- Houston Methodist (Fort Worth, TX)
- …etc. This position reviews Current Procedural Terminology Fourth Edition (CPT-4)/ Healthcare Common Procedure Coding System (HCPCS) code errors and communicates ... etc.), determines the causes for coding related edits or denials and partners with management to ensure timely billing...AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + COC - Certified Outpatient … more
- Fresenius Medical Center (Plano, TX)
- …claims processing and identifying and resolving problems that lead to medical claim denials . The Coder provides administrative support in the interpretation and ... explanation of data for internal and external customers. ** DENIALS MEDICAL CODER FOCUS** **:** + Must...have 2+ years of E&M "Coding" experience within medical healthcare coding + Requires strong Excel skills + Requires… 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 or OP Coder Proficiency Test as applicable. **Licensure/Certification Requirements:** * Must… more
- Trinity Health (Sioux City, IA)
- …support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials . Works Inpatient claim edits and may code consecutive/combined accounts to ... established by Revenue Excellence/HM. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule. We are currently looking for candidates with experience ... in the following area: Orthopedic Hand/Upper Extremity Surgery Description: Physician Coder III is responsible for reviewing and accurately coding all professional… more
- TEKsystems (Annapolis, MD)
- Description: The Medical Lead Coder under the supervision of the Manager of Coding and Data Quality In accordance with coding guidelines, ICD-10-CM Official Coding ... 5. Maintain a high level of accuracy in code assignment to prevent claim denials , billing errors, and potential legal issues. 6. Stay updated with coding changes,… more
- Banner Health (AZ)
- …along with an added focus where necessary that may include high dollar accounts, denials , improved A/R days and cash flow while collaborating with many areas such as ... Expected reimbursement. The Senior Cardiology and Interventional Radiology Certified Coder 's main job responsibilities will include abstracting information from… more
- Community Medical and Dental Care Inc (Monsey, NY)
- …Coder . The Coder will work directly with the insurance company, healthcare provider, and patient to get claims processed and paid. RESPONSIBILITIES: + Check ... the Billing Manager to obtain missing information + Rebill denials with a focus on collections + Perform A/R...for growth Please note that this is not a remote position. Community Medical & Dental Care, Inc., is… more
- Trinity Health (Livonia, MI)
- …support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials . 5. Works Inpatient claim edits and may code consecutive/combined accounts to ... by Revenue Excellence/HM. 7. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists… more
- SSM Health (MO)
- …MO- REMOTE **Worker Type:** Regular **Job Highlights:** **_Lead the way_** **_in healthcare coding as a remote Coding Lead, Professional at SSM Health. ... Differentials: Available for night, weekend, and additional shifts . Location: Remote **Job Summary:** Coordinates, organizes and prioritizes the work flow… more
- University of Utah (Salt Lake City, UT)
- …**Open Date** 08/14/2024 **Requisition Number** PRN39530B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR ... **University Medical Billing ( UMB )** is a fully remote department that is viewed as the premier billing...provide feedback and recommendations to aid in reduction of denials . 2. Quality assurance for appropriate coding and documentation,… more
- Lancaster General Health (Lancaster, PA)
- …Friday hours can be discussed upon hiring No weekends or Holidays Remote work after training **ESSENTIAL FUNCTIONS:** Qualified individuals must have the ability ... ensure understanding current evaluation and management guidelines Identify patterns in denials working with appropriate parties to correct errors and mitigate future… more
- MD Anderson Cancer Center (Houston, TX)
- …following will apply to a position hired for the Interventional Radiology (IR) coder : . Matrix relationship to Revenue Operations & Coding, Supervisor and IR, ... well as the National Correct Coding Initiative (CCI). 4. Coder meets and maintains a production rate of 90%...15. Resolves claim and billing edits as well as denials by performing second review of medical record documentation… more
- Trinity Health (Ann Arbor, MI)
- …support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials . Adheres to Inpatient coding quality and productivity standards established by ... Revenue Excellence/HM. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS)… more
- Columbus Regional Hospital (Columbus, IN)
- …areas of opportunity to improve coding quality, based on external audit findings, denials , and other platforms and plan coder education accordingly. + This ... is responsible for reviewing and appealing all coding related denials . + This position is responsible for acting as...week, Monday through Friday. + The position is 100% remote . What is required for this position: Education and/or… more
- MD Anderson Cancer Center (Houston, TX)
- …and regulations established through CMS and the AMA. 11. Resolves coding edits/ denials by performing second review of medical record documentation and code ... X **Required Education:** Associate's degree in Health Information Management, Healthcare Administration, or related healthcare field. **Preferred Education:**… more
- University of Washington (Seattle, WA)
- …a **CLINICAL APPEALS AND DISPUTES NURSE** **Work Schedule** + 100% FTE + 100% Remote + Days **POSITION HIGHLIGHTS** + Work with a team dedicated to providing ... thoroughly, and communicated payer decisions in a timely manner + Review clinical denials and initiate appeals process + Conduct medical necessity reviews, based on… more
- Banner Health (AZ)
- …and include concurrent HCC audits and education to fellow coders. **This is a fully remote position and available if you live in the following states only: AK, AL, ... W** Y. The hours are flexible as we have remote Coders across the Nation. Generally, any 8-hour period...unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in… more
- University of Michigan (Ann Arbor, MI)
- …to improve processes and compliance. The Manager will oversee the OP/Pro Medical Coder Compliance Specialists (MCCS), The PB Denials Team, and the Appeals ... and patterns, makes recommendations for additional focused audits, follows up actions and/or coder education and training as well as analyses of potential and actual… more
- Aligned Modern Health (IL)
- Aligned Modern Health (AMH) is changing the face of healthcare and building the leading national brand in natural medicine. We are the largest and highest rated ... in the Midwest and are driving positive change in healthcare by introducing our services to new patients every...is a Chicago-based company, however, the role is currently remote . Local candidates are preferred, but qualified remote… more