56 denials management coder jobs found

CommonSpirit Health seeks an Outpatient Coder Lead to code and abstract outpatient records for data retrieval, reimbursement, and research while guiding coding staff and ensuring complete charge capture. You will oversee the Coding Service Center operations, including personnel management, training, productivity, and quality reviews, and assist with audits, denials, and CHA submissions to improve data integrity and financial goals. #J-18808-Ljbffr

Job Summary and Responsibilities As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff. Every day you will direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews. You will assist with coding education, audits, denials, claim edits, and CHA data submissions, promoting standardization and managing DNB and coding compliance to achieve financial goals and improve the accuracy and integrity of patient data. To be successful in this role, you will possess expert-level outpatient coding proficiency, strong leadership and management skills, a deep understanding of coding regulations and reimbursement methodologies, and the ability to drive accuracy, quality, and standardization across coding operations, while...

Outpatient Coder Lead 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. As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff. Every day you will direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews. You will assist with coding education, audits, denials, claim edits, and CHA data submissions,...

Coder II Professional Fee 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. As our Coder II, you will apply your senior-level expertise to meticulously code both inpatient and outpatient professional fee services across multiple specialties, ensuring accuracy and compliance. Every day you will review documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes. You will expertly resolve edits in work queues (charge review, claim edit, follow up), analyze denials for corrected claims or appeals, and collaborate with clinic supervisors, providers, and the...

Outpatient Coder LeadInspired 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.As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff.Every day you will direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews. You will assist with coding education, audits, denials, claim edits, and CHA data submissions, promoting...

Coder II Professional FeeInspired 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.As our Coder II, you will apply your senior-level expertise to meticulously code both inpatient and outpatient professional fee services across multiple specialties, ensuring accuracy and compliance.Every day you will review documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes. You will expertly resolve edits in work queues (charge review, claim edit, follow up), analyze denials for corrected claims or appeals, and collaborate with clinic supervisors, providers, and the Revenue...

Certified Professional Coder OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! This is a full-time position, and after the training period, the role may be remote for candidates who reside in Colorado, must be able to complete training onsite in Highlands Ranch, CO prior to working remotely. Come join a great group of medical professionals as our network continues to grow!OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. About the Role The Certified Professional Coder (CPC) plays a critical role in the healthcare industry by accurately translating medical diagnoses, procedures, and services into standardized codes used for billing and record-keeping. This position ensures that healthcare providers receive proper reimbursement from insurance companies and government programs...

Coder II Professional FeeInspired 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 $24.03 - $36.59 /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 ResponsibilitiesYou have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Coder II Professional FeeThis is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address coding issues and concerns.Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:- Alabama- Arizona- Arkansas- Colorado- Florida- Georgia- Idaho- Indiana- Iowa- Kansas - Kentucky- Louisiana- Missouri- Mississippi- Nebraska- New Mexico-...

Lakeshore Talent is in search of a Code Review Specialist – Medical Coding Methodology & Litigation SupportGreenwood Village, CO (Denver Tech Center)Schedule:Monday–Friday, with Wednesdays remote and the remaining days in the officeLakeshore Talent is in search of a detail-oriented Medical Coding Review Organize medical records and billing documentation into a clear, logical structure that supports efficient and thorough review. Compare captured billing information against medical records to validate CPT and HCPCS procedure codes and modifiers, making corrections when supported by the documentation. Evaluate procedures across applicable billing components, including professional services, facility charges, anesthesia, and other related services. Apply established coding review methodologies consistently and document the rationale behind decisions to ensure transparency and reproducibility. Manage multiple cases and review assignments while meeting established deadlines and...

Lakeshore Talent is in search of a Code Review Specialist – Medical Coding Methodology & Litigation Support Location: Greenwood Village, CO (Denver Tech Center) Position Type: Direct Hire Salary: $75,000–$85,000 annually Schedule: Monday–Friday, with Wednesdays remote and the remaining days in the office Start Time: 7:00 AM or 8:00 AM Position Overview Lakeshore Talent is in search of a detail-oriented Code Review Specialist to join a growing team specializing in medical coding methodology, billing review, and litigation support. This role is ideal for an experienced medical coding professional who enjoys analytical work, takes pride in accuracy, and is interested in improving processes rather than simply following established procedures. In this position, you will review medical records and billing documentation, validate CPT and HCPCS procedure codes and modifiers, and ensure that coding decisions are accurate, consistent, and well-documented. Your work will...

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health. Position Responsibilities: Supportsthe weekly, monthly, and quarterly maintenance and quality assurance checks of standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare...

Medical Coding SpecialistCharlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United StatesAbout Judi HealthJudi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care.Location: Hybrid...

OnPoint Medical Group is searching for an outstanding Medical Assistant to join our team at South Denver OBGYN in Castle Rock! Come join a great group of medical professionals as our network continues to grow!OnPoint Medical Group is a physician-led network, with a unique, progressive model of Physician Leadership in each of our family, internal medicine, pain management and pediatric practices. OnPoint Medical Group is committed to expanding access to high-quality healthcare in our surrounding communities, in the most effective and affordable manner possible.About the Role:The Medical Assistant Supervisor in the OBGYN department plays a critical leadership role in ensuring the smooth and efficient operation of clinical support services. This position is responsible for overseeing the daily activities of medical assistants, ensuring high standards of patient care and compliance with clinical protocols. The supervisor acts as a key liaison between medical staff and administrative...

Medical Coding Specialist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. Location:...

Hospital Surgery Observation Coder 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. As our Hospital Surgery/Observation Coder, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, bringing your unique talents to our supportive team. Every day you will meticulously code and enter diagnostic and procedure codes into a designated system using the 3M encoder, navigate the EMR efficiently, and ensure all coding meets quality and productivity standards across all facilities. To be successful in this role, you will possess...

ED Coder Mountain Region Support, Centennial, Colorado, Remote 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 $26.18 - $43.20 /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 our ED Coder, you will serve in an intermediate coding role dedicated to the accurate...

Job Description Job Description About Power Health Colorado Power Health Colorado is a growing, multidisciplinary healthcare organization specializing in physical medicine and rehabilitation, interventional pain management, physical therapy, chiropractic care, behavioral health, and the treatment of patients involved in workers' compensation and personal injury cases. With multiple locations throughout the Denver metro area, we are committed to delivering exceptional patient care while maintaining high standards of operational excellence, accountability, and financial performance. We are seeking an experienced, detail-oriented, and highly motivated Medical Biller to join our revenue cycle management team. This is not an entry-level position. We are looking for someone who understands medical billing beyond simply submitting claims. The ideal candidate knows how to investigate unpaid claims, resolve complex billing issues, identify reimbursement opportunities, and take...

OnPoint Medical Group is searching for an outstanding Medical Assistant Supervisor to join our team at Columbine Family Practice! Come join a great group of medical professionals as our network continues to grow!OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible.Our "Circle of Care" has one primary goal - to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.SUMMARYThe back office Medical Assistant Supervisor is required to perform all duties of the Medical Assistant and functions as the direct manager to the Medical Assistant staff. Also, the supervisor...

OnPoint Medical Group is searching for an outstanding Medical Assistant Supervisor to join our team at Columbine Family Practice! Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal - to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands. SUMMARY The back office Medical Assistant Supervisor is required to perform all duties of the Medical Assistant and functions as the direct manager to the Medical Assistant staff. Also, the...

OnPoint Medical Group is searching for an outstanding Medical Assistant Supervisor to join our team at Columbine Family Practice! Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal - to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands. SUMMARY The back office Medical Assistant Supervisor is required to perform all duties of the Medical Assistant and functions as the direct manager to the Medical Assistant staff. Also, the...

About Power Health Colorado Power Health Colorado is a growing, multidisciplinary healthcare organization specializing in physical medicine and rehabilitation, interventional pain management, physical therapy, chiropractic care, behavioral health, and the treatment of patients involved in workers' compensation and personal injury cases. With multiple locations throughout the Denver metro area, we are committed to delivering exceptional patient care while maintaining high standards of operational excellence, accountability, and financial performance. We are seeking an experienced, detail-oriented, and highly motivated Medical Biller to join our revenue cycle management team. This is not an entry-level position. We are looking for someone who understands medical billing beyond simply submitting claims. The ideal candidate knows how to investigate unpaid claims, resolve complex billing issues, identify reimbursement opportunities, and take ownership of accounts through...

Lakeshore Talent is in search of a Code Review Specialist – Medical Coding Methodology & Litigation Support Greenwood Village, CO (Denver Tech Center) Schedule: Monday–Friday, with Wednesdays remote and the remaining days in the office Lakeshore Talent is in search of a detail-oriented Code Review Specialist to join a growing team specializing in medical coding methodology, billing review, and litigation support. This role is ideal for an experienced medical coding professional who enjoys analytical work, takes pride in accuracy, and is interested in improving processes rather than simply following established procedures. In this position, you will review medical records and billing documentation, validate CPT and HCPCS procedure codes and modifiers, and ensure that coding decisions are accurate, consistent, and well-documented. Your work will support the development of transparent, defensible medical damage valuations used in litigation-related cases. Beyond day-to-day code...