19 edits denials coder jobs found

Shift: Full time - 40 hours/week. Monday – Friday, Flexible Shift Work Arrangement: Remote Department: Coding & Data Management – Outpatient Coding Compensation: Base Pay Range: $22.00 - $34.74 per hour, based on experience ABOUT THE JOB MU Health Care is looking for a detail-oriented Medical Coding Specialist to join our team. As a crucial member of our healthcare family, the ideal candidate will possess a passion for precision and a commitment to maintaining the highest standards in medical coding. We value individuals who demonstrate a deep understanding of technical coding principles, coupled with a strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT codes. Our ideal candidate advances their coding expertise through continuous education, ensuring accurate and compliant coding practices. We seek someone who thrives in a fast-paced environment, excels in problem-solving, and actively contributes to audits, troubleshooting, and training initiatives. If you're ready to make a...

Hiring Department University Physicians Job Description #upjobs This is a dual posting with job ID 59697. The final title will depend on the qualifications of the final candidate. 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 Medicare...

Hiring Department University Physicians Job Description #upjobs This is a dual posting with job ID 59698. The final title will depend on the qualifications of the final candidate. 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 Medicare...

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...

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....

Saint Luke's Health System - 901 E 104 St - Responsibilities: Billing and collections for physician enterprise AR; Charge review edits and coding support; Account follow-up and reconciliation; Resolve payer issues and denials; Identify billing trends and report insights

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...

Hiring Department University Physicians Job Description #upjobs This is a dual posting with job ID 59698. The final title willdepend on the qualifications of the final candidate. Review complex clinical documentation and diagnostic results timelyto accurately assign codes for diagnoses (ICD-10-CM), procedures(CPT), and applicable modifiers for services provided to assuremaximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identifypotential problems with the coding and reimbursement process suchas edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departmentsin order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff inthe standards of medical record documentation and coding of medicalrecords. Assist in the presentation of training sessions for faculty,residents and staff to inform them of changes made to Medicarebilling, federal laws...

Exceptional care starts with exceptional people. For us, this is more than a job- it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way. This job is responsible for reviewing and accurately coding either most professional services, including evaluation and management, and Procedures or hospital outpatient surgeries/procedures and observation patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made...

Exceptional care starts with exceptional people. For us, this is more than a job- it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way. This job is responsible for reviewing and accurately coding either most professional services, including evaluation and management, and Procedures or hospital outpatient surgeries/procedures and observation patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be...

DISCOVER IES Integrative Emergency Services (“IES”) LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit. POSITION SUMMARY Integrative Emergency Services, LLC (“IES”) is seeking a certified Medical Coding Specialist with emphasis on surgical services. The Medical Coding Specialist responsible for accurate...

Inpatient Coder IIThe 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 of 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 conferences and/or in-services and maintains appropriate records of participation.Completes complex coding assignments for reimbursement research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding...

DISCOVER IES Integrative Emergency Services (“IES”) LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit. POSITION SUMMARY Integrative Emergency Services, LLC (“IES”) is seeking a certified Medical Coding Specialist with emphasis on surgical services. The Medical Coding Specialist responsible for accurate...

Job Description Saint Luke’s in Kansas City is seeking a Patient Accounts Representative and Certified Coder to join our team. You will perform a variety of functions related to managing accounts, coding, and charge reviews. Shift Details Monday- Friday Flexible Hours Perform billing and collections to manage accounts receivable for the SLHS Physician Enterprise Central Billing Office (CBO) Focus on charge review edits and provide coding support to the Physician Enterprise CBO Charge review Account follow-up and reconciliation Resolving issues with payers Identifying and reporting trends in billing or collections This position requires a Certified Processional Coder certification Why Saint Luke’s? We believe in creating a collaborative environment, while looking for innovative ways to improve. Benefits Medical health plans Tuition reimbursement Leave of Absence, PTO, Extended Sick Leave, and various Welfare plans Retirement contributions...

DISCOVER IES Integrative Emergency Services (“IES”) LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit. POSITION SUMMARY Integrative Emergency Services, LLC (“IES”) is seeking a certified Medical Coding Specialist with emphasis on surgical services. The Medical Coding Specialist responsible for accurate...

GENERAL DESCRIPTION This position will primarily handle insurance claim submissions, payment posting, and researching claim rejects/denials. This position must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines. ESSENTIAL JOB FUNCTIONS Submits claims to government and commercial payers according to timely filing requirements. Posts payments and remittance advices in appropriate database(s). Tracks and collects aging accounts receivables. Research claim denials & clearinghouse edits. Completes requests for medical information and other related correspondence. Identifies and analyzes open claims and corrects billing errors. Re-submits claims to insurance carriers as appropriate. Monitors all past due accounts for payment. Contributes to a cohesive departmental unit. Maintains regular and predictable attendance. REQUIRED SKILLS High School Diploma...

Position Purpose: Perform clinical/coding medical claim review to ensure compliance with coding practices through a comprehensive review and analysis of medical claims, medical records, claims history, state regulations, contractual obligations, corporate policies and procedures and guidelines established by the American Medical Association and the Centers for Medicare and Medicaid Services. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion Review medical records to ensure billing is consistent with medical record for appeals, adjustments and...

Job Description: Orthopedic Surgery & ASC Coder / Revenue Cycle Specialist Position Title: Orthopedic Surgery & ASC Coder / Revenue Cycle Specialist Department: Revenue Cycle Management Reports To: Revenue Cycle Director / Billing Manager Position Summary The Orthopedic Surgery & ASC Coder / Revenue Cycle Specialist is responsible for accurate coding and charge capture for orthopedic surgical procedures performed in both the physician practice and Ambulatory Surgery Center (ASC) settings. This role will support the Revenue Cycle team through claim follow-up, denial management, payment review, reimbursement analysis, and special projects aimed at improving revenue integrity and operational efficiency. The ideal candidate is highly detail-oriented, knowledgeable in orthopedic and ASC coding regulations, and comfortable collaborating across billing, collections, and administrative teams. Essential Duties and Responsibilities Coding Responsibilities Review operative...

Job Description Saint Luke's in Kansas City is seeking a Patient Acc ount s Representative and Certified Coder to join our team. You will perform a variety of functions related to managing accounts, coding, and charge reviews. Shift Details Monday- Friday Flexible Hours Perform billing and collections to manage accounts receivable for the SLHS Physician Enterprise Central Billing Office (CBO) Focus on charge review edits and provide coding support to the Physician Enterprise CBO Charge review Account follow-up and reconciliation Resolving issues with payers Identifying and reporting trends in billing or collections This position requires a Certified Processional Coder certification Why Saint Luke's? We believe in creating a collaborative environment, while looking for innovative ways to improve. We offer competitive salaries and benefits packages to all eligible employees: Medical health plans Tuition reimbursement Leave of Absence, PTO, Extended Sick Leave, and various Welfare...