Denials coder jobs | Healthcare Careers

Denials Coder

Catholic Health Initiatives Omaha, NE, USA

Catholic Health Initiatives - CHI Health Clinic [Medical Records Clerk] As a Coder at Catholic Health Initiatives, you'll: Accurately abstract information from the service documentation, assign and sequence appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems; Be responsible for working encounters in the coding work queue or task lists in a timely manner; Review and resolve coding denials; Meet or exceed organizational coding production and quality standards...Hiring Immediately >>

CH

Denials Coder

Catholic Health Initiatives Omaha, NE, USA

Job Summary and Responsibilities Under direct supervision, this position is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies to bring timely resolution to issues that have a potential impact on revenues. In addition, the incumbent must be able...

CS

Denials Coder

CommonSpirit Health USA

Where You'll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. Job Summary and Responsibilities Under direct supervision, this position is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written...

NC

Full Time

EXPERIENCED Pro fee and outpatient Coder for coding denials

Nationwide Credit and Collection Inc Remote

Physician Medical Coder Job Listing PLEASE READ JOB DESCRIPTION Profee coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for physician services. Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors. Job Requirements At least one active certification is required. Additional certifications a plus. Accepted certifications...

UH

Pro Fee Denials/Follow-Up Coder Remote

University Hospitals USA

A Brief Overview Under the direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for multi-specialty group practices. This position initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims. What You Will Do Analyzes, on a daily basis and in accordance with established time frames, the outstanding insurance accounts. Initiates appropriate and effective telephone and/or written follow-up on the identified accounts. Communicates with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims. Researches and responds to all telephone inquiries from the customer service department, in a prompt, professional manner meeting departmental guidelines. Reviews and corrects coding edits and denials. May code ICD-10 from written documentation. May abstract...

PH

Ambulatory Coder Denials, FT, Days, - Remote

Prisma Health SC, USA

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating coding and facilitation of appeals process for all assigned denied professional service claims.All team members are expected to be knowledgeable of payer guidelines related to coding and appeal timelines.Communicates with providers regarding coding denial issues.Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals, reopenings, reconsiderations, etc.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals.Utilizes appropriate coding software and coding resources in order to determine correct codes.Communicates billing related issuesFollows departmental policies for charge corrections.Participates in coding educational...

CC

Full Time

Cardiovascular ASC Coding/Billing and ASC Support

Cardiovascular Centers of America Remote

Location : Remote Reports To: Director of Revenue Cycle Employment Type: Full-Time Position Summary The RCM Account Manager is responsible for managing all aspects of the revenue cycle for a cardiovascular-focused Ambulatory Surgery Center (ASC), including medical coding, billing, claims management, payment posting, and collections . This role ensures compliant, timely, and accurate reimbursement for cardiology and peripheral vascular procedures while providing high-touch service to internal stakeholders and physician partners. Key Responsibilities Coding & Charge Capture Accurately code cardiovascular procedures (e.g., peripheral interventions, pacemakers, stents) using CPT, HCPCS, and ICD-10 guidelines. Ensure documentation compliance with CMS and payer-specific policies. Stay current with cardiology-specific coding updates and NCCI edits. Billing & Claims Management Submit clean claims to Medicare, commercial payers, and...

Full Time

Director, Health Information

University of Utah Health Hybrid

Overview University of Utah Health is seeking a new Director for Health Information. This Health Information Management (HIM) Director is responsible for leading and directing health information management services across the multi-facility integrated healthcare delivery system of hospitals and clinics. This leader will strive for compliance, and promote best practices and education in all areas of responsibility. This position has no responsibility for providing care to patients. Qualified candidates must have: Bachelor's degree in Health Care Administration, Business Administration, or related area or equivalency. Minimum of 6-10 years’ experience in Health Information or Coding Management. Experience with electronic health records (EHR), health information systems, and healthcare applications. RHIA, RHIT, CPC, CPB, (AHIMA or AAPC credential) is required. Preferred qualifications: Master's degree in Health Care...

Full Time

Billing and Coding Professional- Surgery and Anesthesia- Remote- Florida Residents

Adept Surgical Billing Solution, LLC Remote (FL, USA)

Whether you are looking to expand your current knowledge or looking to share your extensive skills with us, this could be the start of something amazing. We are a small, close knit team that works together to accomplish tasks daily. Qualifications: Knowledge in Surgery Billing and Coding Coding Certification- CASCC or COC preferred Experience with Microsoft 365 products Minimum 3 years experience in surgical billing Knowledge in all aspects of RCM Insurance credentialling- preferred Job Requirements: Coding and Charge Capture Insurance Claims Billing Resolution of rejections Coding reviews of denials Appeal assistance Coding reviews of documentation in question by the coding team Management of payor chart audits Insurance overpayment reviews Issuance of disputes as needed Ability to assist in aging follow on unpaid claims Address physician documentation matters Month end closing Utilization of reports Knowledge of and adherence to...

Full Time

Surgical Coding Denial Specialist

University of Colorado Medicine Remote (CO, USA)

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a detail-oriented and highly motivated Surgical Coding Denial Specialist to join our AR Surgery team. This role plays a critical part in protecting and optimizing revenue for CU Medicine providers by ensuring surgical claims are accurately reviewed, appealed, and resolved. This position offers the flexibility of being 100% remote , and qualified...

Full Time Xtern Program

CPC & CPB For Inpatient and/or Outpatient Behavioral Health Facilities

Phoenix Behavioral Healthcare, LLC Hybrid (Jupiter, FL, USA)

CPC Expertise in medical record review to abstract information required to support accurate coding. Ability to identify documentation deficiencies and properly query providers for proper code capture. Expertise in assigning accurate CPT, HCPCS Level II, and ICD-10-CM medical codes for diagnoses and procedures. Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine. A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture. CPB Proven knowledge of how to submit claims compliant with government regulations and private payer policies. Ability to follow up on claim statuses, resolve claim denials, submit appeals, post payments and adjustments, and manage collections. In-depth knowledge of...

Full Time Xtern Program

Executive Director of Revenue Cycle Management (RCM) – Behavioral Health

Phoenix Behavioral Healthcare, LLC Jupiter, FL, USA

Phoenix Behavioral Healthcare, LLC is seeking a highly skilled Executive Director of Revenue Cycle Management (RCM) to oversee and optimize the full revenue cycle across multiple behavioral health facilities, clinics, laboratories, and E&M service lines. This onsite leadership role manages all aspects of RCM operations—including intake, UR/UM alignment, coding, billing, claims submission, collections, clinical documentation improvement, denial management, appeals, and compliance oversight. Key Responsibilities: Lead, manage, and optimize end-to-end revenue cycle operations for all Phoenix facilities Oversee billing and coding for inpatient, outpatient, lab, and professional services (UB-04 & CMS-1500) Direct UR/UM workflow integration to improve documentation quality and turnaround times Manage and mentor a full RCM support team (billers, coders, auditors, documentation trainers, compliance) Develop standardized...

Full Time

Professional Coding Provider Educator & Reviewer

RWJBarnabas Health Oceanport, NJ, USA

Professional Coding Provider Educator & Reviewer RWJBarnabas Health Oceanport, NJ Full-Time Day Pay Range: $75,597.00 - $106,780.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Professional Coding Provider Educator/Reviewer is responsible for preparing educational materials and delivering instruction to Medical Group physicians, Advance Practice Providers, and staff across all RWJBH medical centers, as directed by the System Professional Provider Education Coding Manager and Coding Leadership. Education may be provided in response to compliance reviews, physician onboarding, proactive training, or coding and regulatory updates. This role also conducts...

NM

Clinical Documentation Improvement (CDI) Specialist/Medical Coder

Northwest Mississippi Regional Medical Center Clarksdale, MS, USA

Are you passionate about accuracy, compliance, and the integrity of the medical record? Northwest Mississippi Regional Medical Center (NWMRMC) is seeking a detail-oriented Clinical Documentation Improvement (CDI) Specialist/Medical Coder to join our healthcare team. In this critical role, you will support high-quality patient care, regulatory compliance, and financial integrity by ensuring clinical documentation is complete, accurate, and reflective of the patient's severity of illness and services provided. Your work will directly impact quality outcomes, coding accuracy, and appropriate reimbursement. About Us: At Northwest Mississippi Regional Medical Center, we are committed to providing high quality, sustainable healthcare to the citizens of Northwest Mississippi. We believe in a collaborative work environment where each team member plays an integral role in promoting the health and well-being of our patients. Why Join Us? Mission-Driven Work: Support a...

DH

Certified Professional Coder (On-site)

Delta Health Center Mound Bayou, MS, USA

Job Description Job Description Certified Professional Coder Delta Health Center, Inc.is seeking a full-time, detail-oriented, and experienced Certified Professional Coder to join our team. This role is critical in supporting our physicians and clinical staff to ensure accurate documentation and coding, contributing to the highest quality of patient care. Position Responsibilities: • Analyze medical record documentation to ensure accurate assignment of ICD10-CM, CPT, and HCPCS codes, adhering to established coding guidelines and ethical standards. • Consult with clinical providers for coding and documentation clarification as needed. • Conduct prospective and retrospective reviews of clinical documentation and coding. • Provide individual and group feedback to clinical providers, medical staff, and other team members based on coding reviews and identified trends, in alignment with the compliance plan. • Collaborate with clinical...

EM

Medical Coder I

Ellis Medicine Niskayuna, NY, USA

WHAT WILL I GET AT ELLIS MEDICINE? Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE! Generous paid time off to support a work-life balance, including 6 paid holidays Tuition Reimbursement and professional development opportunities Retirement plan in the form of a 401(3b) with company match after longevity Flexible Spending Account and Dependent Care Account—allowing you to set aside pretax dollars to better care for your health and the health of your loved ones Free yearlong unlimited CDTA Navigator Pass, including Free CDTA bike share program Employee Wellness Program Employee Assistance Program Employer paid Life Insurance WHAT WILL I DO AS A MEDICAL CODER? Basic Function: The Medical Coder is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes, but is not limited to managing the charge entry and charge...

CC

Certified Medical Coder

Clearwater Cardiovascular Consultants Belleair, FL, USA

CCC is seeking a self-motivated Certified Medical Coder , who is detail oriented. The Certified Medical Coder is responsible for accurate selection of ICD-10, CPT, modifier(s) and HCPCS codes, based on the medical record documentation for office, outpatient, and inpatient medical services. This is a high-volume position. WHAT YOU WILL BE DOING: Reviews clinical documentation to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing. Accurately codes conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA. Reviews provider medical records to identify opportunities for improvement in coding and documentation. Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues. Assists with coding questions and research...

CR

Coder II - Certified

Crisp Regional Cordele, GA, USA

Position Summary: Under the leadership of the Physician Coding Manager, the Coding Technician is an active member of the Physician Services team that delivers professional coding and support consistent with the strategic vision, goals, philosophy and direction of physician services department and CRHS. The Coding Technician is responsible for accurately coding medical practice records. This is done for the purpose of reimbursement, research and compliance with federal regulations according to diagnoses, operations and procedures using ICD-10-CM and CPT classification systems. Basic Qualifications: Education: High school graduate Associate degree preferred. AAPC or AHIMA Coder Certification. Experience: Practical experience of >2 years in healthcare preferred. Typing/computer skills required; must be able to use ICD-10-CM/CPT code books. Must be knowledgeable in general coding rules/regulations and proficient in ICD-10-CM and CPT coding....

CF

Medical coder and biller

Coimbra Family Medical Center PA Mission, TX, USA

Job Description Job Description Need a Medical coder/biller with 2 year experience, Knowledge on ICD-10 Billing software, denials, coding, statements, and other office duties.

PW

Medical Coder - Wound Care

Pinnacle Wound Management Pinecrest, FL, USA

Job Description Medical Coder - Wound Care (Long-Term Care) About Us Pinnacle Wound Management is a physician-led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long-term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines. We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities. Key Responsibilities Accurately review and code wound care services performed in long-term care and post-acute settings, ensuring compliance with ICD-10, CPT, HCPCS, and payer requirements Code independently without reliance on a provider superbill , using clinical notes and documentation as the source of truth Release daily coding...

SC

HOSPITAL CODER

South Central Regional Medical Center Laurel, MS, USA

Position: Hospital Coder Department: Clinic Management Reports to: Department Supervisor Created: 4/16/2025 Job Summary We are seeking a skilled and detail-oriented Certified Medical Coder specializing in clinic or professional coding to join our healthcare team. The ideal candidate will be responsible for accurately assigning appropriate medical codes to diagnoses, procedures, and services provided in a clinic or professional setting. The Certified Medical Coder plays a vital role in ensuring compliance with coding guidelines, maximizing revenue capture, and supporting efficient healthcare operations. Essential Duties and Responsibilities Review and analyze medical records, encounter forms, and documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes. Ensure coding accuracy and compliance with regulatory requirements and organizational policies. Collaborate with healthcare providers and clinical staff to clarify diagnoses or procedures for...

Pathology Medical Coder

UnitedHealth Group Norristown, PA, USA

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Performs various clerical functions as requested by the supervisor or group lead Responsibilities include applying CPT-4 and ICD-10 codes by translating dictated pathology reports, in a timely and accurate manner Responds to accounts...

SM

SMRMC Full Time Coder/Certified Level

Southwest Mississippi Regional Medical Center McComb, MS, USA

Job Description Job Summary : The Health Information Coder is expected to provide exceptional customer care to Southwest Health consumers, visitors, and staff. The HIM Coder is responsible for using coding work queues daily in the electronic health record and selecting the most accurate and applicable codes per coding guidelines. The HIM Coder must communicate with their Coding Supervisor and Billing Staff daily for prompt resolution of coding issues and claim processing issues. The HIM coder is expected to participate in bi-weekly meetings, monthly, quarterly, and yearly coding education through various educational sources. The HIM Coder must maintain coding certifications and continuing education units and must be willing to perform any task assigned by supervisor or Department Head. Additional Responsibilities : Reviewing and coding patient encounters of all specialties. Ensure that all codes are accurately assigned. Report missing or incomplete documentation to...

AG

Certified Medical Coder (24-086)

Artesia General Hospital Artesia, NM, USA

Job Description Job Description Description: Job Summary: ESSENTIAL FUNCTIONS: · Consistently and accurately assigns ICD-10-CM, CPT and/or HCPCS codes in accordance with current year CMS/AMA CPT-4, HCPCS and Official ICD-10 Coding Guidelines by reviewing and interpreting medical documentation from physician office visit notes, procedure notes, nurse visit notes, provider orders, pathology, labs, etc. · Identifies and abstracts any additional documented HCC diagnosis not listed by the provider in the Assessment/Impression/Final Diagnosis · Review and report missing or incomplete documentation · Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD-10-CM diagnosis coding, HCPCS and CPT E/M and procedure coding · Monitor assigned work lists and provider lists to ensure all records are coded in a timely manner · Meets departmental productivity standards for coding · Maintain current...

1371 denials coder jobs found