36 denials management coder jobs found

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Come join us a Coder I, Professional at SSM Health! You will play a crucial role in ensuring accurate and timely coding of medical records. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of our organization. ? Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. * Candidates to reside in MO, IL, OK, or WI (additional states my be considered) Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures....

Hiring Department University Physicians Job Description #upjobs This position is a dual post linked to Job ID 59698 - MCS-C and the department will be hiring for two positions. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to...

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. Join a forward-thinking team where your expertise drives quality patient care! We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Enjoy flexible remote / hybrid options, continuous career development, and competitive compensation in a supportive environment. General Description Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Applies advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement, wRVU integrity, and audit...

Inpatient Coder II Remote opportunity available in the following states: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed, and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic knowledge, clinical disease processes, and treatments. This position completes analysis and follow-up record reviews. Responsibilities: Codes complex diseases, procedures, and diagnoses using the ICD-10-CM/PCS classification systems in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines, and organizational compliance standards. Assumes responsibility for professional development by participating in workshops,...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Experience : 2+ years of professional coding experience is required. Come join us as a remote Coder II Professional at SSM Health! You will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. ? Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. * Candidates to reside in MO, IL, OK, or WI (additional states my be considered) Job Summary: Primarily focuses on...

City/State: Saint Louis, Missouri Categories: Health Information Management Job Status: Full-Time Req ID : 114979 Pay Range: $18.25 – $29.26 / hour (Salary or hourly rate is based on job qualifications and relevant work experience) Additional Information About the Role BJC is hiring for a Pro Fee Coder 1. E/M coding experience is highly preferred but not required. At least one of the following certifications is required for this position: CCA, CPC, CPC-A, CCS-P, RHIA,RHIT, or CCS This is a remote position. Eligible states: Alabama Arkansas Florida Georgia Illinois Indiana Iowa Kentucky Louisiana Mississippi Missouri North Carolina Ohio Oklahoma South Carolina Tennessee Texas Wisconsin Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With...

Opportunities At Change HealthcareOpportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together.Job Description: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 -...

Medical Coding Specialist (Remote to STL area) *Pay Rate:* $28.00/hour *Primarily Remote Opportunity with ability to be in St. Louis, MO once per month. * *Monday-Friday | Flexible Start Time Between 6:00 AM and 9:00 AM* *6-Month Contract Opportunity* Put Your Coding Expertise to Work We are seeking an experienced *Medical Coding Specialist* to join a dynamic healthcare revenue cycle team. This role is ideal for a certified coding professional with experience in medical appeals, accounts receivable, coding review, and reimbursement analysis. The successful candidate will play a critical role in resolving denied claims, researching payer policies, reviewing clinical documentation, and ensuring accurate coding and reimbursement. If you have strong analytical skills, a passion for problem-solving, and experience working in Epic, we'd love to connect with you. What You'll Do Denials & Appeals Management * Review and appeal denied claims from commercial and government payers...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Hiring Department University Physicians Job Description This position is a dual post linked to Job ID 59698 - MCS-C and the department will be hiring for two positions. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records to identify potential problems with coding and reimbursement, such as edits, denials, and appeal letters. Act as liaison between third-party payers and assigned departments to coordinate all aspects of professional coding. Provide assistance to faculty, residents, and department staff in standards of medical record documentation and coding. Assist in the presentation of training sessions for faculty, residents, and staff to inform them of changes made to Medicare billing, federal laws and regulations, and other specific standards...

Overview This job reviews and accurately codes and abstracts the most complex hospital services, inpatient procedures, overnight/multi-night stay services, and all other complex medical services. The role utilizes appropriate coding guidelines to assign ICD and CPT codes, conforms to applicable Medicare, Medicaid, and other third-party payer guidelines to ensure accurate reimbursement, and collaborates with the Clinical Documentation Improvement team to ensure accurate DRG assignment. The coder works closely with management to resolve problems and meet deadlines. Education Required – High School diploma or equivalent. Preferred – Completion of an American Health Information Management Association (AHIMA) accredited coding program with certification. Work Experience Required – 3 years coding experience. Certifications Required – Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA), or Registered Health Information...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Coder WFH Job Summary And Qualifications The Coder WFH with Physician Services reviews and codes designated office/hospital notes for one or multiple practices and resolves complex coding scenarios. The Coder WFH provides feedback and documentation advice to the physician non physician practitioner, and practice management and works with AR to resolve coding related denials. While this role is Work from Home, candidates must be in the Kansans or Missouri area to round with the practices and meet as needed. Duties Include but Not Limited to: Receives and reviews charge documents from the clinic and/or hospital. Ensures charge information provided is correct and accurate. Abstracts CPT-4, HCPCS II and...

Coder Reimbursement Specialist - Hospital Full‑time position. The Coding and Reimbursement Specialist (CCS) is responsible for coding and abstracting clinical data from the medical record, including inpatient, outpatient, commercial, Medicare, Medicaid, Illinois Public Aid, and all other payor types. Accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis and DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. The CCS manages workload, assigns work to three inpatient and two outpatient coders, and oversees day‑to‑day operations of the coding/reimbursement area. The CCS monitors regulatory sources to keep HIM coding and other staff informed and trained on coding rules, regulations and related issues, works closely with patient financial services to resolve claim denials, assists in...

Job DescriptionJob DescriptionDescription :HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES :FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WVReady for a change? Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT?APPY NOW!Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!!NEW HIRE ORIENTATIONS START SEPT 10TH AND 24TH!The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies.The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims.Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction.Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner.Demonstrate a high level of expertise in the management of denied...

Fully Remote Lake Park Building Full time R180277 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Job DetailsProfession: Non-Clinical - Health and Information Management Pay: $1,635.00 to $1,827.00 Weekly Assignment Length: 26 Weeks Schedule: 5x8-Hour 08:00 - 17:00 Openings: 1 Start Date: 08/24/2026 Experience: 1 Year Facility Info: Log in to view details Charting System: EpicWant a job close to home? We've got you! We'll work with you to build the career of your dreams.

Job DetailsProfession: Non-Clinical - Health and Information Management Pay: $1,540.00 to $1,732.00 Weekly Assignment Length: 26 Weeks Schedule: 5x8-Hour 08:00 - 17:00 Openings: 1 Start Date: 08/10/2026 Experience: 1 Year Facility Info: Log in to view details Charting System: EpicWant a job close to home? We've got you! We'll work with you to build the career of your dreams.

City/State: Saint Louis, Missouri Categories: Health Information Management Job Status: Full-Time Req ID : 113373 Pay Range: $20.17 - $33.51 / hour (Salary or hourly rate is based on job qualifications and relevant work experience) Additional Information About the Role BJC is hiring for an Inpatient I Coder position. This is an entry level role. Must have one of the following certifications - CCS or CCA or RHIA or RHIT Remote eligible states: Alabama Kentucky Oklahoma Arkansas Louisiana South Carolina Florida Mississippi Tennessee Georgia Louisiana Texas Indiana North Carolina Wisconsin Iowa Ohio Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients...

*Description* The ideal candidate for this role will have experience in Healthcare Accounts Receivable (AR) and collections, as well as proficiency in Epic. This individual will be responsible for performing advanced coding and appeals activities, investigating payer issues, ensuring the timely filing of appeals to insurance companies, and managing charge corrections. The successful candidate will demonstrate strong analytical skills, attention to detail, and the ability to resolve complex reimbursement issues effectively. REQUIRED: Certification as a Certified Procedural Coder (CPC) required or RHIT/RHIA certification. * Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. * Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation...

About the job Senior Coder Position: Senior CoderCompany: M & D Mechanical ContractorsLocation: Kansas City, MO, USAContract Details: Full-timeM & D Mechanical Contractors is seeking a highly skilled and experienced Senior Coder to join our team in Kansas City, MO. As a leading mechanical contracting company, we specialize in providing top-quality services to our clients in the commercial, industrial, and institutional sectors. We are looking for a talented individual who is passionate about coding and has a strong background in programming languages and software development.As a Senior Coder, you will be responsible for developing, maintaining, and troubleshooting software applications and systems. You will work closely with our team of developers, designers, and project managers to ensure that our projects are completed on time and to the highest quality standards. Your role will also involve mentoring and guiding junior coders, reviewing code, and implementing best...

Job Details Profession: Non-Clinical - Health and Information Management Pay: $1,540.00 to $1,732.00 Weekly Assignment Length: 26 Weeks Schedule: 5x8-Hour 08:00 - 17:00 Openings: 1 Start Date: 08/10/2026 Experience: 1 Year Facility Info: Log in to view details Charting System: Epic Want a job close to home? We've got you! We'll work with you to build the career of your dreams.

Job Details Profession: Non-Clinical - Health and Information Management Pay: $1,635.00 to $1,827.00 Weekly Assignment Length: 26 Weeks Schedule: 5x8-Hour 08:00 - 17:00 Openings: 1 Start Date: 08/24/2026 Experience: 1 Year Facility Info: Log in to view details Charting System: Epic Want a job close to home? We've got you! We'll work with you to build the career of your dreams.