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...

A company is looking for a Denials and Appeals Coder. Key Responsibilities Review carrier denials and submit corrections based on medical records and coding policies Maintain accuracy and production standards for timely processing of invoices Collaborate with departments to resolve coding rejections and claim processing issues Required Qualifications High school diploma or equivalent; college coursework in a healthcare-related field preferred Extensive knowledge of medical terminology and physician billing Proficiency in ICD-10 coding and CPT procedural coding Minimum two years of medical coding experience CPC, RHIT, or CCS-P certification preferred

A healthcare data collaboration platform is seeking an experienced outpatient coder to join their team. This fully remote role requires attention to detail and knowledge of medical terminology. Responsibilities include assigning accurate codes for diagnoses, ensuring high coding accuracy, and maintaining professional certification. Candidates should have 3+ years of coding experience and proficiency with Microsoft applications. Join a team committed to transformative healthcare change while enjoying a flexible schedule and comprehensive benefits. #J-18808-Ljbffr

A healthcare organization is seeking a Medical Insurance Billing Specialist. This fully remote position requires strong attention to detail and expertise in cardiology billing. The role involves managing claims, analyzing denials, and ensuring compliance with healthcare billing standards. Candidates must reside in Washington State and have at least 1 year of healthcare experience and experience in processing health insurance claims. The organization offers a supportive team culture and provides a competitive compensation package with various benefits. #J-18808-Ljbffr

A company is looking for a Surgical Profee Medical Coder specializing in Plastics & Dermatology. Key Responsibilities Review and reconcile charge capture documents for accuracy and completeness Process denials and ensure coding reflects documentation accurately Conduct coding reviews and provide education to providers on coding trends Required Qualifications High School Diploma/GED or higher Professional coder certification from AHIMA and/or AAPC 3+ years of experience in Professional Services Surgery Coding (Plastics & Dermatology) 3+ years of experience with CPT, HCPCS, and ICD-10 codes 3+ years of experience with coding rules, compliance, and reimbursement issues

A company is looking for a Coding Services Specialist. Key Responsibilities Analyze medical records to assign codes from patient records according to ICD-10-CM and/or CPT, HCPCS classification systems Review patient encounters for accurate code assignment and check for CCI bundling edits and NCD/LCD edits Enter codes into the client's coding program for billing and resolve claim and billing edits or denials Required Qualifications 3-5 years of Diagnostic Radiology Coding experience Certification such as RCC, CPC, or CCS-P or equivalent Moderate knowledge of level 1 & 2 modifiers and CCI edits Ability to maintain a production rate of 90% or higher and audit scores of 95% or better Must be a US resident in specified states

A company is looking for a Surgical Profee Medical Coder specializing in Plastics & Dermatology. Key Responsibilities Review and reconcile charge capture documents for accuracy and completeness Process denials and ensure coding reflects documentation accurately Conduct coding reviews and provide education to providers on coding trends Required Qualifications High School Diploma/GED or higher Professional coder certification from AHIMA and/or AAPC 3+ years of experience in Professional Services Surgery Coding (Plastics & Dermatology) 3+ years of experience with CPT, HCPCS, and ICD-10 codes 3+ years of experience with coding rules, compliance, and reimbursement issues

Job Summary and Responsibilities As a Coding Auditor, you will be a central figure ensuring accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing our revenue cycle and maintaining financial integrity. Every day, you will meticulously research and review coding-related claim denials, providing expert guidance on corrections to prevent future issues and recover lost revenue. You will also proactively address pre-billing resolution of coding defects, safeguarding against reimbursement impacts. To be successful in this role, you will combine a robust understanding of medical coding and reimbursement methodologies, exceptional analytical skills, and meticulous attention to detail. You will demonstrate a proactive problem-solving approach, driven by a commitment to maximizing financial accuracy and efficiency. Job Requirements Required High school diploma or equivalent...

CLOSING DATE: Open Until filled with Bi-weekly reviews POSITION: Medical Billing Specialist (3 positions) SALARY: $21.82 to $23.85, per hour DOE LOCATION: Nespelem Health Center, 6 month training in Nespelem,WA, with possibility of working in other districts upon completion of training. Basic Functions: This is a Non-Exempt position. Performs clerical standard and procedures of the Medical Billing Office through direct contact with eligible programs using computer-aided data entry screens. Minimum Qualifications: Education and Training: Typically requires an AA Degree Requires 12 months billing and coding experience with Anatomy and Pathophysiology training Requires a Certified Professional Coder (CPC) certificate from the American Academy of Professional Coders or Certified Coding Specialist (CCS) certificate from the American Health Information Management Association or ability to obtain within 90 days of hire and maintain certification throughout employment. May...

\"A New Approach to an Age-Old Need\" - Pathway Geriatrics is a nurse practitioner-owned medical startup headquartered in Redmond, WA, currently serving Greater Seattle. We provide in-home primary care services for homebound older adults. Said differently, we bring our medical services to our clients, who often can't leave their homes to get the specialized care they need. The Basics We are looking for an experienced (5+ years) Medical Billing Specialist to join our team. You can expect to work from home 2 days a week and from our office in Redmond, WA, the rest of the time. Typical business hours are 9:00 AM to 5:00 PM, Monday - Friday. Compensation The position will pay $60,000 - $75,000 annually, depending on your skills and experience. We may also offer additional discretionary bonus opportunities based on personal and company performance. The Job Details Your Day-to-day Responsibilities Will Include Managing Medical claims (submission, denials, rejections & appeals)...

CLOSING DATE: Open Until Filled, with Bi-Weekly reviews POSITION: Certified Professional Coder SALARY: $24.60-$29.96, per hour REPORTS TO: Patient Financial Services Supervisor LOCATION: Revenue Cycle Program, Nespelem, WA Basic Functions: Non-Exempt. Responsible for the accurate preparation and submission of claims to third party payers. Responsible for the accurate and timely performance of medical billing functions. Communicates with clients and Providers regarding insurance questions partnering with them to ensure accurate insurance information is received. Reviews and revise denials for resubmission to recoup claims. Complete daily reports for insurance verification, claims submission, insurance billing and research. MINIMUM QUALIFICATIONS: Education and Training: The position typically requires an Associate's degree AND Certificate from Medical Billing and Coding course of one year or longer (Transcript Required with Application) with...

Job Description:This salary range may be inclusive of several career levels at Valley MedicalCenter and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity.JOB DESCRIPTION The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions.Position descriptions are reviewed and revised to meet the changing needs of the organization.TITLE:Coder / Abstractor II Hospital Coding JOB Overview:Responsible for coding and abstracting based on documentation and following strict coding guidelines within established productivity standards for all accounts assigned.Responsible for following up on all accounts unable to code due to missing/incomplete documentation or charges.Responsible for attending meetings and inservices to enhance...

Headquarters 600 Orondo Wenatchee, WA 98801, USA Job Summary The Coder’s primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies Review clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. Effectively utilizes coding software and/or books to confirm coding accuracy. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. Receives and reviews paper...

Columbia Valley Community Health (CVCH) is a Federally Qualified Health Center providing comprehensive medical, dental, behavioral health, midwifery, pharmacy, WIC, and outreach services to residents of Chelan and Douglas counties and nearby areas, regardless of their ability to pay. Serving over 35,000 patients annually across nine locations, CVCH is deeply committed to delivering high-quality, integrated, and barrier-free care. Our mission is to partner with our community to achieve optimal health and wellness with compassion and respect for all. CVCH fosters an inclusive and supportive environment for both patients and employees, with a workforce engagement rate exceeding 92% of healthcare organizations nationwide, according to a 2018 survey. Role Description The Coder’s primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and...

Are you passionate about investing in yourself and others? Do you believe that a team can change the world? If so, you might belong with us. We’re looking for an experienced Billing Specialist with a strong background in payment posting, charge submission, and insurance A/R. We’re looking for someone who is naturally curious, takes initiative to dig into the root causes of billing issues, and approaches their work with the bigger picture in mind and is focused on driving outcomes, not just completing tasks. In this role, you’ll put your eye for detail, love for process, and commitment to client success into action by working directly with internal teams and client staff to support accurate, timely, and optimized revenue cycles. If you’re excited about the opportunity to make a meaningful difference, check out the details below and fill out our short application. Tell us a little about you, and we can set up a time to connect. WHAT YOU’LL DO: Perform detailed tracking and...

A healthcare organization is seeking a Medical Insurance Billing Specialist to manage cardiology billing operations. This fully remote position requires candidates to reside in Washington State and includes responsibilities like claims management, denial resolution, and compliance with billing standards. Applicants should have at least 1 year of healthcare experience and familiarity with CMS-1500 claim forms. Join a dedicated team focused on delivering high-quality healthcare services while maintaining financial accuracy and efficiency. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

A company is looking for a Hospital Outpatient Specialty Coder. Key Responsibilities Perform charge entry by reviewing data from practice sites and investigating incomplete charges Abstract clinical information and translate medical documentation into accurate diagnoses and procedural codes Maintain knowledge of coding regulations and assist with billing functions, including claim submission and denial resolution Required Qualifications High School Diploma or GED required; Associate Degree preferred Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required Three to five years of experience in emergency room coding, infusion coding, or specialty clinic procedure coding preferred Knowledge of medical terminology required Proficient with Microsoft Office

## Education Verification Coder (Temporary, Multiple openings)**Job Description**Cultivate Learning at the College of Education fosters the quality that makes access to learning meaningful. Backed by the University of Washington, our research-powered innovations and hands-on partnership create a fertile environment for smarter teaching and learning. We advance opportunities by lowering barriers to entering the profession and guiding educators to success. And we identify the building blocks of quality along with the path to use them – in Washington State and across the country. Every child deserves to flourish from a foundation of quality learning. This core belief drives our work to provide talented learning professionals with the support they need to build that foundation. At Cultivate Learning, we translate insight into learning opportunities. Cultivate Learning is funded by the Washington State Department of Children, Youth and Families (DCYF) and provides training and...

Description Coder - PACE/ElderPlace Candidate must reside in either CA, OR or WA. Schedule: Remote position working Mon-Fri Day shift Job Description: The HCC Coder Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding. This impacts revenue and CMS compliance with the coordination of technically detailed coding applications that impacts operations, programmatic and information systems, as well as contracted providers. The Coder Analyst will have a comprehensive understanding of ICD-9, ICD-10 and other types of coding for PACE programs (both Portland & Seattle), contracted facilities, and providers. Providence PACE is a Program of All-Inclusive Care for the Elderly that strives to keep older adults as healthy as possible living in the community through clinics, home visits and more. Join our team to help empower elders in your community to live active, independent lives. Required Qualifications:...

Job Description Job Description Location: Washington State Employment Type: Part-Time Reports To: COO Position Summary The Medical Billing and Coding Specialist is responsible for accurately coding medical services, submitting insurance claims, and ensuring timely reimbursement in compliance with federal regulations, Washington State laws, and payer-specific guidelines. This role plays a critical part in maintaining revenue cycle integrity while supporting compliance with HIPAA and Washington healthcare regulations. Key ResponsibilitiesMedical Coding • Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes to diagnoses, procedures, and services. • Review clinical documentation to ensure coding accuracy and completeness. • Ensure compliance with CMS guidelines, Washington State Medicaid (Apple Health) requirements, and commercial payer policies. • Identify documentation deficiencies and communicate with providers for clarification. Medical Billing • Prepare and...

**Patient Financial Services Coder**Description Moses Lake Community Health Center is looking for a Patient Financial Services Coder to join our PFS team! As a coder, you would be responsible for reviewing, coding, and posting clinical and hospital charges. As well as providing follow-up support to the department to ensure claims and patient accounts are processed and managed effectively.**Responsibilities*** Prepares and enters clinical charges.* Prints daily batch and enter into PFS month-end spreadsheet.* Processes self-pay account activity.* Responds effectively to patients with account and statement questions via phone or in-person.* Documents correspondence or account actions in the appropriate location of Centricity.* Attends the group provider training session and assists in training providers.Requirements * Position requires basic organizational skills, typically to organize own work.* Job duties require the ability to work independently and as part of a team.* Ability...

Job Description UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODER . Experience in a Level 1 Trauma center or teaching facility is preferred. WORK SCHEDULE 100% FTE, Days Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Implements the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the...

Job Description Job Description Apply Here: https://secure.onehcm.com/ta/PNR.jobs?ShowJob=436373376 & TrackId=ZipRecruiter A busy retina group is seeking a highly motivated individual to join our billing team as a full-cycle Ambulatory Surgery Center Biller. Primary responsibilities include (but not limited to): ·        Verify and/or code surgery based on surgical operative report; ·        Bill out surgery charges for the professional fees; ·        Bill out surgery charges for the facility fees; ·        Submit electronic claims and scrub claim rejections; ·        Manual insurance payment posting; ·        Electronic insurance payment posting; ·        Work insurance accounts receivables with an ability to work claim denials and writing claim appeals; ·        Work patient accounts receivables; ·        Send patients statements and follow collection protocol; ·        Post and reconcile patient payments and set up payment plans; ·        Scan and file...