81 denials coder jobs found

Job Description Interpret clinical documentation/records from patient records to ensure all diagnoses and procedures are documented and coded accurately. Ensure highest level of reimbursement practice efficiencies and compliance related to coding procedures. Provide feedback and support to physicians. Responsibilities Responsible for translating healthcare providers’ diagnostic and procedural documentation into coded form, applying regulatory and organizational guidelines. Review patient reports and extract data necessary to apply appropriate ICD and CPT codes for billing, internal and external reporting, research and regulatory compliance. Utilize technical coding principals and reimbursement rule expertise to assign appropriate ICD diagnosis and CPT procedures in multiple specialties, with thorough understanding all elements in E/M coding with ability to audit for correct E/M level selection. Regularly communicates with the healthcare provider to ensure documentation and...

Job TitleResponsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors.Essential Duties and ResponsibilitiesConsistently arrives at work on time and adheres to regular work schedule.Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation.Demographic registration/updates for all patients.Enters charges into claim entry in eCW.Monitors, submits, correct all claim activity.Create workflow processes to ensure accuracy and accountability.Other Essential Duties May Include But Are Not Limited ToAssists patients and/or insurance companies with billing and authorization questions.Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules, census/rounding sheets and appointment schedules.Other duties as assigned.Knowledge, Skills & Abilities RequiredRequired:Consistently...

Job Description Job Description   Job Summary The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting.  The Coder is also responsible to assist the Revenue Cycle team.  Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program.  Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years’ experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect...

Supervisory Inpatient/Outpatient MRT CoderVA Northeast Ohio Healthcare System – Cleveland, OhioThis Position Is Contingent Upon Bid AwardDepartment of Veterans AffairsVA Northeast Ohio Healthcare System / Cleveland VA Medical CenterWade Park Campus10701 East BoulevardCleveland, OH 44106U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements.Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply.Full-Time Contractor Position$39.22 per hour.Up to 56 hours per year, accrued in accordance with Fidelity Partners policy and applicable requirements.Work must be staffed within the Monday-through-Friday service window of 6:00 AM–6:00 PM local facility time. Individual schedules will be assigned based on operational needs; off-hours work requires prior approval.Remote work is authorized through an approved VA...

Job Description Job Description Description:    About Primary Health Solutions Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R – Respect I – Innovation S – Stewardship E – Excellence  Billing and Coding Specialist Summary Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty.  A Day in the Life · Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable.  · Review incomplete encounters and code based on available documentation in EHR systems. · Know and understand several different...

Job Description Interpret clinical documentation/records from patient records to ensure all diagnoses and procedures are documented and coded accurately. Ensure highest level of reimbursement practice efficiencies and compliance related to coding procedures. Provide feedback and support to physicians. Responsibilities Responsible for translating healthcare providers' diagnostic and procedural documentation into coded form, applying regulatory and organizational guidelines. Review patient reports and extract data necessary to apply appropriate ICD and CPT codes for billing, internal and external reporting, research and regulatory compliance. Utilize technical coding principals and reimbursement rule expertise to assign appropriate ICD diagnosis and CPT procedures in multiple specialties, with thorough understanding all elements in E/M coding with ability to audit for correct E/M level selection.. Regularly communicates with the healthcare provider to ensure...

Toledo Clinic's Cardiology Department is seeking a full-time Coder/Medical Biller to work full-time (M-F, 8-5). Previous experience as a Coder in a medical office preferred.General Summary:Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors.Principal Duties & Responsibilities: Example of Essential Duties:Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation.Demographic registration/updates for all patients3) Enters charges into claim entry in eCW4) Monitors, submits, correct all claim activity5) Create workflow processes to ensure accuracy and accountabilityOther Essential Duties May Include(but are not limited to):6) Assists patients and/or insurance companies with billing and authorization questions.7) Coordinate with providers to ensure all visits are accounted for utilizing hospital call...

Job Title Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. Essential Duties and Responsibilities Consistently arrives at work on time and adheres to regular work schedule. Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation. Demographic registration/updates for all patients. Enters charges into claim entry in eCW. Monitors, submits, correct all claim activity. Create workflow processes to ensure accuracy and accountability. Other Essential Duties May Include But Are Not Limited To Assists patients and/or insurance companies with billing and authorization questions. Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules, census/rounding sheets and appointment schedules. Other duties as assigned. Knowledge, Skills...

Join Our Team at Avita Health System – CrestlineAvita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we've tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us.We're currently seeking a dedicated Certified Coder & Auditor to join our Patient Financial Services Department at our Crestline location.Position OverviewTakes a guiding role in the orientation and ongoing education of professional coding team, physicians, and advanced practice providers (APPs) involved in the coding and documentation process. Ensures the accuracy of information in these processes is maintained by conducting audits and analyzing chart documentation and, if accuracy is not at the expected level, reeducates and trains providers and staff. Serves...

Cardiology Department Coder/Medical BillerToledo Clinic's Cardiology Department is seeking a full-time Coder/Medical Biller to work full-time (M-F, 8-5). Previous experience as a Coder in a medical office preferred.General Summary:Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors.Principal Duties & Responsibilities:Example of Essential Duties:Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation.Demographic registration/updates for all patientsEnters charges into claim entry in eCWMonitors, submits, correct all claim activityCreate workflow processes to ensure accuracy and accountabilityOther Essential Duties May Include (but are not limited to):Assists patients and/or insurance companies with billing and authorization questions.Coordinate with providers to ensure all visits are accounted...

Inpatient Coder - Work at Home - Any State Bon Secours Mercy Health is dedicated to improving health care quality, safety and cost effectiveness. We are seeking an advanced inpatient coder to work at home in any state. Key Responsibilities Review medical record documentation and accurately assign ICD‑10 diagnoses and procedure codes, supporting correct Medicare Severity‑Diagnosis Related Group (MS‑DRG) or All Patient Refined Diagnosis Related Group (APR‑DRG). Verify patient discharge disposition and assign present‑on‑admission (POA) indicators for each code. Abstract required data per facility specifications and write appeals for DRG denials. Monitor and process inpatient accounts through the billing system, ensuring timely, compliant processing. Collaborate with Clinical Documentation Specialists and medical staff to ensure complete documentation and accurate coding. Maintain quality, productivity standards and key performance indicators for 3M 360 CAC for CRS...

Join Our Team at Avita Health System - Avita Health System - Crestline Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we've tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us. We're currently seeking a dedicated Certified Coder & Auditor to join our Patient Financial Services Department at our Crestline location. Position Overview Takes a guiding role in the orientation and ongoing education of professional coding team, physicians, and advanced practice providers (APPs) involved in the coding and documentation process. Ensures the accuracy of information in these processes is maintained by conducting audits and analyzing chart documentation and, if accuracy is not at the expected level,...

ENT Surgery Pro Fee CoderThe ENT Surgery Pro Fee Coder must be proficient in surgical coding for high complexity ENT surgery cases.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 managerthe 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 guidelines.This position is full time and 100% remote.Maintain...

BSMMHPUSR282639EXTERNALENUS Outpatient Occupational Therapist - St. Rita's Medical Center No weekends Will work with our pediatric & adolescent patients! Job Summary: The Occupational Therapist plays a crucial role in enhancing patients' ability to perform daily tasks related to work and life. They conduct assessments, devise treatment plans based on physician referrals, and document patient progress. This encompasses outpatient, inpatient, pediatric, and off-site settings. Essential Functions: Review physician referrals and patient medical history to determine therapy needs. Conduct and document patient evaluations, re-evaluations, and treatment plans according to department protocols. Administer prescribed occupational therapy treatments and create custom equipment for individual needs. Develop programs focusing on functional skills, vocational training, daily activities, and motor skills. Monitor progress and adjust treatment goals and plans as necessary, participating in...

Amergis Healthcare Staffing is seeking an Inpatient Medical Coder in Independence, OH to assign ICD-10 and CPT/HCPCS codes and abstract essential information from patient records. The role requires 2+ years of coding experience and active coding certifications. The position is contract-based with full-time hours, offering competitive pay and benefits including health, dental, vision, life insurance, and a 401(k) plan. #J-18808-Ljbffr

Amergis Healthcare Staffing seeks a Profee Surgery Medical Coder in Independence, OH to assign ICD-10-CM diagnosis codes and surgical CPT codes and to abstract pertinent information from patient records. This contract–full time role requires RHIA/RHIT/CCS/CCS-P/CPC/CPC-H (COC) certifications and at least 2 years of coding experience. We offer competitive pay, weekly paychecks, comprehensive benefits (health, dental, vision, life), a 401(k) plan, and recognition programs. #J-18808-Ljbffr

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

APS Medical Billing Job $45,000.00 to $54,000.00 annually APS Medical Billing located in Toledo, Ohio is seeking certified professional coders with experience in surgical pathology or diagnostic radiology to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. Qualifications: Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling, and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology or diagnostic radiology preferred Understanding and application of CMS initiatives including NCCI Edits, MIPS, and NCD/LCD policies Benefits Package includes Paid Time Off Medical plan Health Savings Account Alight Personal Health Care Advisor Dental, Vision, Life Insurance, 401K Paid holidays EAP - Employee Assistance Program APS...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Job Description Join our team as a Pharmacy Compliance Auditor - 340B Program and play a vital role in ensuring access to affordable medications for underserved communities. In this position, you will help safeguard the integrity of the 340B Drug Pricing Program-a federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care to more patients. As a Pharmacy Compliance Auditor, you'll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success. If you are detail-oriented, passionate about compliance, and eager to grow in a critical area of pharmacy operations, we'd love to hear from you! Location: Norwood, OH Work Hours: Full Time, 80 hours biweekly Day shift No weekends,...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Wilson Health is seeking a Billing Specialist in Sidney, Ohio to join the Patient Accounting Department. The role focuses on releasing insurance claims electronically and mailing hard copies as needed, while following up on unpaid claims and appealing denials when required. The position requires experience with EPIC EHR and Medicare facility billing, plus strong knowledge of CPT/ICD-10 codes. On-site with hybrid option, Monday–Friday, first shift responsibilities. #J-18808-Ljbffr