15 edits denials coder jobs found

Inpatient CoderPosition SummaryFusionHCR is seeking an experienced Inpatient Coderresponsible for the expert coding of inpatient medical records to support accurate reimbursement, clinical data integrity, research, utilization review, and regulatory reporting.The Inpatient Coder will review and code complex inpatient medical records, identify coding opportunities, recommend improvements, monitor coding trends, and escalate discrepancies as appropriate. This position requires strong knowledge of inpatient coding guidelines, reimbursement methodologies, and acute-care hospital coding practices.Education & ExperienceHigh school diploma or equivalent.Minimum of3 years of inpatient coding experience in an acute-care hospital setting.Required CertificationCandidates must possess at least one of the following:Certified Coding Specialist (CCS)Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)Key Knowledge & ExpertiseICD-10-CM/PCS, CPT,...

Inpatient Coder FusionHCR is seeking an experienced Inpatient Coder responsible for the expert coding of inpatient medical records to support accurate reimbursement, clinical data integrity, research, utilization review, and regulatory reporting. The Inpatient Coder will review and code complex inpatient medical records, identify coding opportunities, recommend improvements, monitor coding trends, and escalate discrepancies as appropriate. This position requires strong knowledge of inpatient coding guidelines, reimbursement methodologies, and acute-care hospital coding practices. Education & Experience High school diploma or equivalent. Minimum of 3 years of inpatient coding experience in an acute-care hospital setting. Required Certification Certified Coding Specialist (CCS) Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Key Knowledge & Expertise ICD-10-CM/PCS, CPT, HCPCS, and ICD-9-CM code...

Salary: $28.24 - $43.78 Hourly Location : 1800 West Charleston Blvd, Las Vegas, NV Job Type: Full Time Job Number: 26-IPQ3 Department: HEALTH INFO MGMT - 8700 Opening Date: 08/18/2026 Closing Date: Continuous Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE **This Position is based in Las Vegas, Nevada** **Selected candidate must live in Clark County, NV or be willing to relocate before hire** As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Level I Trauma Center, Verified Burn Center, and Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and...

Salary: $24.15 - $37.43 Hourly Location : 1800 West Charleston Blvd, Las Vegas, NV Job Type: Full Time Job Number: 26-OPCQ3 Department: HEALTH INFO MGMT - 8700 Opening Date: 08/18/2026 Closing Date: Continuous Position Summary EMPLOYER-PAID PENSION PLAN ( NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE **This Position is based in Las Vegas, Nevada** **Selected candidate must live in Clark County, NV or be willing to relocate before hire** As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Level I Trauma Center, Verified Burn Center, and Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and...

Your future role at a glance Location: Remote Department: Revenue Cycle Management Schedule: Full-time | Day Shift Salary: $24.87/hr - $33.64/hr How you'll make an impact in this role Abstract & Code Records: Abstract relevant medical information and assign accurate ICD, CPT, and HCPCS codes to establish DRG or APC assignments, including handling complex cases. Query & Collaborate: Query physicians to clarify ambiguous, incomplete, or unclear record documentation, and provide appropriate education to physicians and associates. Audit & Comply: Conduct internal coding and physician documentation audits while maintaining strict adherence to AHIMA's Standards of Ethical Coding and official guidelines. Perform & Stay Current: Maintain required productivity and quality standards while continually keeping up-to-date with evolving coding, compliance, and reimbursement rules. What minimum qualifications you'll need Licensure / Certification / Registration: One or...

Remote Coding SpecialistThis position is open to remote candidates who reside in one of the following states only: Nevada, Texas, Arizona, Utah, Florida, Idaho, Oregon, or Washington. Due to business operations, tax registration, and employment compliance requirements, we are only able to hire individuals who currently live and work in these states. Applicants must maintain residency in one of the approved states as a condition of employment.Position PurposeTo be responsible for accurately assigning diagnostic and procedural coding for all encounters associated with Renown Health Network and Ambulatory Services. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. Assignment of ICD-10-CM and CPT codes must be consistent with CMS' Official Guidelines and any regulatory agency guidelines.Nature and ScopeIncumbents must be proficient with CPT and ICD-10-CM coding systems and...

We are looking for an Outpatient Coder for a full-time permanent role in Las Vegas, NV. Successful candidates must legally be authorized work in the U.S., must reside in Clark County, NV, able to work onsite M-F and able to go W2 PAY RATE: $24.15 – $37.43 per hour. BENEFITS: Employer Paid Pension Plan through Nevada Public Employees’ Retirement System “PERS”!https://www.nvpers.org/front Vestingin the pension plan after 5 years of qualifying employment! Health/Dental/Vision Insurance – Less than $20 per paycheck for employee-only coverage Consolidated Annual Leave (CAL) – CAL is used for personal leave, holidays (twelve scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc. Extended Illness Bank (a/k/a Sick Bank) 457 Deferred Compensation Plan No Social Security (FICA) Deduction RESPONSIBILITIES: Responsible for researching codes and abstracting medical information to determine that accurate,...

Job Description Job Description My Next Career Path Staffing - With over 20 years’ experience in Technology Staffing, MNCP Staffing matches candidates to the culture of an organization as well as required skill sets Position Summary: Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for UMC. Identifies and reports coding opportunities and recommendation for improvement. Monitors and reports trend and escalates discrepancies to management. Job Requirement Education/Experience: Equivalent to graduation from high school and two (2) years of outpatient (physician’s office, ambulatory surgery centers, emergency department, or multidisciplinary medical practice/group coding experience. Formal education in a related field may be substituted for experience on a year-to-year basis. Licensing/Certification Requirements: To include one or a combination of the...

Position Summary Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for UMC. Identifies and reports coding opportunities and recommendation for improvement. Monitors and reports trend and escalates discrepancies to management. Job Requirement Education/Experience: Equivalent to graduation from high school and two (2) years of outpatient (physician's office, ambulatory surgery centers, emergency department, or multidisciplinary medical practice/group coding experience. Licensing/Certification Requirements: To include one or a combination of the following: Certified Coding Specialist (CCS) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Physician based (CCS-P) Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Additional Position Requirements Two (2) years of...

Position Summary Responsible for activities involving expert inpatient coding of medical records as a mechanism for indexing clinical information used for research, utilization, appropriateness of care, compilation of statistics for hospital regional and government, and accurate reimbursement. Identifies and reports coding opportunities and recommendation for improvement. Monitors and reports trend and escalates discrepancies to management. Job Requirement Education/Experience: Equivalent to graduation from high school and three (3) years of experience performing inpatient coding in an acute care setting. Licensing/Certification Requirements: To include one or a combination of the following: - Certified Coding Specialist (CCS) - Registered Health Information Administrator (RHIA) - Registered Health Information Technician(RHIT) Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Code sets including CPT, HCPCS, ICD 9-CM, ICD10-CM/PCS, and Medicare...

Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) Competitive Salary & Benefits Package This Position is based in Las Vegas, Nevada Selected candidate must live in Clark County, NV or be willing to relocate before hire As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Level I Trauma Center, Verified Burn Center, and Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care. Job Requirement Education/Experience Equivalent to graduation from high school and three (3) years of experience performing inpatient coding in an acute care setting. Licensing/Certification Requirements Certified...

Position Summary EMPLOYER-PAID PENSION PLAN ( NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE **This Position is based in Las Vegas, Nevada** **Selected candidate must live in Clark County, NV or be willing to relocate before hire** As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Level I Trauma Center, Verified Burn Center, and Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care. Position Summary: Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for UMC. Identifies...

? We're Hiring :Health Info Coder - Remote! ?We are seeking a detail-oriented Health Information Coder to join our team and ensure accurate medical coding and data management.The ideal candidate will have experience in medical coding systems, healthcare documentation, and maintaining compliance with industry standards while working remotely.? Location :Las Vegas, United States? Role :Health Info Coder- RemoteJOB SUMMARY :Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures.RESPONSIBILITIES :Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow up steps.Identifies all billable services. Reviews all applicable data sources, including but not limited to, electronic health record, inpatient admit, discharge and transfer (ADT) reports, operative logs (aka Op Logs), nursing home visit...

Fully Remote Lake Park Building Full time R182990 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...

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...