227 pre authorization medical coder jobs found

Job Description Responsible for the accurate enrollment and billing process. Maintains related documents, updates corresponding records and responsible for enrollment and billing queries. Collaborates with the billing service function to support electronic and technical operations. Handles complex enrollment or billing issues and reports to the manager with the relevant updates. Candidate will be responsible for coding vascular services, obtaining insurance pre-certifications, prior authorizations, and referrals for medical procedures, diagnostic testing, medications,and specialty services. Principal Accountabilities: Reconcile and code vascular surgery services for 15 clinicians. Authorization Initiation- Obtaining necessary documentation, submitting requests and following up on pending requests and tracking their status. -Review Medical Records- Analyze patient medical records, including diagnosis, treatments and procedures, to support authorization request. -Communicating...

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast...

Job Description Job Description Description: About Us Carolina NeuroSurgery & Spine Associates (CNSA), established in 1940, is one of the largest and most highly respected neurosurgical private practices in the nation. As a physician-led, multi-site organization, we are recognized for clinical excellence and innovation in brain and spine care. Through our growing MSO, PracticeCore, and strategic partnerships, we are building a scalable, forward-thinking platform to support providers and deliver exceptional patient care. Job Objective: To maximize practice revenue by working effectively and efficiently with others to meet monthly RCM goals. Promotes positivity and collaboration within all CNSA departments. This is a Full-Time position in Charlotte, NC. Essential Job Responsibilities: Reviews operative reports, notes, etc., and researches to assign correct CPT and Diagnosis codes for surgeries and injections Reviews documentation to assign and submit...

Specialty Rocc Coder III Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside...

Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Training & development Vision insurance Role Overview: We are seeking a highly detail-oriented Medical Biller with specialized experience in Pain Management, Orthopedics, Imaging, Physical Therapy, and Home Health billing. The ideal candidate isn't just a data entry clerk; you are a denial management expert who understands the complexities of Workers’ Compensation (IWCC) and commercial insurance claims. You will take ownership of the revenue cycle, from initial submission to the final appeal of a denial. Specific Requirements Specialty Expertise: Proven experience billing for Professional Imaging, Physical Therapy (understanding timed units), and Home Health services. Injury Claim Specialist: Deep understanding of Commercial and Injury claims, specifically navigating the Illinois Workers’ Compensation Commission (IWCC)...

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpreting, and operationalizing medical and utilization management policies to ensure accurate coding, appropriate authorization requirements, compliant claims processing, and effective utilization oversight. This position serves as a key clinical and coding...

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/benefits/) – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for...

About Us Carolina NeuroSurgery & Spine Associates (CNSA), established in 1940, is one of the largest and most highly respected neurosurgical private practices in the nation. As a physician‑led, multi‑site organization, we are recognized for clinical excellence and innovation in brain and spine care. Through our growing MSO, PracticeCore, and strategic partnerships, we are building a scalable, forward‑thinking platform to support providers and deliver exceptional patient care. Description Job Objective: To maximize practice revenue by working effectively and efficiently with others to meet monthly RCM goals. Promotes positivity and collaboration within all CNSA departments. This is a Full‑Time position in Charlotte, NC. Essential Job Responsibilities Reviews operative reports, notes, etc., and researches to assign correct CPT and Diagnosis codes for surgeries and injections Reviews documentation to assign and submit accurate diagnosis codes for lower‑level hospital rounds,...

Salary : $64,311.76 - $95,813.52 Annually Location : Riverside Job Type: Regular Job Number: 26-13451-01 Department: RUHS-Medical Center Opening Date: 04/23/2026 For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill multiple Certified Medical Records Coder positions. The incumbents will be responsible for performing advanced coding and abstracting of outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Outpatient classification performs coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an...

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/benefits/) - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic...

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/benefits/) - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for...

South Shore Speech is looking for a competent, responsible and dedicated individual to join our busy/fast paced, award winning team Benefits and Perks: . Family/friendly work environment . Supportive management and staff . Employee appreciation events regularly . Teaching/training will be provided Qualifications: . Certified Professional Coder . Proficiency with Excel . Motivated and possess the ability to multitask . Past medical office experience necessary . Strong organization skills . Able to interact well and professionally with the public both in person and over the phone Responsibilities: Pre‑Authorizations & Verifications Contact payers (e.g. Medicaid, private insurances, NICU-funded programs) to verify patient eligibility and coverage before treatment begins. Submit pre-authorization requests for services requiring prior approval (e.g. speech therapy visits under Early Intervention or CPSE). Track authorizations, monitor denials, and coordinate...

Salary : $70,044.85 - $104,320.89 Annually Location : Riverside Job Type: Regular Job Number: 26-13390-01 Department: RUHS-Medical Center Opening Date: 05/08/2026 For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION The County of Riverside - Riverside University Health System - Medical Records Department is seeking to fill a Certified Medical Records Coder position located in Riverside. Under general supervision, performs advanced coding and abstracting of inpatient medical record entries according to the most current edition of International Classification of Diseases - Clinical Modification System (ICD-CM), Procedure Coding System (PCS) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Inpatient classification performs the most complex coding and abstracting of a high volume of patient records in the...

It’s more than a career, it’s a calling WI-Turville Bay Worker Type Regular Job Highlights This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies all billable services. Reviews all applicable data sources, including but not...

Contact information Employee Type Full-Time Name Neal Johnson Email Neal.johnson@kh.org Description Under general supervision and according to established procedures, assigns codes to medical records. Codes patient medical record under ICD-10, CPT, HCPCS guidelines. Abstracts required data from documentation to support the coding. Enters ICD 10 and CPT codes in electronic medical record and finalizes accounts. Does all professional data entry. Researches information on claims that are denied, rejected, etc. or encounters other issues. Essential Job Functions Analyzes patient medical records and interprets documentation to identify all diagnosis and procedures. Assigns proper ICD 10, CPT and HCPCS codes. Applies sequencing guidelines to coded data according to official coding rules. Data entry for the professional coding. Works with providers to clarify medical record documentation and identifies issues that may need to be clarified. Answers questions regarding coding...

Position Summary The Specialty ROCC Coder III performs abstracting and coding, using ICD‑10 CM and CPT, on all IR/Vascular accounts or Radiation Oncology accounts at UCI Medical Center in accordance with practice policy and regulatory guidelines. Incumbent will be responsible for Hospital and Professional coding on certain encounters. Accounts are coded utilizing the 3M encoder and the Epic computer system for coding and data entry. The coder will communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process. Additional duties include preparing and compiling daily, weekly and monthly production reports, participating in departmental PI projects and performing related duties as assigned to meet operational needs. Responsibilities Abstract and code IR/Vascular and Radiation Oncology accounts using ICD‑10 CM and CPT. Identify and resolve coding queries with physicians. Enter coded data into the Epic system and 3M encoder. Prepare and compile...

Under general supervision and according to established procedures, assigns codes to medical records. Codes patient medical records under ICD-10, CPT, HCPCS guidelines. Abstracts required data from documentation to support the coding. Enters ICD-10 and CPT codes in electronic medical record and finalizes accounts. Performs professional data entry. Researches information on claims that are denied, rejected, or encounters other issues. Essential Job Functions Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures. Assigns proper ICD-10, CPT, and HCPCS codes. Applies sequencing guidelines to coded data according to official code rules. Data entry for professional coding. Works with providers to clarify medical record documentation and identifies issues that may need to be clarified. Answers questions regarding coding guidelines and assists other departments with coding and billing questions. Remains abreast of developments in...

Overview Under general supervision and according to established procedures, assigns codes to medical records. Codes patient medical records under ICD-10, CPT, and HCPCS guidelines. Abstracts required data from documentation to support the coding. Enters ICD-10 and CPT codes in the electronic medical record and finalizes accounts. Performs professional data entry. Researches information on claims that are denied, rejected, or encounter other issues. Essential Job Functions Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures. Assigns proper ICD-10, CPT, and HCPCS codes. Applies sequencing guidelines to coded data according to official code rules. Data entry for professional coding. Works with providers to clarify medical record documentation and identifies issues that may need to be clarified. Answers questions regarding coding guidelines and assists other departments with coding and billing questions. Remains abreast of...

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers--with new clients and provider networks added every month as our organization scales.In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management.Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory.This position...

Description Under general supervision and according to established procedures, assigns codes to medical records. Codes patient medical record under ICD-10, CPT, HCPCS guidelines. Abstracts required data from documentation to support the coding. Enters ICD 10 and CPT codes in electronic medical record and finalizes accounts. Does all professional data entry. Researches information on claims that are denied, rejected, etc. or encounters other issues. Essential Job Functions: • Analyzes patient medical records and interprets documentation to identify all diagnosis and procedures. Assigns proper ICD 10, CPT and HCPCS codes. • Applies sequencing guidelines to coded data according to official coding rules. • Data entry for the professional coding. • Works with providers to clarify medical record documentation and identifies issues that may need to be clarified. • Answers questions regarding coding guidelines and assists other departments with coding and billing...

Description Under general supervision and according to established procedures, assigns codes to medical records. Codes patient medical record under ICD-10, CPT, HCPCS guidelines. Abstracts required data from documentation to support the coding. Enters ICD 10 and CPT codes in electronic medical record and finalizes accounts. Does all professional data entry. Researches information on claims that are denied, rejected, etc. or encounters other issues. Essential Job Functions: • Analyzes patient medical records and interprets documentation to identify all diagnosis and procedures. Assigns proper ICD 10, CPT and HCPCS codes. • Applies sequencing guidelines to coded data according to official coding rules. • Data entry for the professional coding. • Works with providers to clarify medical record documentation and identifies issues that may need to be clarified. • Answers questions regarding coding guidelines and assists other departments with coding and billing...

Entity Medical University Hospital Authority (MUHA) Job Description Summary Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002307 SYS - Hospital Coding Pay Rate Type Hourly Pay Grade Health-25 Scheduled Weekly Hours 40 Job Description The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures. Qualifications Associate’s degree in health information technology or related field or 5 years coding...