49 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...

Medical Coder & Biller Integrative medicine with purpose, compassion, and impact. Location: Salish Cancer Center | Fife, WA | On-Site Status: Full-Time | 1.0 FTE | 40 Hrs/Wk Hiring Range: $28.00 - $34.66 per hour At Salish Cancer Center, every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We're looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations. What You'll Do: In this role, you'll take ownership of coding and billing processes that directly impact patient care and organizational success. You will: Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapy Review provider documentation to ensure completeness, accuracy, and compliance Prepare and submit clean...

Coding Auditor Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The posted compensation range of $30.49 - $46.03/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. 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...

Job Description Job Description Description: Integrative Medicine with Purpose, Compassion, and Impact. Location: Salish Cancer Center | Fife, WA | On-Site Status: Full-Time | 1.0 FTE | 40 Hrs/Wk Hiring Range: $28.00 - $34.66 per hour Position Close Date: May 7, 2026 At Salish Cancer Center , every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We’re looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations. What You’ll Do: In this role, you’ll take ownership of coding and billing processes that directly impact patient care and organizational success. You will: Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapy Review provider...

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. As a remote employee, we will provide you with the equipment needed to work from home,...

Medical Billing Specialist II Full-Time, On-Site Hiring Range: $24.94 – $30.55 per hour Benefits at a Glance Comprehensive Coverage: Health, Dental & Vision Generous PTO: Up to 19 days + 2 mental health days + 10 holidays (pro-rated for part-time) Fully Paid YMCA Membership for you and eligible family members Company-Paid Life & Disability Insurance Student Loan Assistance & Professional Development 403(b) Retirement Plan with Company Contributions Employee Assistance Program (EAP) Pet Insurance Free Wellness App (2MorrowHealth) Collaborative, Supportive Team Environment Under the direction of the Manager of the Billing Team, the Medical Billing Specialist II performs advanced behavioral health billing and accounts receivable functions involving moderate to high-complexity and high-dollar claims. This role is responsible for managing denials, collections, payment variances, and Special Accounts, ensuring accurate billing practices and timely reimbursement...

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

Billing/Certified Coder The Billing/Certified Coder at Aesthetic Surgery Centre, PLLC plays a critical role in ensuring accurate and efficient medical billing and coding processes that directly impact the financial health of the practice. This position involves meticulously reviewing patient records and surgical documentation to assign appropriate medical codes for procedures and diagnoses in compliance with regulatory standards. The role requires collaboration with clinical staff to clarify documentation and resolve coding discrepancies, thereby optimizing reimbursement and minimizing claim denials. The successful candidate will manage billing submissions, follow up on unpaid claims, and maintain up-to-date knowledge of coding guidelines and payer policies. Ultimately, this position supports the center's mission by facilitating smooth revenue cycle operations and contributing to high-quality patient care through precise administrative practices. Minimum Qualifications:...

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...

CTHCA Medical Billing Specialist Hot Job Reservation Wide - WA Overview Salary Range $23.08 - $28.12 Hourly Description Closing Date: Open Until Filled with Bi-weekly Reviews Position: CTHCA Medical Billing Specialist (2 Positions) Salary: $23.08 to $28.12 per hour DOE Reports To: Revenue Cycle Supervisor 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. Qualifications Minimum Qualifications: Education and Training: Requires a High School Diploma or GED Requires 12 Months Billing and Coding Experience with Anatomy and Pathophysiology Training Willing to Obtain a Certified Professional Coder (CPC) Certificate or Certified Professional Biller (CPB)...

POSITION SUMMARY: The Medical Accounts Receivable Billing Specialist, reporting directly to the Revenue Cycle Manager, is responsible for managing and resolving insurance and patient accounts receivable, and ensuring accurate and timely billing, reimbursement, and collections. This role supports WACBD's financial health by monitoring outstanding balances, communicating with patients and payers, and maintaining meticulous documentation in accordance with organizational policies and healthcare regulations. This position requires strong analytical skills, attention to detail, and a commitment to delivering exceptional service to patients with chronic and complex medical needs. KEY RESPONSIBILITIES: Review and monitor accounts receivable aging reports to identify outstanding balances and prioritize follow-up activities. Work complex denials (coding, medical necessity, eligibility, prior auth, duplicate, bundling, coordination of benefits) and submit appeals to secure...

At Proliance Surgeons our patients come from all walks of life - and so do we. We hire and support people from diverse backgrounds, fostering growth and development to make Proliance a great place to work. Our unique experiences and perspectives help us deliver Exceptional Outcomes, Personally Delivered . We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details regarding Benefits and Washington State Minimum Wage details please visit our careers page at www.proliancesurgeons.com/careers. Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity. Be Part of Who We Are! Position Summary We are seeking a detail-oriented and analytical Revenue Cycle Coding Denial Specialist (Remote) to join our team. This role plays a key part in identifying denial trends, supporting...

Billing Specialist Opportunity 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:...

Description Coding Specialist is a nationally certified professional coder who educates and supports Providers, Division Directors/Managers and clinical staff by providing ongoing coding training to ensure adherence to agency regulations. Coders conduct random chart audits and provide direct feedback to providers, investigate and answer provider coding questions, review data/reports and give additional feedback, routinely visit Providence Medical Groups clinics and attend clinical meetings, and stay current with annual updates to CPT, ICD‑10 and HCPCS codes. Required Qualifications Certification from American Academy of Professional Coders (upon hire) Certification from American Health Information Management Association (upon hire) 2 years experience in medical insurance reimbursement, medical billing and coding related to charge review and work RVUs. Experience reviewing patient account information, insurance explanation of benefits, computer screens, and financial records....

Humana Inc. is hiring a remote Medical Coding Coordinator to conduct coding on adjudicated claims and educate providers on coding disputes. The role involves extracting clinical information from medical records and utilizing coding expertise to ensure compliance within Medicare and Medicaid guidelines. Ideal candidates will possess a minimum of three years of experience, a coding certification, and excellent problem-solving skills. This position provides competitive benefits including medical, dental, vision, and paid time off. #J-18808-Ljbffr

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...

Compliance Auditor Pay Range: $47.69 - $67.19 Ensure SEARHC meets federal and state regulations and internal policies in regard to healthcare coding, documentation, and billing practices. Review health records to verify coding and clinical documentation meets applicable coding and billing requirements, Medicare/Medicaid regulations, federal and state laws, and SEARHC policy. SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it's a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more. Key Essential Functions and Accountabilities of the Job Conduct Audits:...

Inpatient Medical Coder Company Overview Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG is bidding on a federal contract for several coding positions. You would be a W-2 employee with HPMG, not a government employee. Summary Responsible for assigning accurate ICD codes for diagnoses and procedures. The Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software for inpatient stays. Inpatient coders may also assign accurate ICD diagnoses, CPT and HCPCS codes, modifiers, and quantities from medical record documentation for professional services (rounds or IBWA encounters). They train and educate military staff on coding issues and play a significant role in coding compliance activities. Mandatory Knowledge and Skills Excellent computer and communication skills for provider and staff interactions. Knowledge of anatomy/physiology, disease processes, medical terminology,...

Him Coder - Remote Work Option! Job Category: Health Information Management Full-Time Hourly Range: $23 USD to $35.83 USD Hospital Clarkston, WA 99403, USA Description Job Summary: Codes, enters charges and abstracts records for clinic and hospital encounters. Responsible for tracking missing reports and charges for clinic encounters and hospital procedures and rounding. Assists in updating codes in the EHR. Assists in coding education for providers and staff. Provides coding coverage for other clinics and providers, as needed. Provides telephone coverage, as needed. Education and Training: High school diploma or GED required. Courses in typing, medical terminology, anatomy and physiology preferred. Licensures/Certifications: Credentialed through AHIMA or AAPC, preferred on hire. Required or within 1 year of hire. Experience: Previous medical coding experience preferred. Skills and Abilities: Ability to accurately code diseases and procedures using standard classification systems...

Description Coding Specialist is a nationally certified professional coder who educates and support Providers, Division Directors/Managers and clinical staff by providing ongoing coding training to ensure adherence to agency regulations. Coders will conduct random chart audits and provide direct feedback to providers. Coders will be responsible for investigating and answering provider coding questions. Coders will review various data/reports and provide additional feedback. Coders will routinely visit Providence Medical Groups (PMG) clinics and attend clinical meetings. Coders will stay current with annual updates to CPT and ICD-10 and HCPCS codes. Providence caregivers are not simply valued – they’re invaluable. Join our team at Physician Management Group in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them....

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...

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...

Coder Health Information Management Announcement #340821 What we offer: Work from home flexibility balanced with regular on-site attendance. Outstanding benefits package is ranked in the top 1% of the state and includes low insurance premiums (medical, dental, prescription, and vision) for individuals and families. As well as Short Term Disability & Life/AD&D Insurance, Retirement plan, and Employee Assistance Program. Hands-on training. Opportunities for advancement. Schedule : 40 hours/week; Day Shift; Hybrid Position Summary: Jefferson Healthcare is looking for an experienced Coder to join our HIM team. As a healthcare coder, you are responsible for the analysis and interpretation of the medical record in its entirety to ensure an accurate, complete, and consistent selection of diagnoses and procedures to ensure the production of quality healthcare data and accurate facility payment. The ideal candidate will have a strong grasp of...

Description The Coding Specialist is a functional member of Central Business Services at SMG. The Specialist is an entry-level coding professional who is responsible for the timely, accurate, and comprehensive review of provider claims to optimize reimbursement and ensurecompliance with all regulatory statutes. This position also works with the department to identify trends and educational opportunities for providers to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. Providence caregivers are not simply valued – they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: National Certified Inpatient Coder upon hire or, National Certified...