29 denials coder jobs found

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Outpatient Coder Location: Alamogordo, NM Position Type: Full Time Description: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and...

Now Hiring: Remote IP Facility CCS Coder Location: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70 Maximum Offer $33.14 Summary: Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities: *Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance...

Location Address: 9521 San Mateo NE, Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $23.11, Maximum Offer $35.29 Summary Build your Career. Make a Difference. Presbyterian is hiring a skilled IP Facility Coder III CCS to join our team. Type of Opportunity: Full time. Job Exempt: No. Job is based: Reverend Hugh Cooper Administrative Center. Work Shift: Varied Days and Hours (United States of America). Responsibilities Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership. Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies. Accesses several systems via the computer to research the medical record when needed...

Location Address 9521 San Mateo NE Albuquerque, NM 87113-2237 Compensation Pay Range Minimum Offer $21.70 Maximum Offer $33.14 Now Hiring: EW coder II Summary Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Type of Opportunity: Full time. Job Exempt: No. Job is based: Reverend Hugh Cooper Administrative Center. Work Shift: Days (United States of America). Responsibilities Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with...

Now Hiring: IP Facility Coder with CCS Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $23.11 Maximum Offer $35.29 Type of Opportunity: Full time Job Exempt: No Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Varied Days and Hours (United States of America) Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled IP Facility Coder III CCS to join our team. Responsibilities: Presbyterian is seeking a talented IP Facility Coder III - CCS. The IP Facility Coder has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to...

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70 Maximum Offer $33.14 Now Hiring: IP Facility Coder Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled IP Facility Coder CCS to join our team. Type of Opportunity: PRN Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities: Presbyterian is seeking a talented IP Facility Coder The IP Facility Coder has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and...

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70 Maximum Offer $33.14 Now Hiring: Remote IP Facility CCS Coder Summary: Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities: *Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research...

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70, Maximum Offer $33.14 Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote PRN HCC Coder with CRC to join our team. Type of Opportunity: PRN. Job Exempt: No. Job is based: Remote Workers. New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS...

Location Address: Remote Office, Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70 | Maximum Offer $33.14 | Now Hiring: Remote IP Facility CCS Coder Summary Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Type of Opportunity: Full time. Job Exempt: No. Job is based: Remote Workers New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in...

Location: Remote Office, Santa Fe, NM 87501 Compensation: Minimum Offer $21.70 - Maximum Offer $33.14 Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled IP Facility Coder CCS to join our team. Type of Opportunity: PRN. Job Exempt: No. Job is based: Remote Workers New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities The IP Facility Coder has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding...

Location Location Address: Remote Office Santa Fe, NM 87501 Compensation Compensation Pay Range: Minimum Offer $21.70 | Maximum Offer $33.14 Now Hiring: Remote IP Facility PCS & ICD-10 Coder Summary Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote IP Facility PCS & ICD-10 Coder to join our team. Type of Opportunity: Full time. Job Exempt: No. Job is based: Remote Workers New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Some key...

Compensation Pay Range Minimum Offer $23.11 Maximum Offer $35.29 Job Title IP Facility Coder III CCS (Remote) Location 9521 San Mateo NE, Albuquerque, NM 87113-2237 Type of Opportunity Full time Job Exempt: No Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Varied Days and Hours (United States of America) Summary Presbyterian is hiring a skilled IP Facility Coder III CCS to join our team. Build your Career. Make a Difference. Responsibilities Responsible for coding all inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records, and/or professional fee services for PMG specialty providers. Use ICD-10 CM, CPT-4 classifications. Ensure adherence to Hospital and Departmental Policies and Procedures. Review patient medical records, assigning appropriate CPT, ICD-10, and MS-DRG codes for financial reimbursement and research in accordance with Federal Regulations and Hospital and Departmental policies. Research medical...

Remote Ed / Claim Edit CoderNow hiring a Remote ED / Claim Edit CoderHas the knowledge and ability and will be required to code all of the following :inpatient and / or outpatient hospital records, ED records, Home Health & Hospice records and / or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9 / 10 CM and CPT-4 classification system.Ensures adherence to Hospital and Departmental Policies and ProceduresWe value our employees' differences and find strength in the diversity of our team and community.At Presbyterian, it's not just what we do that matters.It's how we do it - and it starts with our incredible team.From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.Why Join UsFull Time - Exempt :NoRev Hugh Cooper Admin CenterWork hours...

Medical Biller $18 - $22 Albuquerque, NM Medical Claims Opening | Federally Qualified Health Center Serving the Underserved | Great Benefits & Growth! We are seeking a detail-oriented Medical Biller to join a mission-driven Federally Qualified Health Center (FQHC) serving underserved communities. This role is responsible for accurate and timely medical billing, with a strong focus on Medicare and Medicaid claims. Dental billing experience is a plus. Onsite | MondayFriday, 8:00am5:00pm Why join us? Medical, Dental, and Vision benefits. Short and Long Term Disability. Retirement Savings Plan-employer matching and 100% vesting upon enrollment. Paid Vacation and Sick time. Life Insurance and AD&D. Credit Union membership. 9 1/2 paid Holidays. Job Details Key Responsibilities Prepare, review, and submit medical (and dental, if applicable) claims to Medicare, Medicaid, and other payers Ensure claims are accurate, complete, and compliant with payer and FQHC...

Presbyterian Healthcare Services in Albuquerque is seeking an IP Facility Coder III to join their team. This full-time role requires knowledge of coding practices including CPT, ICD, and MS-DRG, and involves reviewing patients' medical records. Candidates must have a high school diploma or GED and relevant coding certification. The position offers a comprehensive benefits package including medical, dental, and vision coverage. Join us in making a difference in healthcare! #J-18808-Ljbffr

Overview Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

Certified Outpatient Coder Physician Services-7416-14103 Las Cruces Radiology Sppt Svc Description Who We Are People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Memorial Medical Center is a 199-bed hospital offering a spectrum of care, including diagnostic, therapeutic, and rehabilitative services, both on an inpatient and outpatient basis. Where We Are From national parks and monuments to one of the top-rated farmer’s markets in the country, Las Cruces offers a world filled with natural wonder, year-round excitement, and historic proportions of fun. We are known for our safe and affordable living conditions, outstanding educational system, and friendly people. Why Choose Us Health (Medical, Dental, Vision) and 401K Benefits for full-time employees Competitive Paid Time Off / Extended Illness Bank package for full-time employees Employee Assistance Program – mental, physical, and financial wellness assistance...

Become a part of our caring community The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Presbyterian Healthcare Services is seeking an IP Facility Coder III CCS in Albuquerque, NM. This full-time remote position involves coding hospital records and ensuring adherence to regulations. Candidates should possess a high school diploma, relevant coding certification (CCS, CCS-P, CPC-H, RHIT/RHIA), and have three to five years of coding experience. The job offers a comprehensive benefits package including medical, dental, and vision coverage. #J-18808-Ljbffr

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. So, if you're looking for a change and want to join a pioneering team, look no further. Are you a dedicated and compassionate individual seeking a fulfilling career where you can make a real difference in people's lives? Look no further! Our organization is looking for a Medical Coder to join our dynamic and thriving healthcare organization committed to providing exceptional patient-centered care, and we want YOU to be a vital part of our team. Click here to watch a video and learn more about what it is to be a part of the ClearSky Rehabilitation team. 🌟 What We Offer: Your Path to a Rewarding Career Starts Here! 🌟 Competitive Compensation Comprehensive Benefits Package including Medical, Dental, Vision...

UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *This position requires extensive knowledge and experience with E/M coding. *$4,000 Sign-on Bonus* Minimum $56,173 - Midpoint $70,217* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical...