28 denials coder jobs found

Datavant, a leader in healthcare data collaboration, is looking for experienced outpatient coders to join their remote team. Candidates should possess strong attention to detail and a deep understanding of medical terminology. Key responsibilities include reviewing medical records for accurate coding and maintaining high coding accuracy rates. Required qualifications include AHIMA or AAPC certification, with at least two years of coding experience. Datavant offers competitive pay ranging from $20 to $35 per hour along with comprehensive employee benefits. #J-18808-Ljbffr

Job Title This is a full-time position. The first two weeks require in-office training, after which the role is remote, except for monthly office meetings. The hours will be Monday-Friday 8:30am-5pm with a 30 minute lunch. Job Description Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation. Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation. Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team. Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines. Enter coded data into EHR or practice management systems for billing accuracy and maintain organized, accurate...

HEALTH SERVICES MEDICAL BILLER/CODER Administration/Billing Program (Classification 757) SEIU Represented Full-Time (37.5 hours/week) position Position Open Until Filled First review of applications will be on April 20, 2026. Any applications received after April 20 will be reviewed and considered as needed, and this posting may close at any time after that date. Linn County requires on-site work. Remote work is not available. A person employed in this classification must possess the capability to perform the following duties to be considered for and remain in this position. The duties are essential functions requiring the critical skills and expertise needed to meet job objectives. Additional specific details of these essential functions may be provided by the specific office or department job announcement, if applicable. Strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Reviews and verifies documentation supporting diagnoses,...

Job Title This is a full-time position. The first two weeks require in-office training, after which the role is remote, except for monthly office meetings. The hours will be Monday-Friday 8:30am-5pm with a 30 minute lunch. Job Description Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines Enter coded data into EHR or practice management systems for billing accuracy and maintain organized,...

Description MAKE A DIFFERENCE AT OCHIN OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone. At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values. Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees' entire well-being...

Job Title: Auditor/Inspector Supervisor Company Background: Community Action is a non‑profit organization that provides critical services to low‑income families in the areas of housing, homeless services, economic empowerment, family development, and early childhood care and education. Community Action leads the way to eliminate conditions of poverty and create opportunities for people in the Washington County area. Be the change you want! Job Position Description: Community Action is seeking an Auditor/Inspector Supervisor to join our leadership team to drive excellence in energy conservation. In this role, you will oversee our field operations and lead a team of Auditor/Inspectors to ensure that our energy conservation program provides a safe, healthy, and efficient environment for low‑income households in Washington County. Abbreviated Duties List: Serve as a leader and mentor, ensuring that every home audit and inspection meets both our high technical standards and our...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviews medical records to report conditions that map to HCCs by reviewing medical record documentation and applying the appropriate ICD-10 diagnosis codes. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works on projects that may include making phone calls to providers. Works within broad guidelines with...

Certified Senior Coder The Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues. Principal Responsibilities: Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within. Codes services correctly; understands and appropriately uses all CPT, ICD-10 and modifiers. Understands and follows all bundling edits. Ensures that documentation supports charges billed, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10. Process and input billings accurately in the practice management system; CPT codes, modifiers, units, fees,...

Billing Certified Coder Location: West Salem Clinic | 1233 Edgewater St. NW, Salem OR 97304 (On-site, not a remote position) Job Status: Full-time Hours: Monday Friday, 8am 5pm Department: Billing Do you enjoy working in a fast-paced healthcare environment and values teamwork, accuracy, and continuous learning. Northwest Human services in the place you! Position Overview: As our Billing Certified Coder, you will support accurate coding, billing, and reimbursement processes across our integrated healthcare organization. This dual-function role combines medical billing responsibilities with professional coding review and compliance oversight to ensure timely and accurate claims processing. Key Responsibilities: Review provider documentation and assign appropriate CPT-4, HCPCS, and ICD-10 codes Ensure coding accuracy and compliance with payer and regulatory requirements Perform charge entry, payment posting, account adjustments, refunds, and sliding fee discounts...

Department Overview This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. The role requires advanced coding experience in highly specialized areas and certification with AAPC or AHIMA. Function/Duties of Position Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD‑10‑CM, HCPCS, or ICD‑10‑PCS and DRGs for facility and/or professional charges, involving complex procedure and diagnostic coding within highly specialized areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate patient encounter billing...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Department Overview This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon...

Northwest Human Services is a non‑profit leader in providing advocacy, quality healthcare and social services in Marion and Polk counties since 1970. We are a mission focused organization providing compassionate and professional medical, dental, psychiatry, mental health, and wraparound services for those in our community who need it most – uninsured individuals, families, the homeless, and migrant workers. As a Community Health Center we value a culture of equity, diverse perspectives, and life experiences. Our organization embraces innovation, collaboration, and work‑life harmony. BILLING CERTIFIED CODER Location: West Salem Clinic |1233 Edgewater St. NW, Salem OR 97304 (On‑site, not a remote position) Job Status: Full‑time Hours: Monday – Friday, 8am – 5pm Department: Billing Do you enjoy working in a fast‑paced healthcare environment and values teamwork, accuracy, and continuous learning. Northwest Human services in the place you! POSITION OVERVIEW As our Billing...

Overview The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specified client sites. The Area Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner. Responsibilities Manages workflow among on-site employees at multiple client sites to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites. Provides coverage in event of backlogs, illness, vacation or leave of absence of ROI Specialists. Performs Quality Assurance monitoring of work performance for the ROI Specialists. In conjunction with and under the direction of the Area Manager, conducts productivity and work performance reviews for ROI Specialist in accordance with MRO/customer policies and...

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA. This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. This position provides support to the Enterprise Coding Department for abstracting of records, coding, and charge router submission of Facility services rendered at OHSU. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD-10-CM, and HCPCS codes for facility charges, which could include all E&M services including outpatient and inpatient; diagnostic services;...

Coder OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family - our community. Position Details: Hourly Base Rate: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Date Posted: 02/20/2026 Job Summary: Certified Coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of...

Compensation: $20.40 - $25.50 per hour (based on years of experience) Summary: The Certified Senior Coder reviews providerservice records to ensure accurate coding for all services to maximizereimbursement and meet coding requirements from insurance carriers andregulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues. Principal Responsibilities: 1. Will participate and maintain a culture withinThe Corvallis Clinic that is consistent with the content outlined in theService and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, andembrace the principles contained within. 2. Codes services correctly; understands andappropriately uses all CPT, ICD-10 and modifiers. Understands and follows allbundling edits. 3. Ensures that documentation supports chargesbilled, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10. 4. Process and input billings...

Certified Senior Coder The Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues. Principal Responsibilities: Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within. Codes services correctly; understands and appropriately uses all CPT, ICD-10 and modifiers. Understands and follows all bundling edits. Ensures that documentation supports charges billed, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10. Process and input billings accurately in the practice management system; CPT codes, modifiers, units, fees,...

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...

Job Description Job Description Salary: Min $22.75 -Norm $28.45- Max $34.15 Northwest Human Services is a non-profit leader in providing advocacy, quality healthcare and social services in Marion and Polk counties since 1970. We are a mission focused organization providing compassionate and professional medical, dental, psychiatry, mental health, and wraparound services for those in our community who need it most - uninsured individuals, families, the homeless, and migrant workers. As a Community Health Center we value a culture of equity, diverse perspectives, and life experiences. Our organization embraces innovation, collaboration, and work-life harmony. BILLING CERTIFIED CODER Location: West Salem Clinic |1233 Edgewater St. NW, Salem OR 97304 (On-site, not a remote position) Job Status: Full-time Hours: Monday Friday, 8am 5pm Department: Billing Do you enjoy working in a fast-paced healthcare environment and values teamwork, accuracy, and continuous learning....

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Department Overview This level 3 coding position provides support to the Enterprise Coding Department for the coding of Inpatient services. The Inpatient Coder position requires certification and active credential status with AHIMA and advanced coding experience in the highly specialized areas of Inpatient coding. Function/Duties of Position Coding Inpatient Coding at 95% or above accuracy. Abstract information from inpatient medical records to assign correct codes following the ICD 10 guidelines. Identify query opportunities. Verify Account Class, Attending provider, and Discharge Disposition in Epic. Assign codes via 3m 360. Resolve with coding leads and billing, any issues, coding denial requests or questions as part of coding denial process. Follow team procedures necessary in carrying out ICD 10 coding on cases in the Uncoded IP accounts work queue in Epic. Monitor activity for compliance with federal and/or state laws regarding correct coding set...

Job Title: Medical Coder (Outpatient & Inpatient) Specialty: Outpatient (including Radiology, Lab, Ancillary), Inpatient Facility (DRG/PCS), Inpatient Professional No. of positions: 5 Place of Work (City/State): Portland, OR Pay rate: $30-$32/h Site: Portland VA Medical Center (VA Portland Health Care System - VAPORHCS) Exact Location: 3710 Southwest US Veterans Hospital Road, Portland, OR 97239 (Remote coding; coders may occasionally be required on-site for coding meetings, training, or issue resolution) Duration: 1 year contract Shift Schedule: Standard business hours assumed. Note: Priority cases must be coded within 1 business day of receipt; all outpatient cases coded within 7 days of receipt; all inpatient cases coded within 7 days of discharge date. How Many Shifts Needed Per Month: Based on volume, full-time coverage (approximately 22 working days/month) required. Credentialing / Onboarding Time: 6 to 8 weeks Certifications...

Humana Inc is seeking a Medical Coding Coordinator who will be responsible for extracting clinical information and assigning appropriate medical codes for patient records. This position requires a coding certification and a minimum of 3 years' experience as a Certified Medical Coder. It is a remote position, with occasional travel for training. The role demands strong data entry skills and the ability to manage multiple tasks in a fast-paced environment. Benefits include medical, dental, and vision, along with a comprehensive retirement plan and paid leave. #J-18808-Ljbffr