, Physician‑led health system based in Billings with more than 4,700 employees, including over 550 physicians and non‑physician providers. Our integrated organization consists of a...

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Associate Director, Medical Science Liaison - St. Louis/Indianapolis

Insmed St. Louis, MO

Associate Director, Medical Science Liaison At Insmed, every moment and every patient counts and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you'll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person's contributions to meaningful progress. That commitment has earned us recognition as Science magazine's No. 1 Top Employer for five consecutive years, certification as a Great Place to Work in the U.S., and a place on The Sunday Times Best Places to Work list in the UK. For patients, for each other, and for the future of science, we're in. Are you? About the Role: We're looking for an Associate Director, Medical Science Liaison on the Field Medical team to cover the St. Louis, MO and Indianapolis, IN territories and to help us expand what's possible for patients with serious diseases. Reporting to the Regional...

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Supervisor of Referral and Medical Records

C. Stephen Metzler Mentor Program Kansas City, MO

The Supervisor of Referral and Medical Records oversees the daily operations, workflow, and staff performance of the Referral and Medical Records team. This position ensures timely and accurate processing of referrals, prior authorizations, medical records management, and follow‑up coordination to support high‑quality patient care. The Supervisor serves as a resource for staff, promotes process improvement initiatives, monitors compliance with HIPAA and organizational policies, and collaborates with clinical and operational leadership to improve referral outcomes and patient access to specialty care. KC CARE CULTURE CODE Put patients first, always Treat all people with dignity, respect, and kindness Create safe places for others to share their voice; encourage creativity Always strive for improvement; keep learning Own your work, action, and mistakes – no one is perfect Have fun – work should be fun and we want you to have fun at KC CARE Essential Duties And...

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Risk Adjustment Coder

Humana Jefferson City, MO

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviews medical records to report conditions that map to HCCs by reviewing medical record documentation and applying the appropriate ICD-10 diagnosis codes. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works on projects that may include making phone calls to providers. Works within broad guidelines with...

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Medical Coding Auditor

Centerwell Jefferson City, MO

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

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Medical Billing Specialist - FT

The Whole Person Kansas City, MO

GENERAL DESCRIPTION This position will primarily handle insurance claim submissions, payment posting, and researching claim rejects/denials. This position must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines. ESSENTIAL JOB FUNCTIONS Submits claims to government and commercial payers according to timely filing requirements. Posts payments and remittance advices in appropriate database(s). Tracks and collects aging accounts receivables. Research claim denials & clearinghouse edits. Completes requests for medical information and other related correspondence. Identifies and analyzes open claims and corrects billing errors. Re-submits claims to insurance carriers as appropriate. Monitors all past due accounts for payment. Contributes to a cohesive departmental unit. Maintains regular and predictable attendance. REQUIRED SKILLS High School Diploma...

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Nurse Medical Coder

Humana Jefferson City, MO

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

27 denials coder jobs found