Remote Medical Coder - Medicare Appeals Specialist
DaMar Staffing
- Remote job
DaMar Staffing is seeking a Remote Medical Coder with CPC/CCS certification to review medical records for Medicare appeals. You will evaluate NCD/LCD denials, duplicate denials, and MUE denials, determining if conditions of coverage exist and providing uphold justifications where needed. Primary FACETS experience with COSMOS expansion is expected. Maintain thorough documentation, communicate with the team, and stay current with CMS policies. #J-18808-Ljbffr DaMar Staffing
$21.16 - $38.37 per hour
...Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina... ...Healthcare . This position is remote and will be working... .... Requests and reviews medical records, notes, and/or detailed... ...care (i.e., certified coder, billing, or medical assistant...Remote workHourly payFull timeContract workWork experience placementWork at office$21.16 - $38.37 per hour
A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention to...Remote jobHourly payWork at office- ...General Brigham Health Plan is seeking an Appeals Coordinator to coordinate, process,... ...investigate, and document member appeals across Medicare. The role involves tracking lifecycle,... ...and ensuring regulatory compliance in a remote environment within the United States. Ideal...Remote job
- UofL Health is seeking a skilled claims appeals specialist to manage unpaid claim appeals in the Central Business Office. You will work closely... ...experience and CPC or AHIMA certification. The role is remote from a home office in Kentucky with typical day-shift hours and...Remote jobWork at officeHome officeDay shift
- ...assigned levels of denials by submitting appeal letters and required documentation to insurance... ...patient to get the denial overturned. Remote: Although this position is listed as... ...patient and/or physician consent and medical records when required by the insurance plan...Remote work
- ...Presidential Staffing Solutions, LLC seeks a Remote Medical Coder to support the Captain James A. Lovell Federal Health Care Center. You will apply ICD-10-CM, CPT, HCPCS codes while navigating VA systems and coding standards. The role emphasizes attention to detail...Remote workFlexible hours
- ...is a major hospital system in Missouri focused on delivering life-saving care and supporting its team with growth opportunities. The coder is responsible for ensuring appropriate levels of service billed under AMA and CMS guidelines, handling insurance credentialing, and...Remote work
- ...UnitedHealthcare is seeking a Medical Coder to review provider inquiries and code professional and facility claims. The role emphasizes accuracy and speed in a remote, nationwide setup. Responsibilities include auditing medical records, abstracting diagnoses/procedures...Remote work
- ...Spencer Hospital in Spencer, IA is seeking a dedicated Medical Records Coding Specialist to join our team. You will assign codes for inpatient and outpatient encounters using ICD-10 and CPT-4, ensure accuracy for reimbursement, research, and regulatory compliance, and...Remote work
- ...A health care organization in Cincinnati seeks a Certified Coder to translate medical descriptions into codes for billing. The ideal candidate has a high school diploma, RHIT certification preferred, and 2 years of relevant experience. Responsibilities include coding...Remote work
$19.5 - $21 per hour
...detail-oriented and experienced Appeals Specialist for our client in Middleburg... ...organized, knowledgeable in medical billing and payer... ...~3 months in office then remote ~ Benefits offered Key... ...and government payers (e.g., Medicare/Medicaid). Proficient in...Remote workWork at officeImmediate startMonday to Friday- UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections. This WFH role...Remote jobWork at officeWork from home
$29.7 - $31.8 per hour
...9.70 - $31.80 based on experience The Acute Coding Appeals Specialist integrates medical coding principles and objectivity in the performance of... ...improve patient and client experiences. ~ This is a remote position; however, candidates must be willing and able to...Remote workTemporary workWork at officeLocal area- Guardant Health seeks a Reimbursement Specialist II, Follow-Up and Appeals to join the revenue cycle team. You will analyze EOBs, appeal denials, and manage payer communications, all while supporting patient financial services and process improvements. Responsibilities...Remote job
- ...medicine diagnostics, is seeking an Insurance Reimbursement Specialist to maximize collections by pursuing unpaid claims and managing multi-level appeals. This full-time role is based in Brisbane, CA, with some remote collaboration for eligible candidates. You will work...Remote jobFull time
- UnitedHealthcare offers a remote-friendly physician assistant role across the United States, focusing on review and adjudication of appeals and grievances. You will collaborate with medical directors and an integrated team to assess medical necessity and benefit design....Remote jobWeekday work
$22 per hour
Broadway Ventures, a United States-based firm, is seeking candidates for a temporary 6-month role that is 100% remote. Compensation is $22 per hour with training provided. Responsibilities include prioritizing workload, using OnBase and MAS to record and upload documents...Remote jobHourly payTemporary work- Valley View Hospital is seeking a Coder to assign ICD-10, ICD-10-PCS and CPT/HCPCS codes for inpatient and outpatient services. The role... ...denials, and maintaining high chart review accuracy in a remote capacity. Qualified candidates will have CCS or RHIT with CCS, at...Remote job
- Altegra Health is looking for remote Certified Coders to review medical records and assign appropriate ICD-9-CM codes. The ideal candidate will have an active nursing license or coding certification and extensive experience with outpatient diagnosis coding guidelines. Your...Remote job
- UTHealth Houston is hiring a Professional Coder I to join Revenue Cycle. Responsible for reviewing medical documentation and assigning codes for clinic and hospital... .../CPT, Epic, and adherence to coding guidelines. Remote work with two weeks onsite training in Texas; strong...Remote job
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote work
- Sprinter Health is hiring a Medical Coder to review and abstract professional medical records, ensuring accurate code assignment across CPT... ...emphasizes coding quality, compliance, and productivity in a remote setting. You will validate documentation supports all codes, query...Remote job
- ScionHealth is seeking a Medical Coder to code diagnoses, procedures, and operations in patient records using ICD-10-CM and CPT guidelines... ...experience and current CPC certification preferred. This role offers remote work with periodic onsite presence at facilities or physician...Remote job
- Sacbar is seeking an experienced Inpatient Hospital Coder - Denial Appeals Specialist in Towson, MD to review and write compelling appeals for DRG-related... ...and reimbursement principles. The candidate will analyze medical records, apply ICD-10-CM/PCS guidelines, and collaborate...
- ...Summary We are seeking an experienced Inpatient Hospital Coder - Denial Appeals Specialist to review, analyze, and write compelling appeals for coding... ...and determine the appropriate appeal strategy. Analyze medical records, coding, clinical documentation, and payer denial...
- Universal Health Services (UHS) - Western Region Consolidated Business Office (WCBO) is seeking an Inpatient Coder for the Appeals department. The role analyzes third party coding audits, drafts detailed appeal letters, and reviews clinical level of care to identify denial...
- CorroHealth is seeking a DRG Appeals Specialist to perform reviews of inpatient DRG payer denials... ...evidence. Responsibilities include auditing medical records, entering findings into our... ...appropriate reimbursements. This is a remote position. #J-18808-Ljbffr CorroHealth...Remote job
- Providence California Regional Services is seeking a Care Manager RN for a remote, full-time role. The position involves day shifts and focuses on coordinating clinically-based appeals and reimbursement processes for patients across PH&S California regions. Candidate must...Remote jobFull timeDay shift
- ...change healthcare! This is a remote position ESSENTIAL DUTIES AND... ...Member. Job Description: The DRG Appeals Specialist performs reviews of inpatient... ...reviews of inpatient medical records to validate the MS/APR DRGs assigned for Medicare, Commercial, and Third-Party...Remote workTemporary workWork at officeLocal areaImmediate startShift work
- ...The Medical Coder is a remote position with requirements to be located within 2... ...Overview The Medical Coding Specialist ensures the accuracy of... ...electronic insurance claims, appeals Responding to denials of... ...skills Knowledge of Medicare, Medicaid, Commercial, and...Remote workWork from homeMonday to Friday
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