144 denials management coder jobs found

Certified Medical Coder Status: Non-Exempt   Department: Coding Reports To: Coding Director Work Location: Remote Position Summary The Certified Coder is responsible for performing accurate and compliant coding of inpatient (IP) and outpatient (OP) medical records to support timely billing and maximize revenue integrity. This role ensures correct diagnostic and procedural coding in accordance with ICD-10-CM, CPT, HCPCS, CMS guidelines, and payer-specific requirements. The Certified Coder works closely with billing teams, clinical staff, and auditors to support clean claim submissions, reduce denials, and promote optimal reimbursement while maintaining the highest standards of coding compliance and data integrity. Key Responsibilities Review, analyze, and accurately assign ICD-10-CM, CPT, and HCPCS codes for inpatient and outpatient encounters, including surgeries, ancillary services, ER, observation, and clinic visits. Validate documentation to...

About Baptist Health. Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as "most preferred" for more than 30 years. We're Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. Baptist Medical Center Jacksonville is currently hiring for a Full-time Inpatient Hospital Coder to join our Appeals & Denials Department at Baptist Metro Square! The Inpatient Hospital Coder Responsibilities include: This role is responsible for correctly identifying and assigning diagnosis and procedure codes using the ICD-10-CM/PCS Classification System to each patient's account for optimization in accordance with State and...

Clinical Coder IIIThe Student Health Care Center (SHCC) at the University of Florida is seeking a Clinical Coder III. Reporting to the Coding and Reimbursement Supervisor, this position serves as a senior member of the SHCC Coding team and is responsible for optimizing billing performance through accurate, compliant, and efficient coding practices. The Clinical Coder III will educate providers on appropriate coding requirements, resolve claim rejections, and apply a thorough knowledge of anatomy, medical terminology, payer coding and billing requirements, and UF College of Medicine and UF Health policies and procedures. This position will also collaborate with the SHCC Quality Officer and Compliance Office on auditing requirements and participate in continuing education to remain current on compliant coding methods that support accurate coding and maximum reimbursement.The key responsibilities of the position include the following:CHARGE ENTRY/REVIEW: Review clinic charges in EMR...

Job Description Job Description   Rheumatology Medical Biller We are an independent physician-owned rheumatology practice, is seeking an experienced Medical Biller to join our team. We are looking for someone who is detail-oriented, organized, accountable, and comfortable working across the full revenue cycle. Rheumatology, infusion, specialty medication, and eClinicalWorks (eCW) experience are strongly preferred. This is a hands-on role requiring someone who can identify problems, research discrepancies, follow issues through resolution, and help ensure that services provided are accurately billed and reimbursed. Key Responsibilities Review and submit professional claims for office visits, procedures, injections, infusions, and medications. Review charges for accuracy, including CPT/HCPCS codes, units, modifiers, diagnosis codes, and payer-specific billing requirements. Ensure infusion/injection medications and administration services are...

Job Description Job Description Location: Lauderdale Lakes, FL 33319 Company: Alina Community Center Pay: $18.00 per hour Schedule: Full-Time (In-Office Only) Remote: Not Available Please Note: This is an in-office position only. Remote or hybrid work is not available. Alina Community Center is seeking a Certified Medical Coder to join our Family Medicine and Mental Health practice. We are looking for a detail-oriented professional with strong coding knowledge, excellent organizational skills, and the ability to work in a fast-paced clinical environment. Responsibilities Accurately assign ICD-10-CM, CPT, and HCPCS codes for Family Medicine and Behavioral Health services. Review provider documentation to ensure coding accuracy and compliance. Identify and resolve coding edits, denials, and documentation deficiencies. Ensure claims are coded in accordance with payer, CMS, and Medicaid guidelines. Collaborate with providers and billing staff to...

About the Job Job Summary: The Certified Professional Coder (CPC) is responsible for accurate review, abstraction, coding, and charge validation of professional and facility services for a large multi-site pain management practice and Ambulatory Surgery Center (ASC). This position ensures all services are coded in compliance with federal and state regulations, payer guidelines, National Correct Coding Initiative (NCCI) edits, and organizational policies. The CPC will review provider documentation to accurately assign CPT®, HCPCS, and ICD-10-CM codes for office visits, interventional pain procedures, ASC procedures, fluoroscopy, ultrasound guidance, and related ancillary services. The coder serves as a resource for physicians, advanced practice providers, clinical staff, and revenue cycle teams regarding documentation and coding requirements. Essential Functions: Reasonable accommodation may be made to enable individuals with disabilities to perform the essential...

Physician Coding RolesThis job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services.Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your...

Position Summary MUST RESIDE IN ONE OF THESE STATES TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, IN, KY, LA, ME, MA, MD, MI, MN, MS, NV, NM, NY, NC, OH, PA, SC, TN, TX, VA, WA and WI. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we...

Certified Medical Coder Status: Non-Exempt Department: Coding Reports To: Coding Director Work Location: Remote Position Summary The Certified Coder is responsible for performing accurate and compliant coding of inpatient (IP) and outpatient (OP) medical records to support timely billing and maximize revenue integrity. This role ensures correct diagnostic and procedural coding in accordance with ICD-10-CM, CPT, HCPCS, CMS guidelines, and payer-specific requirements. The Certified Coder works closely with billing teams, clinical staff, and auditors to support clean claim submissions, reduce denials, and promote optimal reimbursement while maintaining the highest standards of coding compliance and data integrity. Key Responsibilities Review, analyze, and accurately assign ICD-10-CM, CPT, and HCPCS codes for inpatient and outpatient encounters, including surgeries, ancillary services, ER, observation, and clinic visits. Validate documentation to ensure it supports assigned codes and...

About Baptist Health Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as "most preferred" for more than 30 years. We're Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. Baptist Medical Center Jacksonville is currently hiring for a Full-time Inpatient Hospital Coder to join our Appeals & Denials Department at Baptist Metro Square! Responsibilities This role is responsible for correctly identifying and assigning diagnosis and procedure codes using the ICD-10-CM/PCS Classification System to each patient's account for optimization in accordance with State and Federal requirements on Inpatient...

Mount Sinai Medical Center Job OpportunityAs Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.Culture of Caring: The Sinai WayOur hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital...

Job Title: Medical Coding and Billing Specialist Job Location: On-site in Wellington, Florida Job Purpose: We are a medical practice management consulting firm with a mission to helppractices and provider networks achieve sustainable financial and operational success.The Billing and Coding Specialist is responsible for the accurate coding, billing, claims processing, payment posting, and accounts receivable follow-up for medical services. This role ensures compliance with payer requirements, coding regulations, and company policies while maximizing reimbursement through timely claim submission, denial resolution, and effective communication with patients, providers, and insurance carriers. Key Responsibilities: Accurately review, code, and process medical claims using ICD-10-CM, CPT, and HCPCS coding standards. Ensure claims are submitted timely, accurately, and in accordance with payer guidelines and standard billing cycles. Review claims for completeness, including patient...

About Baptist HealthRecognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.Baptist Medical Center Jacksonville is currently hiring for a Full-time Inpatient Hospital Coder to join our Appeals & Denials Department at Baptist Metro Square!The Inpatient Hospital Coder Responsibilities include:This role is responsible for correctly identifying and assigning diagnosis and procedure codes using the ICD-10-CM/PCS Classification System to each patient's account for optimization in accordance with State and Federal...

Physician Coding Roles This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your...

Joining AdventHealthJoining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.Benefits and PerksAll the benefits and perks you need for you and your family:Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability InsurancePaid Time Off from Day One403-B Retirement Plan4 Weeks 100% Paid Parental LeaveCareer DevelopmentWhole Person Well-being ResourcesMental Health Resources and SupportPet BenefitsJob DescriptionConduct pre-bill high-risk audits across inpatient and/or outpatient encounters targeting complex, high-acuity, and high...

Newport News, Virginia Hiring Range$27.30 - $37.58/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. FOR APPLICATION REVIEW - PROVIDE YOUR AHIMA ID or CREDENTIAL NUMBER ON YOUR APPLICATION OR RESUME This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Overview The Inpatient Coder II is responsible for analyzing 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. Works in collaboration with the Clinical Documentation Improvement (CDI) team to ensure accurate Diagnosis Related Group (DRG) assignment and works closely with management to resolve problems and meet deadlines....

Job Summary: The Business Office Certified Coder reviews coding and documentation for all services provided by the practice through chart auditing as well as AR denials and provides ongoing education to providers regarding coding and documentation while exercising discretion and independent judgment. Essential Duties: Audits physician and non-physician provider documentation for compliance with carrier and billing regulations. Tracks and maintains records of all audits, results of conducted audits, and education. Develops a pass/fail system and re-audit procedure based on audit results. Participates and assists actively with external audits. Creates trainings for physicians and staff based on current coding standards and regulations. Reviews and corrects AR Denials for coding issues Provides monthly statistics on audits conducted, trainings provided, and re-trainings for providers failing an audit Requests and reviews confidential employee and physician information as per...

Date Posted: 2026-10-22 Country: United States of America Location: Florida - Remote WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance. A LITTLE BIT ABOUT FCS Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are...

Position Objective The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments. Utilizes critical thinking to analyze and evaluate...

Location Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Hospital-based Inpatient Coder offers the opportunity for a remote environment. Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities Attends educational meetings and seminars to maintain certification and continuing education requirements. Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Meet and...

Radiation Oncology Coder We are seeking an experienced Radiation Oncology Coder with a minimum of 2 years of radiation oncology coding experience to support coding, charge entry, charge review, and denial management activities. The ideal candidate will have expertise in radiation oncology treatment coding, including CyberKnife and TrueBeam services, and experience working within recurring billing environments. This role requires a strong understanding of radiation oncology workflows, compliance requirements, and revenue cycle processes to ensure accurate coding and reimbursement. Cerner and Varian experience are highly preferred. Schedule is M-F with start times flexible post initial training. Initial training will be 8-4pm EST. Key Responsibilities Review radiation oncology documentation and assign accurate CPT, HCPCS, and ICD-10-CM codes. Perform charge entry and validate charges for completeness and accuracy. Review accounts to ensure proper coding and billing prior...