81 denials coder jobs found

Medical Records Coder II - Full Time - Days Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign the appropriate DRG based on an analysis of the patient file and medical necessity Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Resolve diagnosis/procedure inconsistencies, concerns, and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Abstract data elements and compile data for statistical reports Provide education based on recognized trends, including physician documentation Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC...

Job Description Job Description Our Billing Co. is seeking a Certified Medical Coder to review medical documentation and assign correct CPT and diagnosis codes. Apply to join our team! Essential Functions: Review E/M, diagnostic and procedural documentation and assign correct CPT and diagnosis codes. Work with RCM team to identify patterns, trends and variations in coding and documentation practices. Prepare documentation summary/findings to support development of corrective action plans. Assist management team in the development of effective education programs for staff. Provide on-going guidance to RCM team on the correct use of modifiers. Assist RCM team with documentation required to appeal claims and overturn denials. Assess claims to ensure adherence with payer guidelines. Research and work collaboratively with clinic staff to capture all billing activities (e-bill management). This may require access to additional information systems (EMR or Data...

Job Posting As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: 2619 W Henrietta Rd, Rochester, New York, United States of America, 14623 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications,...

Experienced Multi-Specialty Surgery Coder 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: Monday - Friday, working 40 hours a week Location: Fully Remote - U.S You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide coding and abstraction of physician or professional records Provide communications to Coordinator, Supervisors and Managers Complete RAI's, denials, charge hold reports, and coding edits Assist on special coding projects as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear...

Med Records Coder III As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education,...

A prominent educational institution seeks a Med Records Coder III to function as an advanced coder, reviewing medical documentation accuracy and denials. This hybrid role requires a minimum of a HS diploma and 1 year of experience in medical coding. The ideal candidate will possess strong knowledge of coding protocols like ICD-10-CM and CPT, along with a commitment to fostering an inclusive work environment. The position offers competitive pay ranging from $21.36 to $29.90 per hour. #J-18808-Ljbffr

Job Summary : The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. Technical guidance and acting in a lead role is expected. Does related work as required. Responsibilities: Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. Interprets and applies American Hospital Association Official Coding guidelines to articulate and support principle and secondary diagnoses and selected procedures. Identifies and analyzes patterns in possible coding errors or other trends and reports to the the coding leadership team. Participates in mandated medical record review processes. Using current ICD10 CM/PCS coding systems, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by...

Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC Health Union: No Position: Full Time Hours: 80 Shift: Day Req #: 45761 Posted Date: Jan 29, 2026 Hiring Range: $39.66 - $49.86 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/31805) Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. Technical guidance and acting in a lead role is expected. Does related work as required. Responsibilities: Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. Interprets and applies American...

divh2Coding Specialist/h2pResponsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment./ppstrongMinimum Qualifications:/strong/pp1. Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience./pp2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS...

Job Summary Under the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based surgical specialty providers. This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities Assign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines. Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits. Assign applicable ICD-10-CM diagnosis codes based on knowledge of ICD-10-CM, insurance company, hospital based and...

Job Description Job Description JOB OVERVIEW We are seeking a detail-oriented and organized Billing Specialist to join our dynamic team. The ideal candidate will have a strong background in medical billing and coding, with a comprehensive understanding of medical terminology. This role is crucial for ensuring accurate billing processes, maintaining patient accounts, and facilitating smooth transactions within our medical office. ESSENTIAL DUTIES AND RESPONSIBILITIES: · Reviews, researches and resolves all rejected claims and claim balances on assigned A/R through the use of workqueues. · Records objective, professional, thorough and comprehensible notes to account folders and/or system software. · Records problem accounts on specific payer issues log and uses proper follow-up procedures for resolution. Contacts insurance companies when required and appropriate to secure payment on previously billed accounts. · Promptly contacts physician’s office for clarification...

Job Summary The Podiatry Coder is responsible for reviewing, interpreting, and assigning accurate CPT, ICD-10-CM, and HCPCS codes specific to podiatric services, while ensuring compliance with federal regulations, payer policies, and organizational standards. This role reviews provider documentation and operative reports for podiatry-related procedures-including office visits, surgical procedures, wound care, and ancillary services-to abstract and code clinical data using standard classification systems. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures. Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company...

Coder Quality Auditor The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess coders'...

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. Under direction of the Coding Manager, the primary responsibility of the Medical Coder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy,...

h1Job Type/h1pFull-time/ph2Description/h2pstrongWhy youll want to work at nimble!/strong/ppInterested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!/ppstrongWho we are:/strong/ppnimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue...

Vascular Surgery Coder The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer...

A leading research university is seeking a Med Records Coder III to ensure accurate medical coding and resolve insurance denials. The role involves reviewing codes, troubleshooting coding issues, and responding to inquiries. Candidates should have a high school diploma, experience in medical coding, and knowledge of coding systems such as ICD-10CM, CPT, and HCPSC. This position offers a full-time schedule in a hybrid work environment, with a commitment to equity and inclusion. #J-18808-Ljbffr

Med Records Coder III page is loaded## Med Records Coder IIIremote type: Remotelocations: 2619 West Henrietta Roadtime type: Full timeposted on: Posted Todayjob requisition id: R268045As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.**Job Location (Full Address):**2619 W Henrietta Rd, Rochester, New York, United States of America, 14623**Opening:**Worker Subtype:RegularTime Type:Full timeScheduled Weekly Hours:40Department:900370 Health Info Mgmt-CodingWork Shift:UR - Day (United States of America)Range:UR URG 106 HCompensation Range:$21.36 - $29.90*The referenced pay range represents the minimum and maximum compensation for this job. Individual annual...

Job Description Job Description South Shore Speech is looking for a competent, responsible and dedicated individual to join our busy/fast paced, award winning team Benefits and Perks: . Family/friendly work environment . Supportive management and staff . Employee appreciation events regularly . Teaching/training will be provided Qualifications: . Certified Professional Coder . Proficiency with Excel . Motivated and possess the ability to multitask . Past medical office experience necessary . Strong organization skills . Able to interact well and professionally with the public both in person and over the phone Responsibilities: 1. PreAuthorizations & Verifications Contact payers (e.g. Medicaid, private insurances, NICU-funded programs) to verify patient eligibility and coverage before treatment begins. Submit pre-authorization requests for services requiring prior approval (e.g. speech therapy visits under Early Intervention or CPSE). Track...

This position follows a hybrid model with 1-2 onsite days. Job Description Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity. Job Responsibilities Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines (ICD-10-CM, CPT, HCPCS). Applies advanced knowledge of pediatric anatomy, physiology, and medical terminology to...

The Podiatry Coder is responsible for reviewing, interpreting, and assigning accurate CPT, ICD-10-CM, and HCPCS codes specific to podiatric services, while ensuring compliance with federal regulations, payer policies, and organizational standards. This role reviews provider documentation and operative reports for podiatry-related procedures—including office visits, surgical procedures, wound care, and ancillary services—to abstract and code clinical data using standard classification systems. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures. Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies. Communicate...

Overview Medical Biller (Multispecialty Private Practice – On-Site, NYC) Location: Manhattan, New York City (on-site) | Salary Range: $60,000 – $80,000 per year (commensurate with experience) About the Role: A busy multispecialty private practice in New York City is seeking an experienced Medical Biller to oversee all aspects of revenue cycle management (RCM) . The ideal candidate is detail-oriented, self-motivated, and skilled at optimizing reimbursement processes while maintaining accuracy and compliance. You will work closely with a team of physicians and administrative staff to ensure efficient billing operations and high-quality patient communication. Key Responsibilities Revenue Cycle Management: Manage the complete billing process, from patient registration to payment posting. Ensure proper coding accuracy (CPT, ICD-10) and adherence to payer and compliance guidelines. Handle claim submissions, denials, and appeals to reduce rejections and improve...

Overview The University Eye Center (UEC) of the State University of New York College of Optometry, an Article 28 Diagnostic and Treatment Center, is seeking a Certified Professional Coder. The successful candidate must be detail oriented and be able to multitask with excellent time management, problem solving and investigative skills. Understanding of managed care, Medicare, Medicaid, commercial payers and self-pay guidelines is required. Reporting to the Director of Patient Financial Services, the Certified Professional Coder will be responsible for the review of pre and post charges in order to maximize reimbursement, minimize denials and comply with accepted coding practices. Responsibilities/Job Functions Review provider documentation for charge accuracy and correction of diagnostic and procedural coding, coding integrity and revenue optimization prior to claims submission. Reviews and monitors statistics and key performance indicators to identify improvement opportunities....

We offer flexibility with hybrid work options based on your preference. Job Summary We are seeking a detail-oriented and experienced Medical Coder to support our Endoscopy Ambulatory Surgery Center (ASC). This position is responsible for accurate assignment of CPT, ICD-10-CM, and HCPCS Level II codes for GI endoscopic procedures, including EGD, colonoscopy, polypectomy, biopsy, and advanced endoscopic services such as EMR/ESD. The ideal candidate brings strong knowledge of GI endoscopy coding, ASC reimbursement guidelines, and payer regulations. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for endoscopy services, including office visits, imaging, and surgical procedures. Ensuring coding practice meets federal and state guidelines,...