2761 denials coder jobs found

To support independent healthcare providers, the full-time Remote Edits and Denials Coder will review medical records for appropriate billing codes, perform advanced coding and appeal activities, and investigate payer issues while ensuring timely filing of appeals to insurance companies. Key responsibilities Review documentation to identify facts for appealing claims denied by third-party payers and create substantiating letters Collaborate with facility liaisons to resolve coding issues and develop appeals based on clinical documentation feedback Research payer policies and review remittance advice for accuracy and rejections related to billing edits Required qualifications CCS, AHIMA, CCS-P, CPC, AAPC, CPC-A, or AAPC credentials Three or more years of coding experience Proficiency in ICD-10 and CPT coding Experience working in a remote environment Ability to maintain a 95% quality accuracy rate and productivity standards

Denials Coder CHI Health Clinic Omaha, Nebraska, Remote About Us Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. Our Mission As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. The posted compensation range of $19.87 - $28.06/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the...

Senior Ambulatory Medical Coder Edits 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Senior Ambulatory Medical Coder Edits 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Senior Ambulatory Medical Coder Edits 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Requisition number: 2380676 Job category: Medical & Clinical Operations 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using...

Edit & Denials Coder Required Skills & Experience- 5+ years of Edit & Denials coding Active AAPC or AHIMA credential Ability to independently resolve denials. Strong payer knowledge Knowledge of ICD-10 and CPT Coding Must be comfortable working with AR teams to resolve issues. Must be able to pass a coding assessment. Must be proficient in Microsoft Office, including Outlook, Excel, and Teams. Ability to multi-task and have excellent communication skills Job Description We are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies. Key Responsibilities: Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host...

Edit & Denials CoderRequired Skills & Experience- 5+ years of Edit & Denials codingActive AAPC or AHIMA credentialAbility to independently resolve denials.Strong payer knowledgeKnowledge of ICD-10 and CPT CodingMust be comfortable working with AR teams to resolve issues.Must be able to pass a coding assessment.Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.Ability to multi-task and have excellent communication skills.Job DescriptionWe are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies.Key Responsibilities:Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing...

Job Description We are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies. Key Responsibilities: • Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims. • Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals. • Researches payer policies...

Job Description Summary The Coder 1 is an entry-level position responsible for accurately coding medical records and performing data entry tasks under supervision. This role focuses on learning coding conventions and understanding healthcare documentation. Will engage in daily assignments that reinforce foundational coding skills while ensuring compliance with HIPAA regulations and internal policies. Job Description Summary The Coder 1 is an entry-level position responsible for accurately coding medical records and performing data entry tasks under supervision. This role focuses on learning coding conventions and understanding healthcare documentation. Will engage in daily assignments that reinforce foundational coding skills while ensuring compliance with HIPAA regulations and internal policies. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC005226 SYS - Physician Patient Accounting Pay Rate Type Hourly Pay...

Senior Ambulatory Medical Coder EditsOptum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.As a Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and procedures...

Medical Associates is seeking a Certified Medical Coder to join the Business Office team. The role focuses on configuring, maintaining, and processing claims and software to maximize accuracy and efficiency of claim payments. The position offers a hybrid schedule with 4 days remote and 1 day in office. Responsibilities include reviewing denials, filing appeals, and assisting staff with coding and billing procedures. #J-18808-Ljbffr

Medical Associates is seeking a Certified Medical Coder to join the Business Office team. The role focuses on configuring, maintaining, and processing claims and software to maximize accuracy and efficiency of claim payments. The position offers a hybrid schedule with 4 days remote and 1 day in office. Responsibilities include reviewing denials, filing appeals, and assisting staff with coding and billing procedures. #J-18808-Ljbffr

Meduit is seeking a Medical Coder II to accurately code hospital outpatient and professional claims and analyze denials to maximize reimbursement. Remote position with a schedule of 8am–5pm ET/CT/MT/PT and a compensation range of $26–$30 per hour, depending on qualifications. The role requires 5 years of coding experience, proficiency with Epic or other EMR systems, and relevant coding certifications. The department is Insurance and reports to Coding Supervisor. #J-18808-Ljbffr

OU Health seeks an Experienced Professional Coding Specialist to independently code complex professional encounters across multiple settings, ensuring accurate E/M levels and adherence to payer policies. You will resolve denials, participate in quality reviews, and support education to reduce denials while enjoying flexible remote/hybrid options and a competitive compensation package. #J-18808-Ljbffr

OU Health is seeking an Experienced Professional Coding Specialist to perform complex physician/provider coding across diverse settings, including office, hospital outpatient, ED, ASC, and telehealth. You will apply coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement and audit defensibility. Responsibilities include resolving denials, applying NCCI concepts, and providing real-time guidance to peers. #J-18808-Ljbffr

Join Med-MetrixExperience these exceptional benefits:8-Hour ShiftsDay 1 HMO with 2 of your dependents covered for FREEGroup Life InsuranceMedical Cash AllowanceRice AllowanceClothing AllowanceHoliday GiftBereavement AssistancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding...

Brixa Health is seeking an experienced rheumatology coder to collaborate with the founders and validate denial logic in our software. You will help research and build out a rheumatology rule library and craft appeal templates for biologic, infusion, and E/M denials. The role involves testing the product, mapping authorization workflows, and identifying payer-specific patterns to ensure the tool supports busy rheumatology practices effectively. #J-18808-Ljbffr

Join Med-Metrix Experience these exceptional benefits: 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding....

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...

Senior Inpatient Medical Coder/Acute Edits And Denials Claims Analyst 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will...