296 denials coder jobs found

Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role performs advanced coding and appeal activities, investigates payer issues, completes charge corrections, and ensures timely filing of appeals to insurance companies. The candidate should have CCS, AHIMA, CPC or similar credentials; 3+ years of coding experience; strong ICD-10/CPT knowledge; and proficiency with Microsoft Office. #J-18808-Ljbffr

Position Summary We are seeking a highly analytical and detail-oriented Certified Professional Coder (CPC) to join our team. This role is highly focused on Denial Management and Revenue Integrity. The ideal candidate is not just a coder but a problem solver who can investigate the root cause of unpaid claims, correct coding errors, and successfully appeal denials. While this role focuses on coding, candidates with a strong background in hard coding (coding directly from operative reports/medical records without relying solely on encoders) and end-toend medical billing will be given top priority. Key Responsibilities Denial Management & Coding Analyze and resolve complex claim denials resulting from coding errors (CCI edits, medical necessity, bundling issues, and modifier usage). Review medical records and "hard code" accurately from documentation to support appeals, ensuring the highest level of specificity for ICD-10-CM, CPT, and HCPCS levels. Draft and submit...

A remote healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should have a CPC certification and a strong coding background. This full-time position is fully remote, with compensation of up to $10/hr. If you are detail-oriented and possess an investigative mindset, this role is for you. #J-18808-Ljbffr

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...

A healthcare staffing agency is seeking an experienced outpatient surgical coder for a remote, 6-month contract position based in the United States. The role involves reviewing coding denials and ensuring accurate coding for outpatient surgical procedures. Candidates should have 2-5 years of surgical coding experience, appropriate certifications like CCS, CPC, RHIA, or RHIT, and a strong understanding of medical terminology. The position offers a competitive pay range of $23.00/hr – $35.00/hr. #J-18808-Ljbffr

Infinx is hiring a ProFee Coder/Edits & Rejection Specialist to support the RW Onshore team. You will code professional fee services, review edits and denials, and ensure compliant, accurate billing to optimize revenue cycle performance. Ideal candidates have CCS/CCS-P/CPC credentials, 3+ years in medical coding (surgical and E/M), and strong knowledge of ICD-10; experience with Epic and MS Office is preferred. This remote role offers flexible hours and growth opportunities. #J-18808-Ljbffr

OU Health is seeking a Professional Coding Specialist II in Oklahoma. This role involves coding encounters, resolving denials, and ensuring compliance across multiple medical specialties. Ideal candidates will have at least 3 years of coding experience, as well as CPC or CCS-P certification. The position offers flexible remote or hybrid options, competitive compensation, and a supportive work environment. Join OU Health to play an essential role in maintaining quality patient care and enhancing organizational efficiency. #J-18808-Ljbffr

Job Description The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties And Responsibilities Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in a one-on-one or...

Job Summary 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 diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements REQUIRED: AS in Health Information Management , a related degree or equivalent experience Knowledge of EMR, Coding Software, and...

The University of Rochester is seeking a Med Records Coder III to analyze diverse medical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes in accordance with coding guidelines. Remote work options enable day-to-day collaboration with the United Business Office Coding team. You will abstract data, review denials, consult with providers and external vendors for clarification, and support documentation improvement while ensuring compliance and high-quality coding. #J-18808-Ljbffr

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: Worker Subtype: 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: $21.78 - $30.53 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,...

Albany Medical Center is seeking a Senior Professional Coder to act as service line coding team lead, applying advanced CPT/ICD-10 coding skills and coordinating with staff to ensure timely, accurate professional coding processes. The role involves auditing codes for compliance with CMS and payor guidelines, providing education to providers and staff, supporting HCC/risk adjustment coding, denials analysis, workflow testing, and liaison with external audits; remote work with onsite education as #J-18808-Ljbffr

Medical Biller Full Time New York, NY The "TRUE HEALTH" and HEALTHCARE FOR ALL WOMEN OB-GYN. is a for-profit healthcare organization with 7 health centers, providing primary care and preventative medicine in the following locations in Nassau County, Queens, and Brooklyn. As privately qualified health centers, we serve the individuals in our communities, providing enhanced services, expanded hours and reduced prescription pricing, while raising the level of care. We treat patients regardless of income, residency, or immigration status. TRUE HEALTH offers a stable employment opportunity with a growing company, and competitive base compensation along with health and dental insurance, paid time off, 401-K with company match, paid holidays, employee discounts and much more. Our Mission The mission of TRUE HEALTH is to provide access to equitable, comprehensive, optimal healthcare by improving the overall wellness of all individuals in our communities and delivering high...

Medical Group Coder I 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 primary care, psychiatric and other non-inpatient surgical 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,...

Certified Medical Coder EXC Remote Work - Amherst, NY 14226 Overview Salary Range $21.00 - $35.64 Hourly Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Description Join Our Growing Coding Team – Where Orthopaedics Meets Opportunity! Why Join Our Coding Team? We know Coders are looking for more than just a job - you want growth, support, and the tools to succeed. What Sets Us Apart: Company-issued laptop for streamlined documentation Collaborative environment Opportunity to work fully remote after training Opportunity to become a part of organization that is team-focused! Retirement Benefits: Guaranteed 3% company contribution to your 401(k) Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements) Job Summary The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance...

Department/Unit: Physicians Billing Work Shift: Day (United States of America) Salary Range: $46,947.00 - $65,726.00 The Medical Billing Analyst is an intermediate billing position within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. The denials assigned in this role are more intricate than others and the denial response may require a professional narrative accompanied by supporting documentation to be overturned. Some or all these areas may be the focus of the position depending on the resources needed. The incumbent must be able to prove that they have an ability to learn quickly and work independently. They will possess the ability to use payer websites to locate...

Senior Professional Coder The Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring...

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 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 the attending...

Overview This is a day shift position working remotely. This position requires 5+ years of experience with complex surgical CPT and ICD10, and requires 4+ years of anesthesia coding experience. This position requires additional complex coding including cardiac, critical care, transplant, and interventional radiology experience. Coder III’s will often serve as a mentor for less experience coders and may be called upon to assist with training. This level of coder will also be a key resource to work cases that have been escalated for clarification by coders, and may interact with clinicians on documentation deficiencies, as well working with other departments, including Quality and Education, RCM, and vendor coding teams. Coders are required to abstract medical records documentation into surgical CPT and crosswalk to the appropriate ASA codes, in addition to having a high level of competence in ICD10 coding and coding guidelines. Coders are required to abstract data into the MD Cloud...

Medical Biller This Medical Biller role focuses on end-to-end in-house billing for a fast-growing fertility and gynecology clinic, ensuring accurate billing and charting for medical and laboratory procedures in endocrinology, andrology, and embryology. The position requires substantial hands-on experience with medical billing, insurance authorizations, and claims management, as well as familiarity with EMR systems and medical terminology. You will play a key role in supporting the clinic's expanding lab services while providing clear, professional communication to patients about their billing inquiries. Responsibilities Manage the full in-house billing process from start to finish for medical and laboratory procedures, including endocrinology, andrology, and embryology services. Ensure accurate billing and charting of all medical procedures and lab procedures in accordance with clinic standards and payer requirements. Apply and maintain proper billing procedures, with...

Jobgether, on behalf of a partner company, is seeking a RCM Specialist / Certified Professional Coder (CPC) based in the United States. The role focuses on accurate claims processing, billing resolution, and compliance to support accessible, patient-centered care. You will manage denials, verify eligibility, work with payers, and help improve reimbursement workflows in a fully remote US environment. The ideal candidate holds CPC or CPB certification and has 1–2 years of medical billing #J-18808-Ljbffr

DRG Coder - Remote Iberia Medical Center (IMC) in New Iberia, LA is looking for team members who will help advance our vision to be the premier hospital of choice for patients, physicians, and employees. We have proudly cared for our community for over 60 years and offer diverse career opportunities throughout our organization. Our employees experience opportunities to learn, grow, and make a meaningful impact while caring for their families, friends, and neighbors. IMC is looking to hire a DRG Coder - Remote. This employee is under the direction of the Revenue Cycle Manager, responsible for assigning ICD-10-CM and ICD-10-PCS codes to inpatient medical records upon discharge and assigning the appropriate MS-DRG for reimbursement purposes. This remote position works closely with Clinical Documentation Improvement (CDI) Specialists and serves as an active participant on the Compliant Documentation Management Program Team. The DRG Coder is responsible for ensuring accurate, compliant,...

Schedule - Shift - Hours Part Time (20 Less than 36 Hours) - Days The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to (1) managing the charge entry and charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims, (3) facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts; and (5) ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. This position requires interacting with EMG leadership,...