141 denials coder jobs found

Coder II (Denials) - FT - Days Are you looking for a rewarding career with a top-notch health care company? We're looking for a qualified Coder II (Denials) like you to join our Texas Health family. Position highlights include: Work location: Remote work Work hours: Monday Friday generally between 7:00 am 6:00 pm HIMS Coding Department highlights: Flexible hours/scheduling once training is complete Work life balance Opportunities for advancement Qualifications: Education: H.S. Diploma or Equivalent REQUIRED and Associates's Degree Related field preferred Experience: 2 Years Professional (Profee) Coding experience. Completion of advanced level training in medical terminology, anatomy and physiology, or similar REQUIRED Licenses and Certifications: CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty certification such as CGSC, COSC, CCC, etc. Upon Hire Preferred...

HCA Healthcare is seeking a Trauma Surgical Profee Coder in Houston, Texas. In this role, you will review and code clinical notes and operative reports. Key responsibilities include coordinating schedules for charge capture and resolving coding-related denials. Required qualifications include a high school diploma, coding certification (AHIMA or AAPC), and a minimum of two years of fee coding experience. The position supports an inclusive workplace with comprehensive benefits. #J-18808-Ljbffr

Health Information Management Coder Senior Location: US:TX:Irving | Medical Coding | Full Time Summary: Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters. Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership....

Description Summary: Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician...

Outpatient Coder Location: US:TX:Irving | Medical Coding | Full Time Description Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and...

Certified Mobile Notary Service https://certifiedmobilenotaryservice.com Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary, Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission Escalate exhausted appeal efforts for resolution Work payer projects as directed Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled...

GENERAL DESCRIPTION OF POSITION: This position is vital in the health care delivery system in function with the fiscal aspect of the Clinic. Adhere to policies and procedures in conducting all clinical charges, payments, adjustments for proper billing and collections. Bills and submits claims to insurances/programs through AthenaOne EMR, follows up on claims statuses, resolves claim denials, submits appeals, post payments and adjustments, and manages collections. Great customer service and telephone etiquette, computer knowledge, professional appearance, attention to detail, able to multitask and work in a fast paced environment. Ability to work well under stress and maintain calm under pressure and work well with team members and willingness to cross-train. Functions as a member of a collaborative health care team to create and maintain a patient centered medical home. ESSENTIAL JOB FUNCTIONS: (with or without accommodations) Communication : Communicates with outside...

Certified Professional Coder Job Category: Finance and Accounting Requisition Number: BILLI035488 Posted: June 4, 2026 Full-Time On-site Odessa, TX 79761, USA Description Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect...

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long‑term to ensure accuracy in the ever‑changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and efficiency in our revenue cycle. Code several different specialties, help train new coders, review records for provider audits, assist with new physician...

Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Employee discounts Flexible schedule Free uniforms Health insurance Paid time off Parental leave Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, and revenue cycle management. Key Responsibilities: Accurately code diagnoses and procedures using ICD-10, CPT, and HCPCS coding systems Prepare and submit insurance claims to payers in a timely and compliant manner Follow up on unpaid claims and manage claim denials effectively Investigate and resolve billing discrepancies with insurance providers Maintain comprehensive and confidential patient records Ensure all documentation meets HIPAA compliance standards Support revenue cycle processes to maximize reimbursements Required Qualifications: Minimum 3-5 years of hands-on experience in...

Certified Coder I Senior PsychCare has an immediate opportunity for a Certified Coder I with Mental Healthcare coding experience to support our Billing Team in Houston. Senior Psych Care provides fully integrative behavioral health services to the long-term care patient at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Job Summary The Certified Coder is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurate code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting of Physician Services. Principal Accountabilities Assigns codes for diagnoses, treatments, and procedures according to the...

Job Summary JOB SUMMARY 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...

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas. The HIM Coder/Biller is responsible for the accurate assignment of ICD-10-CM diagnosis codes and resolution of claim edits for outpatient records across the hospital. Reports to: Facility Coding Manager Job Specific Responsibilities Assign accurate diagnosis codes for outpatient, ancillary laboratory, and diagnostic services. Maintain current knowledge of coding guidelines, regulatory requirements, and medical billing processes. Perform coding quality reviews and audits as assigned. Troubleshoot and resolve SVC (Simple Visit Coding) errors while identifying process improvement opportunities to prevent billing delays. Review and resolve claim edits and denials, identifying corrective actions and preventative measures to improve claim accuracy. Collaborate with internal departments to support efficient revenue cycle operations...

Corporate Office - Houston, TX Schedule: Full-Time, 40 hours per week About Gryphon Healthcare Gryphon Healthcare is a Houston-based revenue cycle management company serving healthcare providers nationwide. We pride ourselves on delivering results through accountability, transparency, and a hands‑on approach, what we call “The Gryphon Difference.” Our team is collaborative, driven, and committed to supporting one another while delivering exceptional outcomes for our clients. Job Summary The Certified Medical Coder will be responsible for analyzing medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS, for busy Emergency Room facilities and physician services. Review medical records for completeness, accuracy, and compliance with medical and legal guidelines and in accordance with coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS. Ensure...

Where Compassion Meets Innovation And Technology And Our Employees Are Family Thank you for your interest in joining our team! Please review the job information below. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. Always maintains utmost level of confidentiality. Adheres to hospital policies and procedures. Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. Reviews the medical record and assigns the appropriate ICD and CPT...

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,...

SPECIALTY CODER – REMOTE JOB IN TYLER Summary: *CHRISTUS Health System offers the SpecialtyCoder position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.* Responsible for maintaining current and high-quality ICD-10-CM and CPT coding of all professional services, including inpatient and outpatient Evaluation & Management (E/M), and operative/surgical procedures for multi-specialties. Via assigned work queues, verifies all charges and code assignments are correct. Accurately assigns appropriate modifiers to CPT codes. Communicates regularly with providers regarding coding concerns, missing/incomplete documentation, and coding policy updates. Responsible for assigned coding denial work queues. Requirements: · Minimum requirements: Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED · Minimum 2 years of multi-specialty physician...

Exceed Healthcare is seeking a Certified Professional Coder to review medical documentation and assign accurate diagnostic and procedural codes to ensure compliance and high-quality health data. This role is essential for minimizing claim denials and optimizing revenue recovery. Candidates should hold an Accredited Record Technician’s certification or Certified Coding Specialist designation and have five years of experience in medical coding. Strong skills in ICD-9-CM and CPT coding guidelines are critical. #J-18808-Ljbffr

Job ID#: 39377 Position Overview The ProFee Surgery Coder supports the RW - Onshore department in various functions, including performing accurate professional fee coding, resolving edits and rejections, and ensuring pro-fee coding compliance. This role is critical in enabling onshore revenue cycle operations to optimize pro-fee billing and revenue capture. This role involves coding, auditing, providing expertise, and identifying process improvements. Role Responsibilities In addition to the responsibilities listed below, the ProFee Surgery Coder may be required to perform other duties as assigned by leadership to support efficient business operations. The essential functions of this role are listed below: Code professional fees for surgical services accurately Review denials and rejections related to surgery coding Query providers on documentation for surgery coding Conduct audits on surgery coding accuracy Provide surgery coding education and training Perform other...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Training & development Vision insurance Position Summary We are seeking a detail-oriented and knowledgeable Medical Biller and Coder to join our healthcare clinic team. This role is responsible for accurately coding medical procedures and diagnoses, submitting insurance claims, posting payments, and ensuring timely reimbursement while maintaining compliance with healthcare regulations and clinic policies. The ideal candidate is organized, professional, and committed to supporting quality patient care through accurate billing and coding practices. Essential Duties and Responsibilities Review patient charts, clinical documentation, and physician notes for accurate coding and billing Assign appropriate ICD-10, CPT, and HCPCS codes for services rendered Prepare and submit electronic and paper insurance claims in a timely manner Verify insurance eligibility, benefits, and authorization requirements...

Job Description Job Description Description: Pain Specialists of America Pain Specialists of America (“PSA” or “Company”) is a Texas-based, multisite comprehensive pain management company that includes over 15 locations, three ASCs, and one CLIA-certified laboratory in New Braunfels. PSA is growing rapidly. We require extremely competent, talented professionals who can support the business and help it achieve its strategic objectives. The Billing Specialist (“Specialist”) and all PSA employees must demonstrate an absolute commitment to excellence, respect and delivery of the highest quality patient care. The Billing Specialist must maintain all technical standards to meet continuous quality improvement needs, financial and delivery requirements. The position requires a strong medical business office background who is familiar with E&M, Surgical, ASC, and Anesthesia Coding. The coder must have common medical billing and coding practices. This position also requires...

Citizens Medical Center is a not-for-profit hospital known for compassionate patient care, clinical expertise, and bringing advanced medical services to the South Texas region since 1956. Today, Citizens is a 338-bed acute care hospital with over 1,000 dedicated employees. Citizens offers a generous benefit package that includes retirement plans upon hire, and an excellent medical plan with optional insurance plans to choose from. If you are interested in pursuing a career with an award-winning hospital, welcome home. The Physician Coder I performs evaluation/management coding for clinic, inpatient, and outpatient encounters as well as coding for in-office ancillary services and minor procedures. Assigns and sequences all codes for services rendered. Collaborates with coders, billers, clinical staff, managers, and healthcare professionals to ensure accurate coding assignment and to resolve any coding-related claim denials. JOB DUTIES AND RESPONSIBILITIES Job Specific Assigns...

Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing and administrative teams Regularly update knowledge of coding systems...

Medical Coder Location: Tyler, TX Specialty: Medical Coding Position Type: Travel Contract Length: 8 - 12 weeks Pay: $1325 - $1596 | Shift: 5x8 Days Are you an experienced medical coder with a passion for precision and detail? Do you thrive in a remote work environment where your skills in coding can make a significant impact? If so, we have an exciting opportunity for you to join our healthcare partner as a Specialty Coder focusing on Ortho/Podiatry. This role is perfect for those who are dedicated to maintaining high-quality ICD-10-CM, ICD-10-PCS, and CPT coding standards. As a Specialty Coder, you will play a crucial role in ensuring the accuracy and quality of coding for both inpatient and outpatient diagnoses and procedures. Your expertise will help maintain a consistent coding accuracy rate of 95% or better, contributing to the overall success of the healthcare organization. You will work collaboratively with various departments to ensure complete and accurate...