599 edits denials coder jobs found

Senior Ambulatory Medical Coder Edits Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Senior Ambulatory Medical Coder Edits Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Senior Ambulatory Medical Coder Edits Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Requisition number: 2380676 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using...

Senior Ambulatory Medical Coder EditsOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.As a Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and procedures...

Edit & Denials Coder Required Skills & Experience- 5+ years of Edit & Denials coding Active AAPC or AHIMA credential Ability to independently resolve denials. Strong payer knowledge Knowledge of ICD-10 and CPT Coding Must be comfortable working with AR teams to resolve issues. Must be able to pass a coding assessment. Must be proficient in Microsoft Office, including Outlook, Excel, and Teams. Ability to multi-task and have excellent communication skills Job Description We are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies. Key Responsibilities: Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host...

Edit & Denials CoderRequired Skills & Experience- 5+ years of Edit & Denials codingActive AAPC or AHIMA credentialAbility to independently resolve denials.Strong payer knowledgeKnowledge of ICD-10 and CPT CodingMust be comfortable working with AR teams to resolve issues.Must be able to pass a coding assessment.Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.Ability to multi-task and have excellent communication skills.Job DescriptionWe are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies.Key Responsibilities:Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing...

Job Description We are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies. Key Responsibilities: • Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims. • Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals. • Researches payer policies...

To support independent healthcare providers, the full-time Remote Edits and Denials Coder will review medical records for appropriate billing codes, perform advanced coding and appeal activities, and investigate payer issues while ensuring timely filing of appeals to insurance companies. Key responsibilities Review documentation to identify facts for appealing claims denied by third-party payers and create substantiating letters Collaborate with facility liaisons to resolve coding issues and develop appeals based on clinical documentation feedback Research payer policies and review remittance advice for accuracy and rejections related to billing edits Required qualifications CCS, AHIMA, CCS-P, CPC, AAPC, CPC-A, or AAPC credentials Three or more years of coding experience Proficiency in ICD-10 and CPT coding Experience working in a remote environment Ability to maintain a 95% quality accuracy rate and productivity standards

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst. The role involves remote work correcting MS-DRG/APR DRG coding, and handling denials with 3-day rule considerations. Responsibilities include querying documentation, ensuring accurate inpatient coding, and collaborating with Coding Operations Manager. Must have AHIMA/AAPC certifications and 2+ years inpatient coding experience. #J-18808-Ljbffr

Optum is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst. This remote role supports inpatient coding, edits, and denial management across U.S. operations, with emphasis on MS-DRG/APR DRG, ICD-10-PCS, and documentation accuracy. You will query physicians to improve documentation quality and collaborate with the Coding Operations team to ensure compliant coding and billing outcomes. #J-18808-Ljbffr

Requisition number: 2374557 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts....

Job Title Duties and Responsibilities: Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims. Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals. Researches payer policies and processes. Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment. Works assigned work queues and tasks and reviews remittance advice for rejections and accuracy of payment amounts...

UnitedHealth Group is seeking a Senior Medical Coder to perform concurrent review of FFS coding rules, ensuring CPT and E/M codes are accurately billed to maximize reimbursement and minimize denials. This remote nationwide role requires coding certification (AAPC or AHIMA) and 3+ years of Pro-Fee coding experience across multiple specialties. You will support charge review, claim edits, denials and mentor others while contributing to revenue cycle integrity. #J-18808-Ljbffr