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196 appeals resolution coder jobs found

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NH
Appeals Resolution Coder (Medical Inpatient Coding)
Northwell Health Great Neck, NY
Req Number 179272 Required: Must have Inpatient coding experience (minimum of 3 years' experience in Coding or Auditing). Prefer Appeal writing experience a plus. Highly Preferred: Auditing experience with DRGs. Job Description Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and knowledge gaps;...

Sep 03, 2026
FS
Appeals Resolution Coder (Medical Inpatient Coding)
FlexStaff Careers New Hyde Park, NY
Revenue Cycle Quality And Performance Management Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibilities Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and knowledge gaps; functions as a organization resource for litigation as related to coding denials. Maintains hospital database. Remains up-to-date on DRG system literature from all agencies. Maintains coding clinic up-dates....

Sep 03, 2026
FS
Appeals Resolution Coder (Medical Inpatient Coding)
FlexStaff Careers New Hyde Park, NY
Job Title Revenue Cycle Quality and Performance Management Job Description Required: Background in Inpatient with 3-5 years' experience in Coding or Auditing. Highly Preferred: Auditing experience with DRGs. Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and knowledge gaps; functions as a organization resource for...

Sep 02, 2026
MF
Full Time
 
Assistant Billing Manager
Mid Florida Dermatology & Plastic Surgery Orlando, FL
NOT A VIRTUAL POSITION. You'd be the second-in-command of the billing operation for a multi-location dermatology and plastic surgery practice across Central Florida. There is volume and complexity — Mohs, path, grafts, biologics, modifier-heavy procedural billing. The position location is in the MetroWest area of Orlando, FL. WHAT YOU'LL WORK - Denials and appeals — you set the triage order by filing deadline, recoverability, and dollar value, and you work the high-dollar and aged ones yourself - A/R on assigned payers and aging buckets, plus the weekly aging, denial, and productivity reporting leadership actually reads - Payment posting oversight, reconciliation, and credit balance resolution - Daily work queue assignment across the billing team - Patient balance follow-up and payment plan administration - Training new billers, answering the day-to-day questions, and running the department when the Billing Manager is out You'll work the hardest claims yourself — the...

Aug 09, 2026
Med USA
Full Time
 
Certified Medical Coder
Med USA Hybrid
About Med USA Med USA is a Utah-based medical billing/provider services company with a nationwide presence. We have been in business for over 45+ years and provide practice management, payer credentialing and contracting, and full-cycle management (RCM) services, including coding, billing, follow-up, and denial resolution. Join our fast-paced, high-energy team as a medical billing specialist, with great company benefits and opportunity for growth. The ideal candidate is motivated, professional, and detail-oriented, with a strong commitment to producing high-quality work and making a positive impact on the team. If you enjoy helping others, solving problems, and working in an open, collaborative, fast-paced environment, this is a great opportunity for you. Medical billing or insurance experience is preferred, but we’re happy to train the right candidate. Position Summary The Certified Medical Coder is responsible for reviewing clinical documentation and...

Jul 21, 2026
Reproductive Medicine Institute
Full Time
 
Senior Billing Specialist for a Busy Infertility Practice -ONSITE
Reproductive Medicine Institute Oak Brook, IL
Position Overview We are seeking an experienced Billing Specialist to join our busy infertility practice. The ideal candidate is preferred to have billing experience in women's health care. This role requires strong knowledge of medical billing workflows, insurance follow-up, denial management, payment posting, claims resolution, and patient account management specific to women’s health. Key Responsibilities   Submit clean claims accurately and timely through our EMR system  Review and resolve claim rejections and denials across all insurance platforms  Follow up with insurance companies on unpaid claims  Post insurance and patient payments accurately in our EMR system  Work aging reports and outstanding AR  Review patient accounts for billing accuracy and follow-up needs  Handle billing corrections, resubmissions, and appeals  Communicate with registration/front desk, clinical staff, and management to resolve   billing issues  Maintain compliance with...

Jun 24, 2026
HC
Coding Auditor - Ambulatory/Professional Coding/Profee
Huron Consulting Group Grayling, MI
Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Sep 04, 2026
HC
Coding Auditor - Ambulatory/Professional Coding/Profee
Huron Consulting Group Brookings, SD
Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Sep 04, 2026
SC
MEDICAL DENTAL CODER
Su Clinica Harlingen, TX
Medical Dental Coder Harlingen Annex - Harlingen, TX 78550 Description This 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 Functions Communication: Communicates with outside...

Sep 04, 2026
PC
Medical Biller
PrimaryCarePlus+ (Newburgh) Newburgh, IN
1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Medical Biller – Full Time (4 Days/Week) Location: Newburgh, Indiana Practice: Déjà Vu Skin & Health Center, Evansville Regional Vein Center, and Primary Care Plus+ We are a growing private practice seeking a Full-Time Medical Biller to join our dynamic team. This position offers the opportunity to work across multiple specialty areas, including dermatology, aesthetics, vein treatment, and primary care. This is a 4-day workweek position (full-time hours) with a comprehensive benefits package including: Health, Vision, and Dental Insurance Medical Biller – Full Time (4 Days/Week) Location: Newburgh, Indiana Practice: Déjà Vu Skin & Health Center, Evansville Regional Vein Center, and Primary Care Plus+ Email Resume To: Swright@drmanley.com We are a growing private practice seeking a Full-Time Medical Biller to join our dynamic team. This position offers the opportunity to...

Sep 04, 2026
HC
Coding Auditor - Ambulatory/Professional Coding/Profee
Huron Consulting Group West Fargo, ND
Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Sep 04, 2026
Kf
Medical Coder
Kids for the Future Danbury, CT
This is a hybrid to remote role. Extensive coding experience needed. GENERAL STATEMENT OF DUTIES: Position is primarily responsible for reviewing operative reports and documentation for surgery and all other facility-based charges; assigning appropriate CPT and ICD-10 codes and entering charges into the practice management system. Reviewing and auditing charge tickets for office services. Checks for correctness and completeness prior to tickets being processed for billing and claim submission. Work as a resource for the charge posters with coding questions as well as the A/R team regarding correct processing of claims and assisting with appeals. 401(k) matching + profit sharing FSA/HSA options Life insurance/AD&D/STD/LTD Paid time off Employee Discount Program Wellness Program Department Duties/Responsibilities: Read and interpret medical record documentation to identify all diagnoses and significant procedures that are to be coded, for all facility-based charges and...

Sep 04, 2026
HC
Coding Auditor - Ambulatory/Professional Coding/Profee
Huron Consulting Group Louisville, KY
Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Sep 04, 2026
SW
Medical Biller
Skilled Wound Care Vista, CA
Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly growing company! We are a mobile surgical physician wound care group expanding into new markets of the United States. T he Lead Medical Biller is a critical leader responsible for ensuring the financial health of our organization by overseeing the daily operations of the billing team. This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). You will be the primary subject matter expert, driving team performance, resolving complex billing issues, and upholding strict adherence to all federal, state, and FQHC-specific billing regulations. Position is hybrid at our office in Playa Vista, CA Responsibilities: Supervise & Train: Lead the training and mentorship of new billing hires, ensuring rapid integration and consistent...

Sep 04, 2026
NH
Biller Coder Liaison
Neighborhood Healthcare Escondido, CA
Biller/Coder LiaisonCommunity health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision: a community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters. At Neighborhood, we are Better Together.As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.Since 1969, our employees have been making this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If this sounds like an organization...

Sep 04, 2026
HC
Coding Auditor - Ambulatory/Professional Coding/Profee
Huron Consulting Group Kansas City, MO
Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Sep 04, 2026
PP
Revenue Cycle Medical Billing Specialist
Planned-Parenthood-of-Greater-Texas-1 Dallas, TX
Overview The Revenue Cycle Medical Billing Specialist is responsible for the overall account resolution of patient accounts within the revenue cycle management (RCM) process. Ensures timely billing of claims to payers and follow up of denials, appeals, recoupments and balance management. Ability to audit and provide feedback on the billing process and outcomes. Works cooperatively with other departments to ensure timely billing, reporting and patient account management. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities Reviews submission of claims by third party billing team to the clearinghouse to ensure accuracy. Processes reimbursements and payment adjustments with attention to detail, timeliness, and accuracy. Makes corrections and prepares appeals related to claim...

Sep 04, 2026
NE
Medical Biller - Ophthalmology Practice
Naperville Eye Associates Naperville, IL
Job Description Job Description About the Role Our growing Ophthalmology practice is seeking an experienced Medical Biller with strong insurance and revenue cycle knowledge to join our team. This position plays a key role in maintaining the financial health of the practice while also supporting front desk operations to ensure a smooth patient experience. The ideal candidate has hands-on experience with ophthalmology billing, and is comfortable managing claims from submission through payment resolution. This is a great opportunity to join a patient-focused specialty practice where your billing expertise directly contributes to efficient operations and quality patient care. Key Responsibilities Submit and manage medical claims for ophthalmology services including office visits, diagnostic testing, and minor procedures Review and correct claim errors to ensure clean claim submission and maximize reimbursement Follow up on unpaid or denied claims and manage appeals when...

Sep 04, 2026
WC
Medical Coding Specialist Lead
Weill Cornell Medicine New York, NY
As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Title: Medical Coding Specialist Lead Location: Midtown Org Unit: Administration Work Days Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: $78,100.00 - $84,500.00 Position Summary Under supervision, assists in the development and evolution of the overall strategy for the departments coding operations This role is also responsible for reviewing medical records for compliance with coding and documentation requirements Job Responsibilities Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed. Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary. Attends workshops, seminars and/or...

Sep 04, 2026
HC
Coding Auditor - Ambulatory/Professional Coding/Profee
Huron Consulting Group Seattle, WA
Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Sep 04, 2026
Sk
Lead Medical Biller
Skilledwoundcare Los Angeles, CA
Job Description Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly growing company! We are a mobile surgical physician wound care group expanding into new markets of the United States. The Lead Medical Biller is a critical leader responsible for ensuring the financial health of our organization by overseeing the daily operations of the billing team. This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). You will be the primary subject matter expert, driving team performance, resolving complex billing issues, and upholding strict adherence to all federal, state, and FQHC-specific billing regulations. Position is hybrid at our office in Playa Vista, CA Responsibilities Supervise & Train: Lead the training and mentorship of new billing hires, ensuring rapid integration...

Sep 04, 2026
PN
Medical Biller and Coder
Premier Neurology and Pain Specialists Southgate, MI
Job Description Job Description Neurology and pain management office is seeking an experienced medical biller. The ideal candidate will have a strong background in medical billing and coding, with the skills necessary to increase collections and reduce A/R days by effectively working denied claims. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism. Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims, and report any problems, issues, or payer trends to management Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient Research payer guidelines and write and submit appeals...

Sep 04, 2026
MF
Senior Outpatient Coder
Maria Fareri Children's Hospital, a member of the WMCHealth Network Valhalla, NY
Senior Outpatient Coder The Senior Outpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD 10CM), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS), and entering coded information into an automated grouper system. Technical guidance and acting in a lead role is expected. Does related work as required. Responsibilities: Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. Interprets and applies American Hospital Association Official Coding guidelines to articulate and support principle and secondary diagnoses and selected procedures. Identifies and analyzes patterns in possible coding errors or other trends and reports to the coding leadership...

Sep 03, 2026
Mo
Medical Coder
Monovo LLC Alpine, UT
Monovo delivers proactive virtual care between visits. We partner with clinics through remote physiological monitoring, chronic care management, and care coordination. Our work helps providers extend care beyond the clinic, helps patients stay supported in real life, and creates a more preventive, connected healthcare experience. We combine a real clinical care team with technology and operational support to make modern care easier to deliver and easier for patients to use. As a Medical Coder at Monovo, your work directly supports the financial and operational foundation of proactive care. By ensuring documentation, codes, and claims are accurate and compliant, you help providers get reimbursed for meaningful care delivered outside the traditional office visit—making programs like remote patient monitoring and chronic care management sustainable for clinics and valuable for patients. About the role Monovo is seeking a highly detail-oriented, dependable Medical Coder to support...

Sep 03, 2026
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