Coding Specialist- Holds & Denials CPC
CADUCEUSHEALTH®
Get AI-powered advice on this job and more exclusive features. Direct message the job poster from CADUCEUSHEALTH Position: Coding Specialist coding Holds and Denials Overview We're seeking a seasoned Coding Specialist to conduct high-quality reviews and assign accurate codes to a wide range of patient records. Your work ensures that physician services are properly documented and billed in alignment with medical and legal standards. What You’ll Do Assign ICD-10-CM and CPT codes (with modifiers) for professional fee services. Review documentation to support accurate coding and billing. Validate medical necessity based on local and national guidelines. Resolve coding edits, denials, and assist with rebilling when needed. Stay current with coding regulations and compliance standards. Meet or exceed productivity and quality benchmarks . Identify coding issues and contribute to ongoing improvements. Participate in departmental meetings and compliance training. Preferred Qualifications AAPC CPC certification (Required). 5+ years of experience in professional fee coding. In-depth knowledge of CPT, ICD-10, anatomy/physiology , and Medicare rules. Excellent analytical, written, and verbal communication skills. Strong attention to detail and ability to work independently. High level of discretion with HIPAA and PHI . Proficient in Microsoft Office (Word, Excel, Outlook, Teams). 100% remote with standard business hours. Extended computer usage and sitting required. Ability to lift up to 30 pounds occasionally. Strong focus on compliance, privacy, and quality standards. Work environment: A standard business environment exists with moderate noise levels. Ability to lift and move approximately thirty (30) pounds non-routinely. Ability to sit for extended periods. Extended periods of computer usage Handling – seizing, holding, grasping, and fingering of objects, tools, and controls. Vision – close vision Hearing- the ability to receive detailed information through oral and telephonic communication. Seniority level Seniority level Associate Employment type Employment type Full-time Job function Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at CADUCEUSHEALTH by 2x Inferred from the description for this job Medical insurance Vision insurance 401(k) Tuition assistance Get notified about new Coding Specialist jobs in United States . HIM Coder (Part Time, 17 hours/week, Remote) Clinical Coding and Documentation Specialist (Remote) HIM Outpatient Surgery/Ambulatory Coder - OBGYN Medical Coding Specialist - Hospital and Ambulatory Surgery Center Contract Coding Specialist (Part Time - Remote) United States $60,000.00-$75,000.00 2 weeks ago Coding and Medical Records Auditor- Remote Anesthesia Coding Specialist II, PB Coding, Full-time, Days, (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible) Outpatient SDS Coding Specialist, Fully Remote, CCS or RHIT certified, FT, 08A-4:30P Florida, United States $26.50-$34.45 1 week ago Inpatient Coding Specialist, Fully Remote, $5000 Bonus, CCS or RHIT certified, FT, 08A-4:30P Florida, United States $28.98-$37.67 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr CADUCEUSHEALTH®
$10 per hour
...solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal... ...analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should have a CPC certification and a...SuggestedRemote jobFull time$49.92k - $62.4k
...organization in Bronx, NY is looking for a denial management specialist to research and analyze denials and... ...analytical skills, and knowledge of coding standards. A Bachelor's Degree is preferred... ...a Certified Professional Coder (CPC) certification. This position offers a...Suggested- A health care organization is seeking a Coding Specialist to ensure accurate coding for patient records... ...and ICD-10-CM coding along with AAPC CPC certification. Responsibilities include conducting coding reviews, resolving denials, and maintaining compliance with medical...SuggestedRemote jobFull time
$28.72 - $36.92 per hour
...business needs. Opportunity to grow as part of the Revenue Cycle Career Ladder! Job Summary The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving complex coding-related denials and appeals in addition to following...SuggestedRemote jobHourly payFull timeWork at officeLocal area- ...organization is seeking a Specialty Coder II to work remotely, focusing on coding procedures and diagnoses primarily in anesthesia. The successful candidate will require certifications such as CPC or CCS, alongside relevant coding experience. Responsibilities include...SuggestedRemote job
- ...Vision Group is looking for a Revenue Cycle Specialist to work on-site in New Providence, NJ.... ..., pursuing reimbursements, and managing denials. Essential qualifications include a high... ...and familiarity with CPT and ICD-10 coding are also required. #J-18808-Ljbffr Prism...
$50k - $86k
Coding Denials Management Associate Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable... ...Bachelor’s degree or equivalent professional experience. CPC and/or CCS certification (AAPC or AHIMA) is required. 3+ years...$21.38 - $44.4 per hour
...Experience) The Revenue Cycle Specialist is responsible for billing and... ...Identify and respond to patterns of denials or trends and perform complex... ...denials through review of coding, contracts, and medical... ...and ICD‑10 is also required; CPC certification is a plus. Knowledge...PRISM Vision Group
New York, NY1 day ago$28.72 - $36.92 per hour
...Authorization-Referrals Specialist III The 61st Street Service Corporation... ...authorizations status or denials. Submits appeals in the... ...Professional Coder certificate (CPC) is preferred. Experience in... ...terminology, diagnosis and procedure coding is preferred. Previous...Hourly payFull timeWork at officeLocal areaImmediate start- Position Title: Professional Coding Specialist III Department: Revenue Integrity Remote Eligibility... ...services and Minor Procedures, resolve denials and work with leadership to put... ...required. Certification/License/Registration: CPC or CCS-P required - Additional specialty...Full timeRemote workFlexible hours
- Position Title Professional Coding Specialist II Department Revenue Integrity Remote Eligibility... ...services and Minor Procedures, resolve denials and work with leadership to put processes... ...Certification / License / Registration CPC or CCS-P required. OU Health is an equal...Full timeWork at officeRemote workFlexible hours
- Orthopedic Professional Coding Specialist II - Revenue Integrity Position Title: Orthopedic Professional... .... Resolve coding‑related edits and denials by identifying root cause, coordinating... ...coding experience required. Certification: CPC or CCS‑P required. Preferred: Epic and...Full timeRemote workWork from homeFlexible hours
- ...Health in Kentucky seeks an Ambulatory CDI Specialist to join their team. This remote position requires experience in medical coding and proficiency in ICD-10-CM, HCPCS, and... ...on best practices. Candidates must hold an active CPC or CCS-P certification, with additional...Remote job
- ...employees. Day in the Life of an AR Specialist Perform all duties and... ...supporting documentation to identify coding and billing concerns.... ...appeal letters for technical denials by accessing specific payer appeal... ...all employees. #J-18808-Ljbffr Treatment Centers Hold Co, LLCRemote jobContract workTemporary workWork at officeLocal area
- ## Medicare Specialist IApplylocations: 208 Haven Drivetime type: Full... ...appropriate;* Works closely with coding team for accurate submission... ...Process and follow up on payer denials, consulting with various... ...(AAPC) Coding Certification (CPC)### **Minimum Experience Required...Work at officeLocal areaShift workDay shift
- ## Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJApplylocations: 3131... ...comparing final services performed/coded to authorization approvals and... ...unresolved high-risk accounts. Applies hold/release standards for accounts...Full timeTemporary workPart timeWork at officeFlexible hours
- ...seeking a Prior Authorization Specialist (Contract) to support high-volume... ...prevent downstream denials. The ideal candidate is detail... ...Strong working knowledge of CPT codes and procedural terminology... ...Medicaid plans, including AHCCCS CPC-A or other coding certification...Contract work
- ...Neuro Interventional Radiology Professional Coding Specialist II Department: Revenue Integrity Remote:... .... Resolve coding-related edits and denials; identify root causes, coordinate documentation... .... Certified Professional Coder (CPC) or Certified Coding Specialist - Physician...Work at officeRemote work
- Summary: The Coding Specialist is responsible for reviewing clinical documentation and accurately... ...assurance activities to minimize claim denials. Qualifications: To perform this job successfully... ...: Preferred: Certification as a CPC (Certified Professional Coder), COC (...Full timeTemporary workWork at officeDay shiftWeekday work
$24.36 per hour
Denials And Coding Specialist - Drg Hospital Inpatient Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Scheduled weekly hours: 40 We're not just filling positions, we're building careers...Full timeRemote workMonday to FridayShift workDay shift- ...seeking a Medical Coder to ensure accurate coding for services based on ICD-10 and CPT... ...Responsibilities include coding review, denial management, and charge capture processes,... ...coding regulations. Ideal candidates will hold a high school diploma and AAPC certification...Remote work
Effizotech
New York, NY1 day ago $20.45 - $24.7 per hour
...Medical Coding Specialist Ensemble is a leading provider of technology‑enabled revenue cycle management solutions for health systems, including... ...School Diploma or GED. AAFPC or AHIMA Coding Certification: CPC‑A, CPC, CCA, or CCS. EEO Statement Ensemble is an equal employment...Hourly payTemporary workWork at officeLocal areaRemote workEnsemble Health Partners
New York, NY4 days ago$28 - $37 per hour
...Remote Coding Specialists, Clinics - single path (Fac and Profee) We offer comprehensive health and wellness plans, including medical, dental... ...RHIT, CCS, CCS-P; or one of the following AAPC credentials: CPC, COC, or CIC. Minimum of 1 year of experience in Clinic, single...Hourly payExtra incomeFull timeTemporary workLocal areaRemote workWork from homeHome officeLexiCode
New York, NY5 hours ago- ...Job Title: Remote Coding Specialist II – CPC / CPT / ICD-10-PCS Duration: 3 Months Location: Remote Education: Graduate of an approved coding program or Health Information Management (HIM) program General Description This is a fully remote coding assignment. Candidate...Contract workRemote workShift work
ProKatchers
New York, NY5 hours ago - ...TeamHEALTH is looking for a Denials and Appeals Representative to handle denials and appeals for patient accounts in a cooperative team environment. The ideal candidate has at least two years of experience with insurance denial processes. Responsibilities include processing...Remote work
TeamHealth
New York, NY5 hours ago - ...members as advised by the Manager and/or Supervisor. Identifies denial trends and notifies Supervisor and/or Manager to prevent future... ...appear with actionable items that result in resolution. Engages the coding follow up team for any medical necessity or coding related...Shift work
Dormont Manufacturing Company
New York, NY34 minutes ago - ...Position overview: The Coding Specialist I is responsible for independently reviewing, analyzing, and resolving all assigned front-end... ...environment. Essential Functions: Averages 10 front-end holds per hour Maintains a minimum of 90% coding accuracy....Hourly payWork at officeLocal area
CaduceusHealth
Jersey City, NJ1 day ago - ...Description Join our team as a day shift, full time, Certified Coding Specialist Professional Cardiology Coder at Integris Health... ...Information Technician) OR CCS (Certified Coding Specialist) OR CPC (Certified Professional Coder) OR CPC‑A (Certified Professional...Full timeApprenticeshipDay shift
INTEGRIS Health
Brooklyn, NY5 hours ago - ...risk of mortality (later translated into coded data) and to support the level of service... .... The Clinical Documentation Improvement Specialist (CDIS) exhibits expert knowledge of clinical... ...RHIT or possess an active CCS (AHIMA) or CPC‑H (AAPC) coding credential. Must have 3+...Remote workShift workDay shift
University Medical Center
New York, NY3 days ago $28.85 - $35 per hour
...Scion Staffing has been engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue recovery organization . This is a fully remote role (U.S.-based, any time zone) supporting specialty medical practices nationwide. POSITION...Hourly payTemporary workInterim roleRemote workFlexible hoursScion Staffing
New York, NY5 hours ago
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