48 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 future...

Datavant, a leading data collaboration platform in healthcare, seeks experienced outpatient coders to join their remote team. Candidates should possess AHIMA or AAPC certification and experience in medical coding. The role requires attention to detail, strong organizational skills, and the ability to maintain compliance standards. Benefits include generous medical, dental, vision options, and a stipend for professional dues. The pay range for this position is $20-$35 per hour, depending on experience and location. #J-18808-Ljbffr

Overview Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion? Who We Are With over 100 cutting‑edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. Our culture At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. Our Benefits We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing...

Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Moore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team. The ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently. Position: Certified Medical Biller/Coder Employment Type: Full-Time Location: Forestville – Maryland Key Responsibilities: Accurate CPT, ICD-10, and HCPCS coding (OB/GYN focus) Review and submission of claims (commercial, Medicaid MCOs MD/DC ) Manage denials, appeals, and AR follow-up Verify patient eligibility and benefits Ensure compliance with payer policies (UHC, CareFirst, JHHP, MD/DC Medicaid, etc.) Work within EMR/PM system Apply appropriate modifiers (25, 59, 51, etc.) Monitor payer updates and policy changes Qualifications: CPC, CCS, or equivalent certification (Required) Minimum 5 years...

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 trends...

Cardiology Department Coder/Medical Biller 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 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...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

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 and Direct...

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 Job Description 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 patients 3) Enters charges into claim entry in eCW 4) Monitors, submits, correct all claim activity 5) Create workflow processes to ensure accuracy and accountability Other Essential Duties May Include (but are not limited to): 6) Assists patients and/or insurance companies with billing and authorization...

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...

GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. QUALIFICATIONS Education: High School Diploma or successful completion of an equivalent High School Exam Required Successful completion of the HIM Coder – Professional/HCC competency exam within 6 months of hire required...

Southern Ohio Medical Center in Portsmouth, Ohio, is seeking a HIM Coder - Professional to code and charge medical office visits. The role requires ICD-10 and CPT coding expertise, a high school diploma, and a professional coder certification. Responsibilities include ensuring coding accuracy and assisting with denial management. Candidates should have at least two years of coding experience, with preferred completion of coding training programs. This position supports a diverse workplace and promotes equal employment opportunities. #J-18808-Ljbffr

PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization’s operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific policies...

Certified Coder, Special Investigations Unit (SIU) SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 hours / Days *Hybrid or Remote Join a mission-driven health plan where precision and expertise protect both members and resources-we're seeking a certified coder who can identify discrepancies others miss, analyze coding patterns with accuracy, and turn complex clinical data into clear, actionable insights; if you bring deep knowledge of coding standards, a sharp analytical mindset, and a passion for ensuring integrity in healthcare claims, this is your opportunity to make a meaningful impact and strengthen the quality of care delivery. Summary : Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are...

Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. Job Duties/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies and...

Inpatient Medical Coder The Inpatient Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) for a minimum of 2 years and have a minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs

We have an immediate opening for a Medical Biller who will be responsible for managing patient billing processes, ensuring accurate claim submissions, and facilitating communication between healthcare providers, patients, and insurance companies.  You will work 2 days a week from 9 a.m. to 5 p.m. Job Responsibilities: Prepare, submit, and follow up on medical claims to insurance companies and patients, ensuring that healthcare providers receive timely payment for services rendered Generate and send invoices to patients for outstanding balances, providing clear billing information, and payment options Verify patient insurance coverage and eligibility before services are rendered to minimize claim denials Assign appropriate medical codes to diagnoses, procedures, and services provided, ensuring compliance with coding guidelines Analyze and address denied claims by identifying reasons for denial, appealing decisions when appropriate, and implementing...

Correction Records Sentence Computation Auditor/ Release Supervisor Organization: Rehabilitation & Correction - Operation Support Center Work Location: DRC Central Office-Fran-ODOT 1980 West Broad Street Columbus 43223 Primary Location: United States of America - OHIO - Franklin County - Columbus Compensation: 36.75 Schedule: Full-time Classified Indicator: Classified Union: Exempt from Union Primary Job Skill: Records Management Technical Skills: Mathematical Ability, Corrections, Criminology/Criminal Justice, Investigation, Records Management Professional Skills: Attention to Detail, Organizing and Planning, Teamwork, Verbal Communication, Confidentiality Agency Overview Who We Are… Guided by a single mission "To reduce recidivism among those we touch," the Ohio Department of Rehabilitation and Correction believes that everyone is capable of positive change. Our staff embrace these core values and serves as role models for pro-social behavior conveying...

Become a part of our caring community 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, processes and techniques, and...

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...

Medical Coder 3 Job Details Professional Discipline : Finance/Accounting Specialty : - Employment Type : Full Time City : Columbus State : OH Pay Range : Job Description: InGenesis is currently seeking a Medical Coder to work for our client. In this role, you support ICD coding programs and ensure accurate coding practices. This role works under general direction and serves as a resource for ICD, CPT, and HCPCS coding. Key Responsibilities Review and analyze ICD coding reports for accuracy Assist with implementing and maintaining coding policies and procedures Support the ICD Program Manager with regulatory compliance Resolve coding discrepancies (ICD, CPT, HCPCS) Ensure coding follows federal, state, and agency guidelines Perform other duties as assigned Requirements 3-4 years of medical coding experience RHIA or RHIT degree and/or CCS, CCS-P, or CPC certification Active credentials (CPC, CCS, RHIT, or RHIA)...

Overview Looking to join and lead a dynamic team at Ohio State University Physicians where excellence meets compassion? Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. Our culture At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. Our benefits We know that having options and robust benefit plans are important to you. OSUP prioritizes the...

Job Description Summary This position performs facility coding and abstracting functions of Inpatient. Responsibilities and Duties Assign appropriate admit, principal, and secondary diagnoses and/or procedure codes by reading documentation present in the medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting minimum Coder productivity requirements. Assign Present on Admission POA indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately assign DRG/MSDRG/APR-DRG at the minimum standards of 95% . Review diagnosis and CC/MCC for maximum severity of illness/room of service. Clinical understanding of laboratory and radiology values. Knowledge of quality outcomes indicators and work with CDS to improve physician documentation and case mix index. Assign Principal Diagnosis accurately at least 95% or better. Monitor and appropriately...