181 denials coder jobs found

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...

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 physician documentation clarifications, to ensure accurate billing...

Description 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. Coder will report directly to their Regional Coding Manager, with additional...

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...

Medical Dental Coder Harlingen Annex - Harlingen, TX 78550 Description 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 Communication: Communicates with outside...

Job Location HARLINGEN ANNEX - Harlingen, TX 78550 General Description This position is vital in the health care delivery system in function with the fiscal aspect of the Clinic. The primary responsibility is to adhere to policies and procedures in conducting all clinical charges, processing payments and adjustments for proper billing and collections. The candidate will bill and submit claims to insurance programs through AthenaOne EMR, follow up on claim statuses, resolve claim denials, submit appeals, post payments and adjustments, and manage collections. Excellent customer service, telephone etiquette, computer proficiency, professional appearance, attention to detail, multitasking ability and the capacity to work in a fast‑paced environment are essential. The role functions as a member of a collaborative health‑care team to create and maintain a patient‑centered medical home. Essential Job Functions Communication: Communicates with outside provider offices and insurance...

Medical Dental CoderHarlingen Annex - Harlingen, TX 78550DescriptionThis 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 FunctionsCommunication: Communicates with outside providers...

Clinics Coding Manager – Health Information Management (HIM) Job Location: Hospital - Uvalde, TX 78801 Job Shift: Day Location: Uvalde Memorial Hospital Job Type: Full-Time (In-Person) Make a Difference Every Day At Uvalde Memorial Hospital, accurate health information plays a vital role in delivering quality care and ensuring the integrity of our healthcare operations. We are looking for an experienced Ambulatory Coding Manager who is passionate about leadership, compliance, and supporting the vital work behind the scenes of patient care. In this role, you will lead and support our coding team, ensuring medical records are coded accurately, efficiently, and in compliance with industry standards and regulations. You will work closely with physicians, billing teams, and hospital leadership to maintain coding quality, improve processes, and strengthen revenue cycle performance. This is more than a job — it’s an opportunity to guide a talented team, strengthen healthcare documentation...

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...

DaMar Staffing is seeking a Coder I for RMF Revenue Cycle in Edinburg, TX. The role analyzes patient records, assigns ICD-10-CM, CPT, and APC codes, and conducts audits to ensure billing compliance and accuracy. You will interact with physicians, support denials review, and maintain productivity and confidentiality in a fast-paced hospital setting. A high school diploma is required; RHIT or coding certification is preferred, with English proficiency essential. #J-18808-Ljbffr

Coder I, RMF Revenue Cycle - 21322US:TX:Edinburg | HEALTH INFORMATION MANAGEMENT | Full Time Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time. Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. Under general supervision, analyzes patient medical records to assure that documentation by providers conforms to legal and procedural requirements. Assigns specified codes to medical diagnoses and/or clinical procedures. Interacts with physicians and other providers regarding billing and documentation policies and procedures. Audits medical charts and records for compliance with federal coding regulations and guidelines. Provides a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that...

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...

Overview The Revenue Cycle Medical Billing Specialist is responsible for the overall account resolution of patient accounts within the revenue cycle management (RCM) process. Ensures timely billing of claims to payers and follow up of denials, appeals, recoupments and balance management. Ability to audit and provide feedback on the billing process and outcomes. Works cooperatively with other departments to ensure timely billing, reporting and patient account management. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities Reviews submission of claims by third party billing team to the clearinghouse to ensure accuracy. Processes reimbursements and payment adjustments with attention to detail, timeliness, and accuracy. Makes corrections and prepares appeals related to claim...

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...

US:TX:Edinburg | HEALTH INFORMATION MANAGEMENT | Full Time Posted 3 days ago Description DHR Health - US:TX:Edinburg - Days Summary: MISSION STATEMENT: Our Mission is to improve the well‑being of those we serve with a commitment to excellence: every patient, every encounter, every time. VISION: Our Vision is to create a world‑class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY: Under general supervision, analyzes patient medical records to assure that documentation by providers conforms to legal and procedural requirements. Assigns specified codes to medical diagnoses and/or clinical procedures. Interacts with physicians and other providers regarding billing and documentation policies and procedures. Audits medical charts and records for compliance with federal coding regulations and guidelines. Provides a second...

Join UMC Physicians: Where Employee Satisfaction Soars at 96% UMC Physicians is seeking an experienced full-time Family/Internal Medicine Professional Coder to join our team of multi-specialty coders. Under general supervision, the coder reviews and analyzes provider documentation to ensure final diagnoses and procedures are complete, valid, and accurately documented. The Coder assigns ICD-10-CM, CPT, and HCPCS Level II codes for clinic and hospital professional services, ensuring compliance with federal regulations, payer guidelines, and organizational policies. This role is responsible for accurate coding and timely claim submission to support appropriate reimbursement while maintaining the highest standards of coding quality, compliance, and integrity. The coder collaborates with providers, clinic staff, coworkers, and revenue cycle teams to promote complete documentation, resolve coding and billing issues, and support accurate and timely insurance claim processing. The ideal...

Description Job Title: Charge Entry Specialist Job Summary: The Charge Entry Specialist / Certified Medical Biller & Coder is responsible for accurate charge capture, coding review, and claim preparation to ensure timely and compliant reimbursement. This role requires strong attention to detail and the ability to critically evaluate physician documentation, identify missing or inaccurate charges, and resolve billing discrepancies before claims are submitted. Key Responsibilities: Review physician documentation and accurately assign CPT, ICD-10, HCPCS, and modifier coding. Enter and verify charges for office visits, procedures, injections, diagnostic services, and durable medical equipment. Reconcile charges against schedules, encounters, and operative reports to ensure complete revenue capture. Analyze documentation for missing, inconsistent, or billable services that may impact reimbursement. Research and resolve charge, coding, claim discrepancies and claim...

Description ***Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin*** Job purpose The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as necessary Re-bills rejected claims in timely...

Description JOB SUMMARY 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: Physician Coder I Duties: Assigns codes to diagnoses, hospital visits, office visits, and in-office ancillary services and minor procedures using correct CPT®, HCPCS Level II, and ICD-10-CM codes. (EF) Ensures that assigned codes are accurate and sequenced correctly in accordance with coding guidelines, as well as insurance and government regulations. (EF) Examines patient medical record to ensure coding accurately reflects the documented medical care provided. (EF) Demonstrates...

A psychiatric practice located in San Antonio, TX is currently seeking a Certified Billing & Coding Specialist to join their team full-time! Check out the details below: Title Certified Billing & Coding Specialist Job Type Permanent / Direct Hire Setting Mental Health/Psychiatry Location San Antonio, TX Schedule Full-time, Monday - Friday, 8a - 5p, hybrid Pay Pay based on experience, plus health, dental, vision insurance, PTO, & 401k matching! Job Description The Certified Billing & Coding Specialist duties include but not limited to: Manage the full billing cycle within Valant, including charge entry, claims, payment posting, and patient billing Manage payer relations, credentialing, authorizations, collections, and claim denials Review documentation and ensure accurate behavioral health ICD-10 and CPT coding Research and resolve denied or delayed claims with insurance payers Monitor clinic KPIs and financial reports to identify trends and revenue...

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. 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 small group format to peers Meet...

Job Description Job Description Certified Medical Biller and Coder:  Nephrology and Hypertension Specialists P.A. is seeking for the right individual with a positive attitude to join our growing practice. Qualifying candidate must be able to resolve billing issues, rejections, denials, and appeals. Works with Medicaid and any other governmental or commercial insurance carriers to resolve claim errors and responds to billing questions from internal and external sources. Reviews billing charges and other data for accuracy and potential reimbursement enhancement. Run, review, and summarize reports for billing and reimbursement. Remain up to date on billing guidelines. Works collaboratively with clinical and health information systems staff as well as with Projects & Business Technology staff regarding billing revisions in the electronic billing system. Works as part of a cross-functional team to ensure all services provided are billed in a timely and accurate manner. Handles...

Physician Coder (FT)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 Specific:Physician Coder I Duties:Assigns codes to diagnoses, hospital visits, office visits, and in-office ancillary services and minor procedures using correct CPT®, HCPCS Level II, and ICD-10-CM codes.Ensures that assigned codes are accurate and sequenced correctly in accordance with coding guidelines, as well as insurance and government regulations.Examines patient medical record to ensure coding accurately reflects the documented medical care provided.Demonstrates continued improvement on coding reviews and audits, until 90% accuracy is met and...

DHR Health - US:TX:Edinburg - Days Summary: FLSA STATUS: ☐ Exempt ☒ Non-Exempt MISSION STATEMENT: Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time. VISION: Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY: Under general supervision, analyzes patient medical records to assure that documentation by providers conforms to legal and procedural requirements. Assigns specified codes to medical diagnoses and/or clinical procedures. Interacts with physicians and other providers regarding billing and documentation policies and procedures. Audits medical charts and records for compliance with federal coding regulations and guidelines. Provides a second level review of codes assigned to medical...