23 edits denials coder jobs found

Job Description Job Description Medical Biller & Coder Full-Time | Direct Hire | $24–$27/hour DOE + Overtime Opportunity | Onsite Our client is experiencing significant growth, expanding from approximately 18 locations to more than 60 offices across 18 states. We are seeking experienced, energetic Medical Billers & Coders to join their growing Revenue Cycle team. This is an excellent opportunity for someone with experience across medical billing, coding and insurance follow-up who enjoys working in a fast-paced physician practice environment. The ideal candidate takes ownership of their work, knows how to research difficult claims and denials, and is comfortable working across the revenue cycle to ensure claims are coded, billed and resolved accurately. Key Responsibilities Review medical documentation and accurately assign appropriate CPT, ICD-10-CM codes and applicable modifiers Review claims for accuracy, completeness and appropriate coding...

Medical Coding Specialist – OrthopedicsLocation: Atlanta, GA 30327 | Full-Time | In-PersonJoin Our Team at Ortho Sport & Spine PhysiciansOrtho Sport & Spine Physicians is seeking an experienced, highly detail-oriented Medical Coding Specialist to join our growing team.This position is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, ensuring coding compliance, and supporting accurate and timely claims submission and reimbursement.The ideal candidate will have strong outpatient E/M and orthopedic coding experience, a thorough understanding of current CPT, ICD-10-CM, and HCPCS guidelines, and the ability to independently review documentation and determine the appropriate level of service.What You'll DoMedical CodingReview provider documentation, medical records, operative reports, and clinical notes to accurately assign ICD-10-CM, CPT, and HCPCS codes.Assign diagnosis codes based on documented clinical conditions, medical...

Medical Coding Specialist – Orthopedics Location: Atlanta, GA 30327 | Full-Time | In-Person Join Our Team at Ortho Sport & Spine Physicians Ortho Sport & Spine Physicians is seeking an experienced, highly detail-oriented Medical Coding Specialist to join our growing team. This position is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, ensuring coding compliance, and supporting accurate and timely claims submission and reimbursement. The ideal candidate will have strong outpatient E/M and orthopedic coding experience, a thorough understanding of current CPT, ICD-10-CM, and HCPCS guidelines, and the ability to independently review documentation and determine the appropriate level of service. What You'll Do Medical Coding Review provider documentation, medical records, operative reports, and clinical notes to accurately assign ICD-10-CM, CPT, and HCPCS codes. Assign diagnosis codes based on documented clinical...

Grady Health System Coding Position Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary The Coder II is responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem-solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. Responsible...

Coder III The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to emergency visits and diagnostic workups. The Multispecialty Coder must possess a strong surgical specialty background in some of the following specialties: Neurosurgery, Trauma, Ortho, Plastic Surgery, etc. Codes complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within. Highly complex surgeries may require research and reference checking to ensure accuracy of...

Description Medical Coding Specialist - Orthopedics Location: Atlanta, GA 30327 | Full-Time | In-Person Join Our Team at Ortho Sport & Spine Physicians Ortho Sport & Spine Physicians is seeking an experienced, highly detail-oriented Medical Coding Specialist to join our growing team. This position is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, ensuring coding compliance, and supporting accurate and timely claims submission and reimbursement. The ideal candidate will have strong outpatient E/M and orthopedic coding experience, a thorough understanding of current CPT, ICD-10-CM, and HCPCS guidelines, and the ability to independently review documentation and determine the appropriate level of service. What You'll Do Medical Coding • Review provider documentation, medical records, operative reports, and clinical notes to accurately assign ICD-10-CM, CPT, and HCPCS codes. • Assign diagnosis codes based...

Job Description Job Title: Revenue Cycle Coder/Biller Department: Ambulatory Surgery Center (ASC) CBO Reports To: ASC Revenue Cycle Manager FLSA Status: Non-Exempt Approval Date: September 8, 2026 Summary The Revenue Cycle Coder/Biller supports the coding, billing, reimbursement, and compliance functions of the Ambulatory Surgery Center (ASC) revenue cycle. This role reviews operative reports, assigns accurate diagnosis and procedure codes, captures technical and implant charges, submits clean claims, and supports claim correction and resolution. As ASC coding transitions in-house, this position will help establish standardized coding processes, workflows, and quality controls while collaborating with physicians, Revenue Cycle, payers, and internal departments. The role will also support the evaluation and implementation of AI-assisted coding, charge capture, and denial management technologies while maintaining professional accountability for coding...

Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: Emory Healthcare in Atlanta seeks a Front End Coder to review physician documentation and perform CPT, HCPCS and ICD-10-CM coding for highly complex procedures, with focus on advanced surgical cases. This role supports revenue integrity through charge...

Medical Coder - Edit and Charge Review FocusHourly Compensation: $21.00 - $25.00 per hour (based on experience) + Bonus Plan Eligibility FLSA Classification: Nonexempt, Full-Time, Benefit Eligible Location: Remote. East Coast and SC Upstate area candidates strongly preferred.The Opportunity: The Certified Medical Coder is responsible for reviewing clinician-entered charge suggestions, resolving coding edits, validating charge accuracy, and managing coding queues within obstetric and GYN services. This role supports accurate charge capture by reviewing suggested CPT, HCPCS, and ICD-10 coding and making coding corrections when documentation review identifies discrepancies or opportunities for improvement. This role is primarily focused on coding validation and edit resolution rather than routine chart abstraction or full medical record coding. OBHG is a great place to work, offering remote work opportunities, a monthly bonus program, health and 401(k) benefits, generous paid time off...

Emory Healthcare seeks a skilled Front End Coder to review physician documentation and perform CPT/HCPCS & ICD-10-CM coding for advanced procedures. The role emphasizes charge capture, TES edits, denial prevention, and collaboration on special projects to maximize revenue across departments. Requires 3+ years in outpatient coding with AAPC/AHIMA credentials and strong anatomy knowledge. #J-18808-Ljbffr

Lead Medical Coder and Auditor ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian Seeks a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military...

Medical Coder and Abstractor ProSidian Consulting is looking for a Medical Coder and Abstractor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations and the spectrum of conflict, in support of combatant commanders". The Regional Health Command's Readiness Mission includes dental care of active duty Soldiers, public health services, veterinary services, and providing management and support to wounded, ill and injured Soldiers assigned to its seven warrior transition units. The ProSidian Engagement Team Members work to provide health...

ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. Job Description ProSidian Seeks a Medical Coder and Abstractor (Full-Time) in...

Medical Coder and AbstractorProSidian Consulting is looking for a Medical Coder and Abstractor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations and the spectrum of conflict, in support of combatant commanders". The Regional Health Command's Readiness Mission includes dental care of active duty Soldiers, public health services, veterinary services, and providing management and support to wounded, ill and injured Soldiers assigned to its seven warrior transition units.The ProSidian Engagement Team Members work to provide health coding...

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description RESPONSIBILITIES: The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement...

Job Title Hospital Outpatient Coder Level II Job Description Responsibilities: The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in billing, research, internal and external reporting, and regulatory compliance. Follows-up on CCI edits, claim rejections, and other issues impacting facilitation of billing and reimbursement process. Ensures accuracy of APCs and appropriate extraction of core data into HIM abstracting system to data warehouse repository. Minimum Qualifications: High School diploma or equivalent. Two years acute care outpatient coding with outpatient diagnostic and ED coding. CIRCC...

Emory HealthcareBe inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:Comprehensive health benefits that start day 1Student Loan Repayment Assistance & Reimbursement ProgramsFamily-focused benefitsWellness incentivesOngoing mentorship, development, leadership programsAnd moreJob DescriptionThis position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. FRONT END CODER: The primary focus of this position will be Advanced Surgical and Interventional Procedures. This position is accountable for the performance of charge capture, including TES edit maintenance and resolution, denial prevention, and go to contact for special projects in order to optimize the revenue potential for the...

Coder III Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary The Coder III is responsible for reviewing for physician services and interpreting physician documentation, CPT and diagnosis coding, coding claim edit, and coding denial management utilizing ICD-10-CM and CPT-4/HCPCS coding systems. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc....

Description • Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. • Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool. • Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture. • Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements. • Review accounts for appropriate assignment of procedural services and injections/infusions when applicable. • Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs. • Maintain compliance with Medicare, Medicaid, commercial payer, and...

Position Summary:Under the direction of the Coding Compliance Manager, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for charge processing. This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement, as well as ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to each patient. Essential Duties:-Possess analytical skills. -Possess critical thinking and problem-solving skills. -Solid understanding of the health care revenue cycle. -Strong communication skills with the ability to communicate information accurately and clearly. -Provide excellent customer service. -The ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams. -Detail oriented. -Strong work ethic, honest, and dependable. -Collaborative...

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description RESPONSIBILITIES: TheHospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff....

Benefits At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Be inspired. Be valued. Belong. At Emory Healthcare Description RESPONSIBILITIES: The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance...

Medical Coder II Department of Defense (DoD) Defense Health Agency (DHA) Specifically supporting the DHA Medical Coding Program Branch (DHA-MCPB) Place of Performance:Remote / Off-site performance Period of Performance:One (1) year base period, with the possibility of one (1) additional option year. Schedule:Coding services may be performed Monday“Friday, excluding federal holidays Requirements:Coding contract personnel in this position are required to possess a minimum of four (4) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of two (2) years of medical coding or auditing experience if that experience was in Military Treatment Facility (MTF). A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying. Professional AND facility coding certification, such as: CCS (AHIMA) CPC COC (AAPC) CCS-P CCS...