Denials Coder
CommonSpirit Health
Job Summary and Responsibilities As our Denials Coder you willplay a critical role in our revenue cycle by addressing and resolving outstanding insurance balances and complex coding denials. You will leverage your analytical expertise to research denial reasons, review medical records, and submit well‑written, supported appeals to both commercial and government health insurance payers. By ensuring accurate reimbursement and minimizing revenue leakage, you will directly contribute to the financial health and operational success of the Alegent Creighton Clinic. Every day you willutilize your deep knowledge of ICD-10 and CPT coding to compare documentation against billed services, making necessary adjustments to diagnosis codes, modifiers, and place‑of‑service information. You will manage active work queues, collaborate with providers to rectify claim errors, and serve as a key point of contact for payer representatives. Whether resubmitting claims electronically or identifying recurring denial trends to conduct proactive staff training, your work will ensure that our billing processes remain compliant and efficient. To be successful in this role, you willbring at least one year of coding experience and a strong foundation in medical insurance and reimbursement methodologies. We are looking for a detail‑oriented professional who excels at critical thinking, possesses the ability to troubleshoot complex billing issues, and demonstrates clear, professional communication skills. You should be comfortable working with automated coding and billing systems, capable of prioritizing tasks under pressure, and committed to upholding the highest standards of data integrity and regulatory compliance. Job Requirements Preferred High School Graduate General Studies and 1+ years coding experience, upon hire or High School GED Generals Studies and 1+ years coding experience, upon hire and Associates Other in related field and Insurance follow up experience, upon hire and Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology., upon hire and Completion of ICD-10 or CPT coding course., upon hire Certified Professional Coder, upon hire or Certified Coding Associate, upon hire or Cardiology Coding, upon hire or Certified Coding Specialist, upon hire or Registered Health Information Technician, upon hire Where You'll Work From primary to specialty care, as well as walk‑in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. #J-18808-Ljbffr CommonSpirit Health
- Alegent Creighton Clinic is seeking a Denials Coder to address and resolve outstanding insurance balances and complex denials. You will review medical records, submit supported appeals, and collaborate with providers to correct claim errors, ensuring accurate reimbursement...Suggested
- Job Summary Responsible for coordinating the denial and appeal process in conjunction with care management staff and the Business Office, meeting goals and timelines for appeals, and tracking outcomes. Qualifications Associate's Degree in Business Administration or a...SuggestedWork experience placementWork at officeShift work
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- ## Denials Management AnalystApply: Methodist Corporate Office - Omaha, NE: Full time: Posted Yesterday: JR116355**Why work for Nebraska Methodist Health System?** At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and...SuggestedFull timeContract workWork at officeWork from home
- ## Coder, MultispecialtyApply: ruralMED - Remote CST: Full time: Posted 7 Days Ago: R2778**Welcome to Ovation Healthcare!**At Ovation... ...with billing and revenue cycle teams to resolve coding-related denials and rejections. \\* Maintain patient confidentiality and adhere...SuggestedFull timeLocal areaRemote work
$24.8 - $37.2 per hour
...Western Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. The primary responsibility of the DRG... ...detailed appeal letters, evaluate clinical level of care and review denial trends. This can be a remote or in-office position. $24.80-$37.2...Full timeWork at officeRemote work$20.96 - $31.44 per hour
...clear verbal and written communication. Assist clinic and billing staff with coding‑related questions. Provide support in interpreting denials, conducting reviews, and determining appropriate next steps for coding categories such as medical necessity, inclusivity, bundling,...Full timePart timeWork at officeHome office- Inpatient Coder Position Summary FusionHCR is seeking an experienced Inpatient Coder responsible for the expert coding of inpatient medical... ..., including charges/charge master, code edits, auditing, denials management, and clinical documentation improvement. Medical terminology...
$22 - $30 per hour
...an experienced and highly accountable Revenue Cycle Billing & Coding Specialist to support accurate billing, timely reimbursement, denial management, and strong revenue‑cycle performance. Key Responsibilities Review patient encounters and provider documentation for billing...Hourly payPart time- Infor is seeking a Patient Account Representative in Marshall, MI to handle daily billing of claims to third-party payers, follow-up, and tracking claim status to ensure timely payment. The role requires knowledge of medical terminology, ICD-10 and CPT coding, and strong...Work at office
- ...as individuals and professionals, every day. The Professional Coder I is responsible for a complete review of the medical record documentation... ...review, prioritizing workload, resolving edits, researching denials, interacting with clinicians verbally and /or in writing, and...
- ...up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations. Denials Management Analyst (Anesthesia) The Denials Management Analyst (Anesthesia) is responsible for analyzing denials data, creating payor...Contract work
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- ...where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Coder who excels in this role: Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to...Full timeTemporary workPart time
- ...RHIA) Certified Coding Specialist (CCS) Certified Coding Associate (CCA) OR Credentialed through American Academy of Professional Coders (AAPC) in one of the following: Certified Outpatient Coder (COC, COC-A) Certified Inpatient Coder (CIC) Certified Professional...
- ...filing and following up on claims, reviewing EOBs, posting payments, and ensuring accuracy of patient records. Responsibilities include denial review, issue resolution with insurance companies, generating month-end reports, and collaborating with the Billing Supervisor to...Full timeTemporary work
$66.22k - $108.18k
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$23 - $27 per hour
...electronic medical records as it relates to billing, coding, and insurance denials. • Must be able to work denials for insurance follow-up and work collaboratively with Accounts Receivable Team. • Coders are expected to review and submit sixty-four encounters per day or...Hourly payLocal areaRemote work- Confluent Health, LLC is seeking a detail-oriented medical billing professional to manage and collect on patient and payer balances. The role emphasizes accuracy, confidentiality, and strong communication with patients and providers. Responsibilities include following up...
- Additional Information About the Role BJC is hiring for an Inpatient I Coder position. This is an entry level role. Must have one of the following certifications - CCS or CCA or RHIA or RHIT Remote eligible states: Alabama Kentucky Oklahoma Arkansas Louisiana South...Remote workFlexible hours
- Responsibilities Coder (Certified) Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing top quality and safe healthcare to the residents of Aiken and surrounding communities since 1917. Aiken Regional Medical Centers...Local area
- ...nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).## JOB SUMMARYThe Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for Facility Inpatient records to meet the...Local area
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- Summary/Objective Under limited supervision the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG.The Coder Inpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes...Full timeWork at officeRemote workHome officeMonday to FridayWeekend work
$21.86 - $32.37 per hour
## Coder SpecialistApply: Brookings, SD: Full time: Posted Yesterday: R-260029938**Location:**Brookings, SD**Worker Type:**Regular**Work Shift:**Day Shift (United States of America)**Position Highlights**Consider joining an **Award Winning Health Care System -** Brookings...Full timeLocal areaFlexible hoursShift workDay shift- ...assignments, dissemination of current coding guidelines and modern technology information, and provides relevant coding education to the coders, clinicians, and revenue cycle staff. Knowledge and understanding of ICD10 and CPT coding principles as recommended by the American...Full time
- ...information. The role is remote and requires live-in approved states; you will follow up on outstanding claims and charges and resolve denials with attention to HIPAA and healthcare guidelines. The position demands strong communication, multi-tasking, and meticulous...Remote jobLive inFlexible hours
$20 - $36 per hour
...Required Qualifications: High School Diploma/GED Professional CPC coder certification with credentialing from AHIMA and/or AAPC to be... ...Intermediate level of experience in Epic and working with denials *All Telecommuters will be required to adhere to UnitedHealth Group...Hourly payMinimum wageFull timeWork experience placementLocal areaRemote work$29.41 per hour
...an outstanding opportunity for a **Coding Specialist 1 - Edits Coder** **WORK SCHEDULE*** 100% FTE* Mondays - Fridays* 100% Remote **... ...charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS...Hourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayShift work
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