Remote Certified Coding Denials Specialist - Appeals
Ventra Health Inc.
Ventra Health Inc. is seeking a Certified Coding Denials Specialist to work remotely in a full-time role. The specialist will manage claim edits and rejection work queues, ensuring timely investigation and resolution of health plan denials while adhering to departmental standards. Successful candidates will have a high school diploma, at least 1-3 years of experience in medical billing, and must hold current AAPC or AHIMA certification. Proficiency in Microsoft Excel is also essential to perform the job effectively. #J-18808-Ljbffr
- ...Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist supports the Revenue Recovery team... ...# Coordinates and/or completes appeals as applicable with payors. # Develops... ...Management Association Certified Provider Credentialing Specialist...Remote workFull timeMonday to Friday
$31.95 - $39.95 per hour
...Certified Coding Specialist Fully Remote • MSO Corporate 1000 - Stamford, CT 06905 Overview Salary Range... ...optimal CPT/ICD-10 coding, minimizing denials, and supporting provider's... ...provider and vendor Support appeals for coding-related denials Provide...Remote workHourly payFull timeLocal areaShift work$10 per hour
A remote healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate... ...will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should...Remote jobFull time$28.72 - $36.92 per hour
...This position is primarily remote, candidates must reside... ...Summary: The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for... ...coding-related denials and appeals in addition to following... ...close collaboration with Certified Professional Coders (CPS)...Remote jobHourly payFull timeWork at officeLocal area- ...To manage denial and accounts receivable (AR) processes, the... ...full-time Denial Management Specialist will work remotely to research and resolve outstanding... ..., initiate insurance appeals, and communicate trends to... ...of ICD9 and CPT-4 coding Familiarity with insurance...Remote workFull timeWork at office
- ...areas of reimbursement. From challenging denials and zero balance reviews to aged accounts... ...EPIC, Meditech, Cerner, Athena) Draft appeals to insurance carriers on denied or underpaid... ...claims Review claim detail including coding, billing and insurance information for...Remote workPermanent employmentWork from homeFlexible hours
- ...To ensure accurate and compliant coding of hospital and professional services, the full-time remote Certified Coding Specialist will review clinical documentation, assign appropriate... ...quality reviews, audits, and assist in denial management and revenue cycle optimization...Remote workFull time
- ...is seeking an Accounts Receivable Specialist for a remote role with a 3‑month in‑office training... ...and underpaid claims, research denials, perform appeals, and work with payers to maximize collections... ...; experience with CPT/ICD‑10 coding and healthcare billing is required....Remote jobWork at office
- ...Denials Specialist Insight Global is seeking a fully remote Denials Specialist to support a Healthcare AI client. This is a... ...will leverage their denials and appeals expertise to evaluate and improve... ...medical necessity, authorization, coding, technical, etc.) Identify...Remote workContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
- ...Health in Arlington Heights, IL seeks a Denial Management Specialist to review and resolve denied patient... ...Providers and Payers, submit timely appeals, gather medical records, and write... ...computer skills and knowledge of CPT/ICD9 coding are required; high school diploma and...
- ...poster from CADUCEUSHEALTH Position: Coding Specialist coding Holds and Denials Overview We're seeking a seasoned... ...Word, Excel, Outlook, Teams). 100% remote with standard business hours. Extended... ..., Fully Remote, CCS or RHIT certified, FT, 08A-4:30P Florida, United States...Remote workFull timeContract workPart timeWork at officeLocal areaRelocation package
- ...multi-year runway. THE ROLE We are looking for an experienced Denial & Appeal Specialist to own denial management end-to-end across a complex, multi... ...Analyze 835 remittance files to identify denial reason codes (CO-4, CO-97, CO-16, PR-96, etc.) and trace root causes back...Work at office
- ...self-motivated, results oriented individual to fill an Appeals Denial Management Specialist position Position Summary The Appeals/Denial Management... ..., but are not limited to, claim denials, underpayments, coding denials, filing of appeals, zero payments and other claim...Contract workTemporary workWork at officeFlexible hours
- ...experience. Prior experience with appeals, denials, and audits preferred. This is NOT a Remote position. Must be located in... ...office. Clinical Appeals & Revenue Specialist Responsible for managing denied... ...medical necessity, validating coding accuracy, identifying trends in...Work at officeLocal area
- ...Overview We are seeking an experienced Appeals Specialist to join our growing healthcare organization... ...is responsible for managing insurance denials and payer disputes from identification... ..., understands complex procedural coding, and is comfortable navigating payer policies...
- United Surgical Partners International is seeking an Appeals Denial Management Specialist for their North Oklahoma City billing office. The role involves... ...candidate will have a background in managed care and coding knowledge, along with a commitment to positive...Work at office
- ...healthcare provider is seeking an Advanced Inpatient Coding Specialist for a full-time remote position in Georgia. The role involves analyzing complex... ...ICD-10 systems. Required qualifications include a Certified Coding Specialist (CCS) certification and significant...Remote workFull time
- ...seeking a Revenue Cycle Insurance Specialist to manage insurance claims and... ...understanding of CPT and ICD coding. This role requires ability in... ...including the resolution of insurance denials and inquiries, this position offers a full-time remote work option for residents of...Remote workFull time
$25 - $30 per hour
...DataAnnotation is seeking a Certified Coding Specialist (CCS) to join their team and help train AI models. This role requires expertise in healthcare to evaluate AI performance and improve model quality. Applicants should have fluency in English and a medical or healthcare...Remote workHourly payFor contractors$31.4 - $36.06 per hour
...Charge Review and Data Entry Specialist III Department: BILLING Location... ...for experienced Medical Certified Professional Coder/Charge Review... ...III candidates: CPC/Coding Certification is required Minimum... ...effectively, and professionally. Remote/hybrid options are accommodated...Remote workHourly payFull timeTemporary workWork at office$21.16 - $38.37 per hour
...to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at... ...Healthcare . This position is remote and will be working... ...Medicaid and Medicare claims denials and appeals processing, and... ...program in health care (i.e., certified coder, billing, or medical...Remote workHourly payFull timeContract workWork experience placementWork at office- ...Optometry Ar Follow-Up Specialist Evenflow Solutions... ...is looking to add a remote Ophthalmology or... ...electronically, file appeals, track denial trending, resolve denials... ...standard guidelines for coding and billing. Post... ...program, i.e., CMBS (Certified Medical Billing...Remote workWork at office
$32.69 - $36.76 per hour
Role Description Remote position – Join a team... ...knowledge as a Certified Professional Coder... ...investigate and resolve coding related insurance payment denials. Review medical... ...records to write robust appeals defending medical... ...or Certified Coding Specialist (CCS). ~Should...Remote workFull timeContract workWork at office- ...RCM Specialist II The RCM Specialist II is an individual... ...or underpaid claims, denials, and aged balances... ...appropriate action (i.e. appeals, corrections,... ...submission, charging/coding requirements, insurance... ...analytical skills. Certified Professional Coder (CPC...Remote workWork at office
- ...NeoGenomics seeks a Certified Coding Specialist for a remote role, dedicated to analyzing medical records and coding clinical data. You will engage with physicians when documentation is unclear, ensuring comprehensive coding practices. The candidate must have an AAPC...Remote work
$58.21k - $90.22k
...Overview CalOptima Health is seeking a highly motivated Certified Coding Specialist to join our team. The Certified Coding Specialist will assist... ...medical records related to provider disputes and appeals. Additionally, the incumbent will respond to questions submitted...Remote workTemporary workWork at officeFlexible hoursWeekend workAfternoon shift- ...positions are classified as hybrid, onsite or remote. While the majority of our employees are... ...to requests for member and provider appeals, grievances, reconsiderations and corrected... ...CPT, ICD- 9, ICD-10, HCPCS, and DRG coding Preferred Professional Competencies Working...Remote workFull timeContract workWork experience placementWork at officeLocal area1 day per week
- ...2025, Infinx was certified as a Great Place to... ...diagnosis and procedure codes for inpatient,... .... The Coding Specialist also resolves coding... ...claim rejections and denials, supports... ...New Orleans, LA or Remote Responsibilities... ...coding audits, formal appeals authoring, or external...Remote workHourly payShift work
- ...diagnosis and procedure codes, and Current Procedural Terminology... .... Investigates claims denials and/or appeals as directed. Consistently... ...field is preferred. Certified Coding Specialist (CCS), Certified... ..., telecommuting (working remotely), must be able to comply...Remote workTemporary workLocal areaImmediate startFlexible hours
$87.76k - $116.71k
...for expected reimbursement. Evaluates denials and non-certified days from third‑party payors to determine... ...of denial and feasibility of appeal. Consults with attending physician, physician... ...Familiar with CPT, ICD‑9 &-10 and DRG coding preferred. Strong ability to research...Remote jobFor contractorsLocal area
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