38 denials coder jobs found

Experienced Multi-Specialty Surgery Coder The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours: Monday - Friday, working 40 hours a week Location: Fully Remote - U.S You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide coding and abstraction of physician or professional records Provide communications to Coordinator, Supervisors and Managers Complete RAI's, denials, charge hold reports, and coding edits Assist on special coding projects as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear...

Coder II Orthopedics Shift: 1st Full/Part Time: Full Time Pay Range: $26.10 $39.15 Location: Remote, WI Hours Per Week: 40 Benefits Eligible: Yes Schedule Details/Additional Information: First shift Remote Coding Experience desired: Orthopedics Our Commitment to You Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including: Compensation Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short-...

Job Description Job Description Description: Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. Researches and analyzes health records to verify clinical...

Join to apply for the Coder II - Podiatry role at Aurora Health Care. Get AI-powered advice on this job and more exclusive features. This range is provided by Aurora Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $26.10/hr - $39.15/hr Major Responsibilities Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software. Adheres to the organization and departmental guidelines, policies and protocols. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement...

Description Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and...

Brookfield 18650 W Corporate Dr Ste. 124 Brookfield, WI 53045, USA Job Title: Endovascular / Cardiology Coder (Remote) Company: GetixHealth Employment Type: Full‑Time (FTE) Pay Range: $28.00 – $29.00 per hour (based on experience) + Quarterly Bonus Eligible Work Environment: Reliable high‑speed internet is required and Candidates must successfully complete an internet speed test prior to hire Position Summary: The Endovascular/Cardiology Coder is responsible for reviewing clinical documentation and assigning accurate ICD‑10‑CM, CPT, HCPCS, and modifier codes for complex endovascular and cardiology procedures. This role requires strong specialty expertise, attention to detail, and adherence to regulatory and client‑specific guidelines. Review electronic health record (EHR) documentation and abstract accurate ICD‑10‑CM, CPT, HCPCS, and modifier codes Determine appropriate code selection and sequencing in compliance with AMA, CMS, and client‑specific guidelines Submit...

Description NOTE: This is not a Remote position General Statement of Duties The Certified Coder is a member of the Billing Team and is responsible for insuring the accuracy and completeness of clinical coding. Also assists with claims submission and follow up, researches claim denials and follows up with insurances and patients. Communicates with patients, insurance companies, and staff to ensure the health center’s billing and collections processes are carried out in accordance with established policies. Overall responsibility is to maximize revenues and cash flow to the organization. Responsibilities and Essential Functions Certified Medical Coder Review codes for all documented professional services provided Applies CPT, ICD, HCPCS and modifiers following coding guidelines New vs Established evaluation and management code selection Missing orders for services that are documented but not coded Age mismatch on wellness CPT codes and ICD codes Other age or gender coding...

It's more than a career, it's a calling WI-Turville Bay Worker Type Regular Job Highlights This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre‑authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements PRIMARY RESPONSIBILITIES Manages assigned charge review and coding‑related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow‑up steps. Identifies all billable services. Reviews all...

Coder II - Anesthesia role at Aurora Health Care Get AI-powered advice on this job and more exclusive features. This range is provided by Aurora Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $26.10/hr - $39.15/hr Major Responsibilities Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software. Adheres to the organization and departmental guidelines, policies and protocols. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes....

Coder II - Pain Management – Aurora Health Care Base pay range $26.10/hr – $39.15/hr Major Responsibilities Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations and an EMR and/or Computer Assisted Coding software. Adheres to the organization and departmental guidelines, policies and protocols. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes. Conducts independent research to promote knowledge of coding guidelines, regulatory policies and trends. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association...

Job Description Job Description Prairie Ridge Health is looking for a team member to join our Medical Records Department in the role of Coding Specialist. This position is a 1.0 FTE (40 hours per week). Candidates must be within an hour drive of the hospital location. Training will take place in person and the position will be remote after the training period but require in-person attendance for meetings, etc. POSITION SUMMARY The Medical Coding Specialist is primarily responsible for assigning diagnosis (ICD-10), CPT procedure codes to hospital and clinic medical records as well as professional charging for ER/UC and Clinic encounters utilizing facility and payer guidelines. This position will also resolve Claim Edits and work with billing to resolve all insurance denials related to coding and charging. This role must have a strong understanding of payer policies, Local Coverage Determinations (LCD), and National Coverage Determinations (NCD) for successful claim...

Job Description Job Description Job Title: Endovascular / Cardiology Coder (Remote) Company: GetixHealth Employment Type: Full-Time (FTE) Pay Range: $28.00 – $29.00 per hour ( based on experience ) + Quarterly Bonus Eligible Work Environment: Reliable high-speed internet is required and Candidates must successfully complete an internet speed test prior to hire ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Position Summary: The Endovascular/Cardiology Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, HCPCS, and modifier codes for complex endovascular and cardiology procedures. This role requires strong specialty expertise, attention to detail, and adherence to regulatory and client-specific guidelines. CIRCC-certified Interventional...

Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II - Profee ED/Multispecialty to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD)...

Medical Coding Supervisor Are you a detail-oriented leader with a passion for accuracy and process improvement? Join our team as a Medical Coding Supervisor, where you'll play a key role in ensuring high-quality coding practices, supporting provider education, and leading a dedicated team that drives the success of our revenue cycle operations. The Medical Coding Supervisor oversees the operations and personnel within the Medical Coding department. Key responsibilities include reviewing provider-assigned codes for accuracy and compliance, auditing insurance claims, and addressing coding-related denials. This role provides coding education to providers, supports documentation standards, and may assist with related research initiatives. The supervisor manages team functions such as hiring, onboarding, training, performance evaluation, and ensuring adequate staffing. Additional duties include developing departmental policies, leading staff meetings, addressing inquiries or...

Job Posting This is a remote position. Job Details: Assign diagnosis and procedure codes to reflect the condition(s) and treatment provided to the patient based on the documentation within the record for both inpatient and outpatient stays. The code assignment is utilized to determine reimbursement for the facility and physician, quality measures, hospital statistics, and medical research. Skills and Experience Required: Knowledge of the contents of the medical record Demonstrates working knowledge of ICD-10-CM, ICD-10 PCS and CPT 4. Passing Score of 80% or higher on the coding test to be considered. Working knowledge of Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) Previous outpatient and/or inpatient coding experience 1 year minimum Must be a member of the AHIMA in good standing

divh2Outpatient Coder/h2pDatavant is a data platform company and the worlds leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Were looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Department: Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details/Additional Information: Schedule Details/Additional Information Pool B Speech Therapy position includes working a minimum of 32 hours per month, this includes working two weekend shifts per month and one holiday a year. The Pool B role will involve providing coverage on the Inpatient Rehab Program and Acute Care based on area of need. Prior completion of CFY preferred. pool premiums apply! Pay Range $38.20 - $57.30 Major Responsibilities: Interprets physician referrals and conducts a speech and language evaluation of patients with various speech, language, voice, cognitive and swallowing disorders. Establishes a written plan of care and implements individual treatment based on evaluation results, functional goals and by utilizing appropriate techniques. Monitors and evaluates outcomes and appropriately adjusts the individualized treatment plan based...

Job Description About the Role: Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives. Requirements and Qualifications: At least 3 years of extensive experience in inpatient medical coding within a hospital setting. Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records. Comprehensive knowledge of the evidence requirements for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Excellent communication skills for effective collaboration with the billing department on coding-related matters. Up-to-date with the latest ICD-10-CM,...

# At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care...

divh2Medical Coder/h2pOur hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve./ppThe Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice./ppEssential Functions Include:/pulliAssigns codes using the International Classification of Disease-10th Revision-Clinical Modification (ICD-10-CM)./liliEnsures codes are accurate and sequenced correctly in accordance with government and insurance regulations./liliMaintains a 95% threshold for coding accuracy./liliReceives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or...

Coder III Cardiology Job ID: R207422 Shift: 1st Full/Part Time: Full Time Pay Range: $28.05 $42.10 Location: Remote, WI Hours Per Week: 40 Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including: Compensation Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses...

Inpatient Coder Specialist Hospital Based Service Line Job ID: R209584 Shift: 1st Full/Part Time: Full Time Pay Range: $28.05 $42.10 Location: Remote, WI 2900 W Oklahoma Ave Milwaukee, WI 53215 Benefits Eligible: Yes Hours Per Week: 40 Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including: Compensation Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and...

divh2Medical Coder/h2pOur hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve./ppThe Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice./ppEssential Functions Include:/pulliAssigns codes using the International Classification of Disease-10th Revision-Clinical Modification (ICD-10-CM)./liliEnsures codes are accurate and sequenced correctly in accordance with government and insurance regulations./liliMaintains a 95% threshold for coding accuracy./liliReceives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or...