- Plante Moran (Chicago, IL)
- …coding, Clinical Documentation Improvement (CDI), medical necessity verification, and denials management. This role requires a deep understanding of healthcare ... staff on documentation requirements for medical necessity. Analyze and manage denials to identify root causes and implement corrective actions. Develop strategies… more
- UCLA Health (Los Angeles, CA)
- …discrepancies between coded physician encounter forms and HIM coding and works on denials . As a Specialized Coder , the incumbent is responsible for utilizing ... Provides information on coding question trends, and issues that affect the coder -physician communication process and follow up on queries to physicians to address… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with ... multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- Hartford HealthCare (Farmington, CT)
- …The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials . This ... *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial reasons, and determine the appropriateness… more
- UNC Health Care (Chapel Hill, NC)
- …feedback as needed and attends IP and OP huddles to respond to coder questions and provide training and education. This position processes and appeals insurance ... coding denials . This position analyzes coded records for compliance with...Successful completion of the UNC HCS IP/ OP Medical Coder Auditor Proficiency Test as applicable. **Licensure/Certification Requirements:** *… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …Health Information Management (HIM) section at the Boise VA Medical Center. MRTs ( Coder ) are skilled in classifying medical data from patient health records in the ... efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and to...is paid or non-paid employment equivalent to a MRT ( Coder ). Certification: Persons hired or reassigned to MRT (… more
- Dignity Health (Rancho Cordova, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Senior Coder (Sr. Coder ) acts as the lead coder for their designated team. This ... on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will monitor staff workload, audit coders, fill in for out… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …Information Management (HIM) section at the Sioux Falls VA Medical Center. MRTs ( Coder ) are skilled in classifying medical data from patient health records in the ... efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and to...is paid or non-paid employment equivalent to a MRT Coder . Certification Must have either 1, 2, or 3… more
- University of Virginia (Charlottesville, VA)
- The Enterprise PB Coding Manager for Coder and Provider Education is responsible for directing and managing the PB Coding education team supporting physicians, other ... This position is responsible for the development of both coder and provider educational materials and standard procedures, as...client's account as needed, including but not limited to denials , rejections, claim files issues, and review codes. +… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Medical Coder III functions as an advanced coder in the abstraction ... with universally recognized coding guidelines. - Reviews and resolves coding denials . Resolves problems with claims having errors related to improper coding… more
- MedKoder (Mandeville, LA)
- …hour work week that offers a flexible schedule Description: The Physician Coder : Hospitalist is responsible for reviewing and accurately coding all professional ... guidelines to ensure receipt of accurate reimbursement. The Physician Coder : Hospitalist is expected to adhere to MedKoder's internal...PLUS. + CPMA certification is a PLUS. + Billing ( denials ) experience is a PLUS. + Epic experience is… more
- Ellis Medicine (Schenectady, NY)
- The Medical Coder II is responsible for the revenue cycle...PBO dept. to reduce and address claim issues and denials timely. + Assists in the maintenance of the ... providers to optimize accurate documentation and coding. Additionally, all Medical Coder will participate in regularly scheduled cross-functional work groups to… more
- University of Rochester (Albany, NY)
- …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Functions as an advanced coder in the abstraction and in-depth analysis of a variety of ... accordance with universally recognized coding guidelines. + Reviews and resolves coding denials . + Resolves problems with claims having errors related to improper… more
- Fair Haven Community Health Care (New Haven, CT)
- We are seeking a Remote Medical Billing Coder to join our Dynamic Team! Job purpose Responsible for maintaining the professional reimbursement program. Ensure ... that impact billing and collection. Duties and responsibilities The Medical Billing Coder performs billing and computer functions, including patient & third party… more
- Insight Global (Jacksonville, FL)
- Job Description Our client is in need of an Inpatient Rehabilitation Medical Coder . As an IRF Coder you will be responsible for coding and applying ICD-10-CM and ... by accurately assessing and correcting issues regarding medical necessity, claims denials , bundling issues and charge capture. - Efficiently uses available reference… more
- WMCHealth (Valhalla, NY)
- Senior Inpatient Coder (REMOTE) Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info ... Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote Physician Pro Fee Coding Specialist- Denials Management is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ... with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying… more
- Omaha Children's Hospital (Omaha, NE)
- **Schedule: FT, Mon- Fri 8:00 - 5:00 (Anesthesia coder exp preferred), Bonus $3000** At Children's, the region's only full-service pediatric healthcare center, our ... accuracy of billing. * Trends identified from documentation and denials . * Provide input timely responses to coding related...input timely responses to coding related questions from the denials team. * Identify charge related edits that can… more
- BJC HealthCare (St. Louis, MO)
- …work experience) **Additional Information About the Role** BJC is hiring for a Pro Fee GI Coder II. We are looking for 2 years of Pro Fee GI procedures and E/M ... schools in the country. **Preferred Qualifications** **Role Purpose** The Professional Coder II works independently to assign diagnosis, procedure codes and… more
