1890 denials management coder jobs found

Job Title Denials Management Coder 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. Resolve coding related denial. Make any necessary coding corrections. Generate replacement claims (electronic and paper) Research carrier specific coding policies. Review and interpret carrier NCD and LCD policies. Communicate any coding denial trends to coding manager. Qualifications CPC/COC certification AAPC or CCS...

DaMar Staffing seeks a Denials Management Coder to review denied claims for coding errors and apply CPT/ICD-10 corrections. You will ensure compliance with government and local guidelines while addressing denials for Medicare, Medicaid, and commercial carriers. This remote, work-from-home role requires at least one year of denial coding experience, CPC/COC or CCS certification, and strong communication skills to collaborate with teammates and providers. #J-18808-Ljbffr

Job TitleDenials Management CoderJob 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 corrections.Generate replacement claims (electronic and paper)Research carrier specific coding policies.Review and interpret carrier NCD and LCD policies.Communicate any coding denial trends to coding manager.QualificationsCPC/COC certification AAPC or CCS certification from AHIMAMinimum one (1) year of coding...

DaMar Staffing seeks a Denials Management Coder to review denied claims for coding errors and apply CPT/ICD-10 corrections. You will ensure compliance with government and local guidelines while addressing denials for Medicare, Medicaid, and commercial carriers. This remote, work-from-home role requires at least one year of denial coding experience, CPC/COC or CCS certification, and strong communication skills to collaborate with teammates and providers. #J-18808-Ljbffr

Connecticut Institute for Communities, Inc. Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) Medical Billing Specialist High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: Responsible for working with colleagues (ie: providers, front desk) to resolve all denials. Responsible for understanding...

Connecticut Institute for Communities, Inc. Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) Medical Billing Specialist High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: Responsible for working with colleagues (ie: providers, front desk) to resolve all denials. Responsible for understanding computerized...

Connecticut Institute for Communities, Inc. Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) Medical Billing Specialist High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: Responsible for working with colleagues (ie: providers, front desk) to resolve all denials. Responsible for understanding...

HIM Coder II, Certified, Remote Fully Remote Amberwell Atchison - Atchison, KS 66002 Overview Position Type Full Time Job Shift 8 Hour Day Education Level Other Travel Percentage Periodic - As Needed Category Health Information Management Description The HIM Coder II is a key member of the HIM team. The HIM Coder II will work under the direction of the Manager of Coding. This position will review documentation in the electronic medical record and assign and sequence ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes, in accordance with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and in compliance with ICD-10 Official Coding Guidelines and other regulatory requirements. The primary focus of the role is the coding of all inpatients, observation, and surgical accounts. Inpatients will use Diagnosis Related Groups (DRG) methodologies, including present on admission indicators, analyzing the medical record...

Job Description Job Description Job Title: Hospital Coder IV Department: Clinic Management Full Time/PRN: Primarily onsite; shift schedule not provided Job Summary Certified Medical Coder specializing in clinic/professional coding; responsible for accurate assignment of ICD-10-CM, CPT, HCPCS codes; ensures compliance and supports revenue integrity. Essential Duties & Responsibilities Review/analyze records; assign ICD-10-CM, CPT, HCPCS; ensure compliance; collaborate with providers; conduct audits; provide coding guidance; stay current on coding changes; resolve denials; maintain confidentiality. Minimum Qualifications 1+ year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong medical terminology knowledge; analytical skills; communication skills; ability to work independently; familiarity with EHR/coding software. Preferred Qualifications CPC or similar certification; experience in audits/compliance; knowledge of payer...

Job Location: Uvalde, TX 78801 Job Shift: Day Job Type: Full-Time Clinics Coding Manager – Health Information Management (HIM) At Uvalde Memorial Hospital, accurate health information plays a vital role in delivering quality care and ensuring the integrity of our healthcare operations. We are looking for an experienced Ambulatory Coding Manager who is passionate about leadership, compliance, and supporting the vital work behind the scenes of patient care. In this role, you will lead and support our coding team, ensuring medical records are coded accurately, efficiently, and in compliance with industry standards and regulations. You will work closely with physicians, billing teams, and hospital leadership to maintain coding quality, improve processes, and strengthen revenue cycle performance. This is more than a job — it’s an opportunity to guide a talented team, strengthen healthcare documentation practices, and help ensure our hospital continues providing exceptional care to the...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Job Description Job Description Medical Biller & Coder Full-Time | Direct Hire | $24–$27/hour DOE + Overtime Opportunity | Onsite Our client is experiencing significant growth, expanding from approximately 18 locations to more than 60 offices across 18 states. We are seeking experienced, energetic Medical Billers & Coders to join their growing Revenue Cycle team. This is an excellent opportunity for someone with experience across medical billing, coding and insurance follow-up who enjoys working in a fast-paced physician practice environment. The ideal candidate takes ownership of their work, knows how to research difficult claims and denials, and is comfortable working across the revenue cycle to ensure claims are coded, billed and resolved accurately. Key Responsibilities Review medical documentation and accurately assign appropriate CPT, ICD-10-CM codes and applicable modifiers Review claims for accuracy, completeness and appropriate coding...

Medical Coding Specialist Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing...