38 edits denials coder jobs found

VA Northeast Ohio Healthcare System - Cleveland, Ohio This Position Is Contingent Upon Bid Award Work Location Department of Veterans Affairs VA Northeast Ohio Healthcare System / Cleveland VA Medical Center Wade Park Campus 10701 East Boulevard Cleveland, OH 44106 Citizenship / Access Requirements U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements. Security Requirements No classified clearance is specified. Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply. Type of Employment Full-Time Contractor Estimated Compensation $38.28 per hour. Working Hours Work must be staffed within the Monday-through-Friday service window of 6:00 AM-6:00 PM local facility time. Individual schedules will be assigned based on operational needs; off-hours work requires prior approval. Work Arrangement...

Medical Dental CoderHarlingen Annex - Harlingen, TX 78550DescriptionThis position is vital in the health care delivery system in function with the fiscal aspect of the Clinic. Adhere to policies and procedures in conducting all clinical charges, payments, adjustments for proper billing and collections. Bills and submits claims to insurances/programs through AthenaOne EMR, follows up on claims statuses, resolves claim denials, submits appeals, post payments and adjustments, and manages collections. Great customer service and telephone etiquette, computer knowledge, professional appearance, attention to detail, able to multitask and work in a fast paced environment. Ability to work well under stress and maintain calm under pressure and work well with team members and willingness to cross-train. Functions as a member of a collaborative health care team to create and maintain a patient centered medical home.Essential Job FunctionsCommunication: Communicates with outside providers...

Join UMC Physicians: Where Employee Satisfaction Soars at 96%UMC Physicians is seeking an experienced full-time Family/Internal Medicine Professional Coder to join our team of multi-specialty coders. Under general supervision, the coder reviews and analyzes provider documentation to ensure final diagnoses and procedures are complete, valid, and accurately documented. The Coder assigns ICD-10-CM, CPT, and HCPCS Level II codes for clinic and hospital professional services, ensuring compliance with federal regulations, payer guidelines, and organizational policies.This role is responsible for accurate coding and timely claim submission to support appropriate reimbursement while maintaining the highest standards of coding quality, compliance, and integrity. The coder collaborates with providers, clinic staff, coworkers, and revenue cycle teams to promote complete documentation, resolve coding and billing issues, and support accurate and timely insurance claim processing. The ideal...

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long-term to ensure accuracy in the ever-changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and efficiency in our revenue cycle. Code several different specialties, help train new coders, review records for provider audits, assist with...

Job Details Level: Experienced Job Location: Houston, TX 77092 Position Type: Experienced Education Level: High School Salary Range: $23.00 - $25.00 Hourly Travel Percentage: None Job Shift: Day Sagis Diagnostics is an entirely physician‑led sub‑specialty pathology group supported by a CAP‑accredited histology lab located in the heart of Houston, Texas. Led by a team of board‑certified pathologists, our lab is at the forefront of diagnostic science. We offer the highest quality services to physicians, physician groups, ambulatory surgery centers, and hospitals. One of our many strengths is we develop strong collaborative relationships with each of our referring physicians by offering accurate, prompt, and clear diagnoses in a personal and customized manner. Qualifications Minimum 3-5 years of pathology coding experience (required) Hands‑on experience coding: Surgical pathology (88300-88399) IHC and special stains Hematology / bone marrow cases Toxicology testing Strong...

JOB SUMMARY The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in a one-on-one or small group format to peers Meet...

## Coder | Centralized Billing & Coding | UMC PhysiciansApplylocations: City Bank Bldg-Suite 35time type: Full timeposted on: Posted Yesterdayjob requisition id: R20784We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas.\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \*\*Join UMC Physicians: Where Employee Satisfaction Soars at 96%!\*\* Summary Title: Coder, UMCP Department: UMCP Centralized Billing and Coding Description: UMC Physicians is seeking an experienced full-time Family/Internal Medicine Professional Coder to join our team of multi-specialty coders. Under general supervision, the coder reviews and analyzes provider documentation to ensure final diagnoses and procedures are complete, valid, and accurately documented. The Coder assigns ICD-10-CM,...

Billing Coder IIIInform Diagnostics, a Fulgent Genetics Company, is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology.Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform. Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians alike. Since integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a novel...

Job Title :Gastroenterology ProFee Coder (E / M & Surgical) Company Description Vee Healthtek, Inc.delivers cutting-edge solutions that transform healthcare organizations.We offer a comprehensive suite of services that leverage our industry expertise to provide the best value to our clients.Through close collaboration and a deep understanding of market trends, we create customized strategies that deliver tangible outcomes.Our technology-driven services empower organizations to thrive in the evolving healthcare landscape, resulting in improved workflows, increased cost efficiency, and streamlined business processes.Learn more at www.veehealthtek.com.Job Summary The Gastroenterology ProFee Coder is responsible for accurate assignment of diagnosis, procedure, and Evaluation & Management (E / M) codes for physician professional services within a gastroenterology practice or health system.This role focuses exclusively on professional fee coding , ensuring compliance with CPT,...

Responsibilities About Texoma Care Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region’s leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient-focused care to the Texoma region for over 50 years. Accounts Receivable Specialist Accounts Receivable Specialist is...

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...

Job DetailsJob Location: LUBBOCK, TX 79424Education Level: High SchoolAbout MD Billing: We are MD Billing, a quickly growing medical billing company based out of Lubbock, Texas. Currently, we service facilities and providers in over 14 states, consisting of multiple specialties including Cardiovascular, Wound Care and Family Medicine. As a company we pride ourselves in being able offer elite coding and billing services to our customers and we are in search of the talent that will help us continue to separate ourselves in the services we offer. We are looking for Coding Specialists who are committed to our principles of accuracy, versatility, knowledge and relationships. We are looking for those with a passion in their craft and understand that education never stops. Here at MD Billing we offer competitive pay, full benefits, continuing education and pathways for advancement. We deeply believe in not only growing our company, but in growing our employees as well. Come help us...

Remote 2619 West Henrietta Road Full time R272311 As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - Texas, Austin, Texas, United States of America, 78711 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.27 - $32.60 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering...

Professional Coder II What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as... Free...

Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. ESSENTIAL JOB FUNCTIONS Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate,...

Revenue Cycle Management is looking for a full-time Medical Billing and Coding Specialist to join our team! Hybrid opportunity after 30-90 day in-person training SUMMARY: The Medical Billing and Coding Specialist is responsible for reviewing patient medical records and accurately assigning ICD-10-CM, CPT, HCPCS, and applicable modifier codes in accordance with coding guidelines and payer requirements. This position ensures charges are accurately reflected on patient accounts, supports timely claim submission, and communicates with internal departments to resolve coding, documentation, and billing discrepancies. ESSENTIAL FUNCTIONS: Reviews medical record documentation to accurately assign diagnosis, procedure, and modifier codes in accordance with ICD-10-CM, CPT, HCPCS, and applicable coding guidelines. Validates diagnosis and procedure codes to ensure billing accuracy, regulatory compliance, and adherence to payer requirements; resolves routine discrepancies...

Accounts Receivable SpecialistOur experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region's leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border.The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Research claim denials by assigned payer/s to determine reasons for...

Responsibilities About Texoma Care Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region's leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient-focused care to the Texoma region for over 50 years. The Accounts Receivable Specialist is responsible for the...

Coder Lll - FT Days - CodingDHR Health - US:TX:McAllen - DaysSummary:POSITION SUMMARY:The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of...

Job Title: Coder II Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type...

Job Description Under direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems. Job Description Under direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems. Responsibilities Reviews, interprets, and assigns diagnostic and procedural codes...

Outpatient Coder-SeniorThe Outpatient Coder-Senior is responsible for conducting the quality review of outpatient coding, assuring coding compliance with federal regulations, and maintaining up-to-date coding guidelines and coding policy changes. Reviews, interprets, and assigns diagnostic and procedural codes based on medical record documentation according to correct coding principles. Knowledge of edit resolution and ability to code complex OP encounters. Assists in mentoring and training new coders on workflows and applications. Preserves the confidential nature of the information. Supports and maintains UT Health San Antonio policies, protocols, and values. Works under the general supervision of the Coding Operations Manager in a hospital setting.QualificationsKnowledge of Official Guidelines for coding and reporting.Knowledge of medical terminology, human anatomy, physiology and pharmacology.Knowledge of disease pathologyKnowledge of Current Procedural Terminology coding...

Emergency Department Facility Coder Position Summary The Emergency Department Facility Coder is responsible for reviewing and analyzing emergency department medical records to accurately assign diagnosis, procedure, and facility coding in accordance with ICD-10-CM, CPT, HCPCS, and regulatory guidelines. This role supports accurate reimbursement, charge capture, compliance, and data integrity while ensuring adherence to client-specific coding and billing requirements. Key Responsibilities Review emergency department medical records and accurately assign ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including utilization of the ACEP E/M tool. Analyze clinical documentation from physicians, nursing staff, ancillary departments, and diagnostic services to ensure complete...

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...