Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Dispute Coding Analyst — Pre-Pay Claims Review

Molina Healthcare of Illinois

Molina Healthcare is seeking a detail-oriented provider denial coding specialist to support the denial coding dispute process. You will review medical records, denial reasons, and claims history to determine whether documentation substantiates services billed. In this production-focused role, you will conduct audits, decide to overturn or uphold denials, and communicate determinations to providers with guideline links. Proficiency in Microsoft Office and strong communication are required. #J-18808-Ljbffr Molina Healthcare

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Dispute Coding Analyst — Pre-Pay Claims Review in Brooklyn, NY vacancy
  • $22.78 - $29.62 per hour

     ...AM Minimum to Midpoint Pay Rate: $22.78 - $29.62 /...  ...reduce or prevent future claim denials. Employs...  ...following applicable billing, coding and reimbursement...  ...third party payer billing disputes. Additionally, resolves...  ...edits as appropriate, reviews Medicare intermediary and... 
    Claims
    Full time
    Remote work
    Shift work

    Lee Health

    Brooklyn, NY
    1 day ago
  •  ...the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides...  ...years of clinical experience Experience in medical claims processing, appeals, or coding strongly preferred Medicare Part B experience... 
    Claims
    Full time
    For contractors
    Work experience placement
    Work at office
    Local area
    Remote work
    Monday to Friday
    Shift work
    Early shift

    Southcarolinablues

    Brooklyn, NY
    1 day ago
  • $88.85k

     ...Utilization Management (UM) Claims Review Nurse RN II is...  ...through retrospective and pre-payment review processes...  ...supports billed services, coding is accurate and aligned...  .... Complete Provider Dispute Review (PDR) clinical evaluations...  ...: The expected pay range is based on many... 
    Claims
    Full time

    L.A. Care Health Plan

    Brooklyn, NY
    5 days ago
  •  ...rooms. Summary The Epic Analyst works as a member of...  ...efficient workflows and claim scrubber edits, and implement...  ...items for PB coding, including but not limited...  ...for the preparation and review of analysis for various...  ...transfer, retention, rate of pay and all other terms and... 
    Claims
    Temporary work
    Work at office
    Local area
    Flexible hours

    Illinois Bone & Joint Institute

    Brooklyn, NY
    2 days ago
  • $96k - $125k

     ...storyteller: you turn dense claims and clinical data into...  ...-ready. As a Data Analyst, you will: Build and maintain...  ...high-cost claimant reviews, avoidable utilization...  ...: risk adjustment (HCC coding, RAF scores), utilization...  ...-Verify company. Final pay is based on several... 
    Claims
    Work experience placement
    Work at office
    Remote work
    Flexible hours

    Neura Market

    Brooklyn, NY
    4 days ago
  • $34.3k - $49k

    Reimbursement Analyst - Remote Date: Aug 25, 2026 Location...  ...responsible forfull claim overpayment analysis....  ...minimal supervision. Review paid claims and member...  ...analysis, medical billing/coding, patient accounting,...  ...professional growth. The pay range for this position... 
    Claims
    Remote job
    Contract work
    Flexible hours

    Gainwell Technologies

    Brooklyn, NY
    1 day ago
  • $24 - $43 per hour

     ...Growing together. As a Performance Analyst, you will be a member of the...  ...team. Conducts chart review to code for diagnoses and quality. Monitors...  ...Together - Competitive Base Pay, a Full And Comprehensive...  ...and ICD-10 codes and reading claims forms/reports Access to reliable... 
    Claims
    Hourly pay
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area
    Remote work
    Shift work

    RXinsider

    Brooklyn, NY
    4 days ago
  • $26.14 - $56.64 per hour

     ...needed for the Medical Review Nurse: Registered Nurse...  ...utilization review, medical claims review, claims auditing,...  ...necessity review and/or coding experience Excellent...  ...administrative law judge pre-hearings, state...  ...Employer (EOE) M/F/D/V. Pay Range: $26.14 - $56.64 /... 
    Claims
    Remote job
    Hourly pay
    Work experience placement
    Work at office
    Monday to Friday

    Molina Healthcare

    Brooklyn, NY
    4 days ago
  • $70k - $85k

    Risk Adjustment Coding Specialist II (CST/EST) Department: Quality...  ...conducting high-volume chart reviews to identify coding gaps, trends...  ...assess, monitor, and document claims and encounter coding information...  ...The national target pay range for this role is $70,000... 
    Claims
    Full time
    Work at office
    Remote work
    Home office

    Astrana Health Management

    Brooklyn, NY
    1 day ago
  • The Utilization Review Nurse gathers demographic and clinical...  ...to the appropriate claims staff/customer Collects...  ...knowledge of both CPT and ICD coding Ability to interface...  ...orthopedics preferred PAY RANGE: CorVel uses a market...  ...Illness Insurance Pre-paid Legal Insurance Parking... 
    Claims
    Minimum wage
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel Corporation

    Brooklyn, NY
    3 days ago
  • $100k - $110k

     ...accurately represented. By combining deep clinical and coding expertise with advanced technology, our team...  ...difference. Job Summary The Clinical Coding Analyst (CCA) performs pre-bill inpatient medical record reviews to identify coding opportunities, potential compliance... 
    Local area
    Remote work
    Monday to Friday

    Enjoin

    Brooklyn, NY
    3 days ago
  • $20.75 - $24.75 per hour

    Overview The Client Service Analyst (CSA) role ensures...  ...client-facing team on coding and policy aswell as operational...  ...each month. Reviews, analyzes, and responds...  ...Healthcare industry and claims analysis experience. Excellent...  ...to receive overtime pay for hours worked in... 
    Claims
    Hourly pay
    Work at office
    Immediate start
    Remote work
    Night shift

    Cotiviti

    Brooklyn, NY
    3 days ago
  •  ...inpatient medical records are coded within Medical Information...  ...the Inpatient Coding Quality Analyst serves as a subject matter expert...  ..., resolves inpatient claim and coding edits, supports denial...  ...downgrade risk through targeted pre‑bill review, trend analysis, and feedback... 
    Claims
    Work at office
    Remote work

    The Ohio State University Wexner Medical Center

    Brooklyn, NY
    2 days ago
  •  ...Licensing & Contracting Forms Analyst, where you'll play a key role...  ...Solutions — supports end-to-end claims handling with analytic and...  ...Verisk property. Verisk will NOT pay a fee for any placement resulting...  ...Reading/writing XSL/XML Code Ability to interpret complex business... 
    Claims
    Full time
    Remote work
    Work from home
    Monday to Thursday

    Verisk Analytics

    Jersey City, NJ
    10 hours ago
  •  ...Job Category : Billing, Coding, and Collection...  ...States Research unpaid claims, determine denial root...  ...the patient's record. Review, comprehend, and execute...  ...Resolves disagreements and disputes fairly and professionally...  ...LinkedIn, please know that pay bands are auto assigned... 
    Claims
    Full time
    Work at office
    Remote work

    Surgery Partners

    Brooklyn, NY
    5 days ago
  •  ...producing computer matches, claiming systems, and personnel systems...  ...recruiting for one (1) Procurement Analyst II, to function as Jr. Asset...  ..., who will:Assist in the review and evaluation of user...  ...related tasks.Assist in designing, coding, testing, maintaining, and enhancing... 
    Claims
    Full time
    Contract work
    Work at office
    Relocation
    Shift work

    New York City | Jobs

    Brooklyn, NY
    1 day ago
  •  ...The Revenue Integrity Associate Analyst plays a critical role in...  ...the charge master, regulatory code changes, work queues, charge capture...  ...billing errors, denials, and claim edits. Educates on best...  ...specific requirements to provide pay transparency. Compensation decisions... 
    Claims
    Local area
    Remote work

    Ensemble Health Partners

    Brooklyn, NY
    2 days ago
  • $79.3k

     ...progressive scope and complexity. 5 years with coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data. 3...  ...as company policies and training requirements. Pay Range Minimum $79,300.00 Pay Range Maximum $12... 
    Claims
    For contractors
    Work at office
    Local area
    Shift work

    Highmark Health

    Brooklyn, NY
    2 days ago
  • $113k - $173k

     ...curious Senior Actuarial Analyst with a strong...  ...and Other Data Calls, Claims, Compliance, Underwriting...  ...by sharing knowledge, reviewing work, and supporting the...  ...Suite; familiarity with coding languages such as Python...  ...CCPA Job Applicant: Pay Range: $113,000-$173,00... 
    Claims
    Live in
    Work at office
    Local area

    Jobless

    Brooklyn, NY
    3 days ago
  •  ...care.? Requirements The Nurse Reviewer performs complex medical record...  ...Medicare Part A/B and DMEPOS claims that require clinical judgment...  ...medical/claims review, including pre- and post-payment claims...  ...review experience CPC (or similar) coding certification Prior work as a... 
    Claims
    Contract work
    For contractors
    Local area
    Remote work

    Commence Corporation

    Brooklyn, NY
    1 day ago
  • $95k - $110k

     ...to receive an alert: DRG Nurse Reviewer Appeals and Hearings- Remote...  ...redeterminations using approved clinical and coding guidelines and documents...  ...perform reviews of multiple claim types to provide a flexible...  ...on an ongoing basis. The pay range for this position is $95... 
    Claims
    Full time
    Remote work
    Work from home
    Relocation package
    Flexible hours

    Gainwell Technologies

    Brooklyn, NY
    4 days ago
  • $42.46 - $56.02 per hour

    Description Medical Coding Support accurate outpatient coding, billing...  ...compliance through the review and coding of Epic Simple Visit...  ...the Epic Simple Visit Coding Analyst 2, you will review charges from...  ...with routine coding edits and claim-related coding issues. Communicate... 
    Claims
    Hourly pay

    UCLA Outpatient Clinics

    Brooklyn, NY
    4 days ago
  • $92.3k - $138.4k

    The Principal Analyst is responsible for creating, maintaining...  ...modules for key Dispute Resolution Services (...  ...through quality control reviews. Empower through training...  ...all state and local pay transparency laws and regulations...  ...InformationFINRA’s Code of Conduct imposes... 
    Full time
    Temporary work
    For contractors
    For subcontractor
    Local area
    Immediate start

    Financial Industry Regulatory Authority

    Jersey City, NJ
    10 hours ago
  • $59.2k - $109.02k

    Healthcare Data Analyst (Medicaid Finance & Policy) Milliman...  .... Responsibilities Claims datasets including...  ...and using data models. Reviewing, evaluating, and summarizing...  ...to write or learn SAS code without point-and-click...  ...Accounts (FSA) - Pre‑tax savings for dependent... 
    Claims
    Full time
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Worldwide
    Flexible hours

    Milliman Ireland

    Brooklyn, NY
    4 days ago
  •  ...Role We are looking for a Data Analyst to join our Data & Analytics...  ...recurring Quarterly Business Reviews to ad hoc analyses that answer...  ...that means using AI-assisted coding to accelerate development, applying...  ...healthcare-specific data (claims, clinical, eligibility, pharmacy... 
    Claims
    Remote work
    Work from home
    Flexible hours

    GrabJobs

    Jersey City, NJ
    2 days ago
  •  ...working with the billing vendor to ensure claims are being processed accurately. Essential...  ...departmental communication through daily review of email messages. Develop, maintain, and...  ...obtain basic procedural and/or diagnosis codes. Supervisory Responsibility None Work... 
    Claims
    Full time
    Work at office
    Monday to Friday

    US Digestive Health

    Brooklyn, NY
    5 days ago
  • $64.97k - $97.46k

     ...improvement initiatives. Collaborates with coding, billing, clinical, and charge champions...  ...risk through effective and timely review of RAC Audit requests, ensuring timely appeals...  ...data elements associated with all types of claim forms* Certified Revenue Cycle... 
    Claims
    Local area
    Immediate start
    Shift work

    Albany Medical College

    Brooklyn, NY
    2 days ago
  • $78k - $153k

     ...Environment - Must reside in Hawaii** Pay Range: $78,000 - $153,000 Note...  .... Strong Working knowledge of claims, health plan financial data,...  ...for program driving accurate coding and documentation to optimize...  ...analysis. Mentors junior analysts and may be assigned project lead... 
    Claims
    Work experience placement
    Work at office

    Hawaii Medical Service Association

    Brooklyn, NY
    5 days ago
  •  ...Repricing Quality Assurance Analyst I Job Category : CERIS...  ...is responsible for reviewing, analyzing, and monitoring...  ...of repricing claims processing, and contractual...  ...Bachelor's degree preferred PAY RANGE CorVel uses a...  ...Critical Illness Insurance, Pre-paid Legal Insurance,... 
    Claims
    Minimum wage
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel Corporation

    Brooklyn, NY
    4 days ago
  • $54k - $103k

     ...technical direction, conducts on-site Claim audits of Auto Physical Damage...  ...levels of customer service. Reviews and makes recommendations...  ...process improvement. Conducts pre-review of Claim decisions which...  ...Washington, the national base pay range for this job level is $54... 
    Claims
    Work experience placement
    Work at office
    Local area

    CNA

    Brooklyn, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Dispute Coding Analyst — Pre-Pay Claims Review. Be the first to apply!