711 edits denials coder jobs found

OB/GYN Medical Coder Location: Remote Schedule: Full-time, day shift Department: Domestic Coding Services Reports to: Vice President of Coding Services Position Overview AGS Health is seeking an experienced OB/GYN Medical Coder to join our Domestic Coding Services team. This remote position is responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes for obstetrics and gynecology services. The ideal candidate has a strong understanding of professional coding, OB/GYN terminology, and applicable coding guidelines, along with a commitment to quality, productivity, and client service. Key Responsibilities Review provider documentation and assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes for OB/GYN services. Code a variety of services, which may include office visits, preventive services, maternity care, deliveries, gynecologic procedures, and surgical services....

Required: Active coding certification (apprentice designation not accepted for this role). SCOPE/GENERAL PURPOSE OF JOB: The Senior Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, units from the medical record documentation.  Other responsibilities include accurately entering data into coding/billing software and/or Excel reports.  Performing accurate coding using applicable guidelines and facility protocols and communicating with staff and/or providers as needed.  Provide written feedback of coding results as needed in the form of comments, summary of findings and recommendations.  Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles.  Communicate with your direct manager as needed (i.e. schedule changes, daily assignments/work volume, coding questions, etc.)   ESSENTIAL DUTIES AND RESPONSIBILITIES: ·         Assign ICD-10 CM...

Description General summary of duties:  Responsible for coding, billing, denials, accounts receivable and payer policy updates Supervision received:  Reports to Revenue Cycle Manager Education:  CPC certification required Pay:  $53,000 - $65,000 DOE Location: Flagstaff office (Remote considered)   Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. Interact with and provide support to the practice to answer questions and resolve claim denials. Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare,...

Children’s Orthopaedic and Scoliosis Surgery Associates, LLP (COSSA) is seeking an experienced Medical Billing Specialist to join our pediatric orthopaedic practice. This position focuses on insurance accounts receivable, denial resolution, and obtaining accurate, timely payment for physician services. You will work independently on assigned accounts, with support from an established billing team. We value people who investigate problems, follow through, share knowledge, and help prevent recurring billing issues. Responsibilities Research and resolve outstanding insurance balances using payer portals and direct communication with insurance representatives. Review electronic claim rejections and denials, determine the appropriate corrective action, and submit corrected claims, reconsiderations, and appeals. Investigate underpayments using payer policies, contracts, and fee schedules. Prepare appeal letters supported by relevant...

Summary: Florida residency required Applies expert knowledge of ICD‑10‑CM, CPT, and HCPCS coding to accurately code inpatient and outpatient encounters in compliance with AMA and CMS guidelines. Reviews clinical documentation for medical necessity, resolves coding and billing issues, supports charge capture and denial prevention, and collaborates with providers to ensure accurate, compliant reimbursement. Position Responsibilities Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture. Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record. Knowledge of official coding conventions and rules established by the...

Hospital for Special Care is currently seeking an experienced Inpatient Coding Specialist to join our team. This is an excellent opportunity for a coding professional who enjoys working with complex medical records, collaborating with clinical teams, and using their expertise to support accurate documentation, coding, and reimbursement.  What You'll Do ·   Accurately code inpatient accounts and assign appropriate ICD-10-CM/PCS, CPT, modifiers, and DRGs in accordance with current coding guidelines. ·   Review medical records, identify documentation needs, and collaborate with HIM, physicians, clinical staff, and other departments to resolve coding questions, edits, and denials. ·   Monitor outstanding accounts and coding reports to ensure timely and accurate completion of inpatient records. ·   Utilize the Electronic Medical Record, 3M HDM, and clinical documentation tools to support efficient and accurate coding. ·   Serve as a coding resource and educator...

Primary Purpose of the Position: The Revenue Cycle Coding Manager provides strategic and operational leadership for professional coding and charge capture. The Manager is accountable for coding quality, productivity, inventory, compliance remediation, workforce planning, vendor performance, physician and division engagement, and coding-related revenue integrity. The position establishes clear standards, analyzes trends, and develops corrective action plans to support accurate, timely, and compliant claim submission.   Essential Duties of the Position May Include the Following: Leads day-to-day and long-range coding operations, including staffing, workload allocation, coverage planning, production priorities, and escalation management. Owns the coding operating model and clearly defines responsibilities among the Coding Manager, Coding Supervisor, internal coders, and external coding vendors. Establishes, monitors, and reports key performance indicators for...

South Shore Billing Services is seeking an experienced, detail-oriented Medical Billing and Coding Specialist to join our team. We provide professional billing support to primary care, OB-GYN, and behavioral health practices, helping providers maintain accurate, compliant, and efficient revenue-cycle operations. The ideal candidate is dependable, organized, and comfortable managing multiple priorities in a fast-paced medical billing environment. This individual should possess strong communication and problem-solving skills and be able to work both independently and collaboratively. Schedule Part-time: 20 hours per week Monday through Friday 8:30 a.m. to 12:30 p.m. Responsibilities Answer telephone calls and respond professionally to billing inquiries Review and resolve assigned work queues Perform charge review and verify coding accuracy Research and correct claim edits Submit clean claims promptly Post insurance and...