71 denials coder jobs found

New Jersey's largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The position also supports prior...

Certified Professional Coder (Cpc) The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. Key Responsibilities Serve as the liaison to ensure coding queries issued by the vendor are addressed by providers, resolved appropriately, and returned to the vendor in accordance with established timelines. Identify documentation deficiencies and initiate provider...

Professional Fee Coder The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with AMA, CMS, and payer guidelines. Responsibilities include, but are not limited to: Review provider documentation and assign ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services. Select appropriate Evaluation and Management (E/M) levels based on current guidelines (MDM and/or time and ensure documentation supports code selection. Apply modifier and global surgery rules accurately (e.g., 25, 24, 57, 58, 59, 78, 79) and comply with NCCI edits and payer policies. Ensure medical necessity and proper linkage of diagnoses to services; identify and resolve coding edits prior to claim submission when applicable. Query providers for...

Acentus is excited to announce an opening for the position of Certified Professional Coder Apprentice (CPC-A) on our team! In this role, you will play a crucial part in ensuring our professional medical billing and coding processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and coding and eager to contribute to a supportive environment. The CPC-A position offers entry-level medical coding professionals real‑world coding experience through participation in the Acentus structured coding training program. This program provides hands‑on experience to help satisfy AAPC requirements for removing the apprenticeship designation from your CPC-A credential. Please note that this is not a fully remote position and does require employees to physically report to our office in Mt. Laurel, NJ. A semi‑remote schedule is available after...

Acentus is excited to announce an opening for the position of Certified Professional Coder Apprentice (CPC-A) on our team! In this role, you will play a crucial part in ensuring our professional medical billing and coding processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and coding and eager to contribute to a supportive environment. The CPC-A position offers entry-level medical coding professionals real-world coding experience through participation in the Acentus structured coding training program. This program provides hands-on experience to help satisfy AAPC requirements for removing the apprenticeship designation from your CPC-A credential. Please note that this is not a fully remote position and does require employees to physically report to our office in Mt. Laurel, NJ. A semi-remote schedule is available after...

Insight Global’s client is seeking a Certified Professional Coder to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This role is ideal for a coder who enjoys complex surgical coding, collaborating with clinical and billing teams, and helping ensure accurate, timely claim submission. The team is looking for someone who is detail-oriented, adaptable, and comfortable coding from operative reports and physician documentation. This is a great opportunity for a coder who enjoys complex surgical coding, working closely with clinical teams, and contributing to process improvement in a fast‑paced specialty practice. Day‑to‑Day Responsibilities Code surgical procedures, operative reports, office visits, and in‑office procedures using CPT and ICD‑10. Perform true scratch coding for operative reports and surgical slips rather than basic review‑only coding. Review physician documentation and identify any missing or unclear information needed for accurate...

Overview New Jersey’s largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The position also supports prior...

Advanced Reconstructive Surgery Alliance (ARSA) and its affiliates TPSC, SMM and TCOPS are the largest Plastic Surgery medical practice in the country. Our expanding team of top tier physicians, coupled with our continued medical advancements, allows us to offer patients extraordinary clinical services with a 5-star experience. We have a bold vision with a desire to revolutionize the industry, meeting patient needs while favorably transforming their lives. Common across the enterprise is not only the commitment to providing safe patient care, but to employee satisfaction and growth opportunities. It is a culture of teamwork, respect and appreciation for all employees—whether caring for patients directly or working in a support role. We are seeking an Medical Coder to join our team! This role involves coding surgical slips, operative reports, office visits, and facility claims, as well as working closely with surgeons and billing staff to ensure accurate and timely claim...

Insight Global’s client is seeking a Certified Professional Coder to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This role is ideal for a coder who enjoys complex surgical coding, collaborating with clinical and billing teams, and helping ensure accurate, timely claim submission. The team is looking for someone who is detail-oriented, adaptable, and comfortable coding from operative reports and physician documentation. This is a great opportunity for a coder who enjoys complex surgical coding, working closely with clinical teams, and contributing to process improvement in a fast‑paced specialty practice. Day-to-Day Responsibilities Code surgical procedures, operative reports, office visits, and in‑office procedures using CPT and ICD‑10. Perform true scratch coding for operative reports and surgical slips rather than basic review‑only coding. Review physician documentation and identify any missing or unclear information needed for accurate coding....

Acentus is excited to announce an opening for the position of Certified Professional Coder Apprentice (CPC-A) on our team! In this role, you will play a crucial part in ensuring our professional medical billing and coding processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and coding and eager to contribute to a supportive environment. The CPC-A position offers entry-level medical coding professionals real‑world coding experience through participation in the Acentus structured coding training program. This program provides hands‑on experience to help satisfy AAPC requirements for removing the apprenticeship designation from your CPC-A credential. Please note that this is not a fully remote position and does require employees to physically report to our office in Mt. Laurel, NJ. A semi‑remote schedule is available after...

Happy Vitals PC - Remote Medical Biller & Coder (eClinicalWorks & TriZetto Required)Job Summary:Happy Vitals is seeking an experienced Medical Biller & Coder to join our team in Lakewood, NJ.As a vital member of our operations, you will be responsible for managing the full billing lifecycle, from charge review and claim submission to denial management, payment posting, and A/R follow-up.If you have a strong background in medical billing and coding, excellent attention to detail, and excellent analytical skills, we encourage you to apply for this part-time/full-time opportunity.Key Responsibilities:o Review and scrub charges for accuracy and coding complianceo Submit claims through TriZetto and payer portalso Manage rejections, denials, appeals, and follow-upso Apply accurate ICD-10, CPT, and HCPCS codeso Post ERA/EOB payments and reconcile reimbursementso Monitor A/R aging and identify underpaymentso Generate billing and A/R reports in eClinicalWorksRequired...

Experience Required Minimum of 5 years of experience in hospital auditing or education experience; ICD-10-CM and Outpatient CPT-4, HCPCs coding experience required; Knowledge of Medical Necessity APC, OCE, LCD, and NCD edits required. Minimum Education Required HS_DIPLOMA License(s) Required No Expected Start Date 07/30/2026 Compensation $33.99 - $42.49 / Hourly Hours Per Week 40 Number Of Positions 1 Shift First Shift (Day) Job Description Position SummaryThe Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best...

Certified Professional Coder/ PIP Adjuster Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve. Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who demonstrate mastery of the...

Driven by a bold pursuit of science and fueled by an unwavering commitment to patients, Sun Pharma is a leading global pharmaceutical company, providing high-quality medicines trusted by healthcare professionals and patients. As part of our mission to Reach People and Touch Lives, we deliver Innovative Medicines, Generics and Consumer Healthcare products that improve the lives of millions of people. With a broadly diversified portfolio of products that span multiple therapeutic areas, we improve access to effective, affordable treatments that promote better health and well-being. Reaching People. Touching Lives. Job Summary Sun Pharma is seeking a strategic and dynamic Associate Director, Marketing (DTC & HCP) - Medical Dermatology to serve as a key leader within the U.S. Medical Dermatology Marketing organization. This position reports to the Senior Director, Marketing – Medical Dermatology and the work location is Princeton, NJ (3 days in the office per week). This role...

Position Certified Professional Coder / Bill Review Expert Location Remote Employment Details FMLA: Non-Exempt, Full-Time Schedule: M-F 8:00 AM - 4:30 PM Must Have PIP experience with a high level understanding of fee schedule guidelines in NY, NJ, FL, or MI required. CPC in good standing with AAPC required (may consider candidate with strong PIP experience, e.g., NJ/NY PIP adjuster). Responsibilities Use various resources to support reviews, such as CPT guidelines, CPT Assistant, Encoder Pro, and 3M Software. Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and/or NY-covered insureds. Interpret medical documentation to ensure accuracy of billed services (e.g., CPT, HCPC codes). Assign proper CPT and HCPC codes based on the review outcome. Review CPT codes for unbundled services. Review billed modifiers for accuracy of use. Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement. Interpret fee schedule...

Sr. Certified Coder Clinical Document-Coding Mgmt The Sr. Certified Coder will: In accordance with established coding principals and guidelines assigns appropriate diagnosis and procedure codes to all applicable records - (concurrently/discharge) on patient units. Collaborates with coding supervisor for managing workflow and distribution of discharged records to non-senior coding staff. Responds to inquiries from fellow coders, regarding coding questions or concerns. Collaborates with clinical documentation nursing specialists to ensure quality documentation practices. Assists physicians, hospital personnel and others as needed with coding and billing inquiries. Reports discharged not final billed (DNFB) problems to coding supervisor. Requirements Knowledge of coding systems, medical terminology, anatomy and physiology required. A minimum of five (5) years of inpatient coding experience required. Strong interpersonal and decision-making skills required. Certified Coding...

Physician Coder III Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Coder III is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient...

At Virtua Health we exist for one reason to better serve you.That means being here for you in all the moments that matter striving each day to connect you to the care you need.Whether thats wellness and prevention experienced specialists life-changing care or something in-between we are your partner in health devoted to building a healthier community.If you live or work in South Jersey exceptional care is all around.Our medical and surgical experts are among the best in the country.We assembled more than 14000 colleagues including over 2850 skilled and compassionate doctors physician assistants and nurse practitioners equipped with the latest technologies treatments and techniques to provide exceptional care close to home.A Magnet-recognized health system ranked by U.S.News and World Report weve received multiple awards for quality safety and outstanding work environment.In addition to five hospitals seven emergency departments seven urgent care centers and more than 280 other...

Job Description Job Description Job Title: Medical Biller Location: Pennsauken, NJ Industry: Healthcare Pay: $20.00 - $25.00 / Per Hour (based on experience) Benefits : The position is eligible for medical, dental, vision, and 401(k) About Our Client: Our client is a well-established RCM company working with local health systems to handle billing, collections, eligibility services, and financial counseling, often on-site at hospitals. They have been recognized for providing reliable and efficient service with a strong management team in place. Job Description: The Medical Biller will support a growing team handling billing for hospitals, including UB-04 claims and CMS 1500 forms. This is an excellent opportunity for someone looking to grow a long-term career in medical billing with extensive training and career advancement potential. Key Responsibilities: Follow up on UB-04 claims for hospital billing and CMS 1500 claims for...

Amazing Outpatient Surgery Organization is Looking to Hire an Outpatient Medical Coder (Surgical Coding)! This Jobot Consulting Job is hosted by: Joshua Tacke Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $32 - $35 per hour A bit about us: We are an award winning outpatient surgery group with a locations throughout the Tri-State Area. This is a fantastic temp-to-perm opportunity in the Revenue Cycle Department - you'll be working HYBRID out of any office in Long Island, Manhattan, Jersey, or Staten. Do you have 3+ years of medical coding experience in an outpatient setting (ideally surgery)? Are you CPC certified? Are you open to a temp-to-perm role, with an opportunity to work with a great Rev Cycle/Billing Leader? If interested reach out to me TODAY: joshua@jobot.com 347-424-4699 Why join us? 401k with 4% Employer Match! Strong Career Growth and Development with Established RCM Leader....

Medical Biller Location: Pennsauken, NJ Industry: Healthcare Pay: $20.00 - $25.00 / Per Hour (based on experience) Benefits: The position is eligible for medical, dental, vision, and 401(k) About Our Client: Our client is a well-established RCM company working with local health systems to handle billing, collections, eligibility services, and financial counseling, often on-site at hospitals. They have been recognized for providing reliable and efficient service with a strong management team in place. Job Description: The Medical Biller will support a growing team handling billing for hospitals, including UB-04 claims and CMS 1500 forms. This is an excellent opportunity for someone looking to grow a long-term career in medical billing with extensive training and career advancement potential. Key Responsibilities: Follow up on UB-04 claims for hospital billing and CMS 1500 claims for professional services. Process insurance claims, ensure accurate coding, and...

Medical Practice Office Supervisor The Medical Practice Office Supervisor directly manages the staff in each business unit. The Supervisor coordinates recruitment of Client Service Representatives and Medical Assistants, evaluates the staff and is responsible for any necessary disciplinary actions including the proper supporting documentation. The Medical Practice Office Supervisor provides administrative and clerical support to the department director with various functional responsibilities and assists with departmental operations as required. The Medical Office Supervisor assists the department staff with issues, problems and projects as directed and responds to operational inquiries. The Supervisor develops and implements office procedures and processes that support operations. The Medical Office Supervisor directs the work activities of the clerical personnel. This position supports organizational goals by providing quality customer service, participating in...

Billing Coordinator / Coder Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure...