Jobs in the United States

25+ jobs

Group jobs by employerEmail me new jobs Save this search

Added 7 mins ago
UG
Senior Investigator - Michigan
UnitedHealth Group
Southfield, MI
- $60,200 to $107,400 USD / year
Added 2 hours ago
Inpatient Coder III - Per Diem: Remote
Tufts Corporate
Burlington, MA
2. Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
Added 2 hours ago
UG
Senior Investigator - Michigan
UnitedHealth Group
Southfield, MI
- $60,200 to $107,400 USD / year
Added 2 hours ago
DRG Inpatient Coding Validator
Jobgether
Remote, United States
Active Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) certification is required
Added 7 hours ago
TH
Coder I (Outpatient) - Full Time - Remote
Texas Health Resources
Arlington, TX
- Full-time
COC - Certified Outpatient Coder 12 Months REQUIRED or
Added 8 hours ago
Coder/Hosp/PRN
Redeemer Health
Meadowbrook, PA
Must have a minimum of 1 year coding experience utilizing ICD-9-CM and CPT-4 in an acute care setting
Added 9 hours ago
Coding Analyst
The US Oncology Network
Richardson, TX
Successful completion of AAPC Certified Professional Coder Exam required.
Added 12 hours ago
T
Risk Adjustment Coding Auditor
TEKsystems
Phoenix, AZ
- $32 to $37 USD / hour
Added 12 hours ago
Certified Coding Specialist I
CCPN Cook Children's Physician Network
Remote, United States
Added 13 hours ago
Summer 2027: Control Systems & Algorithms Intern (May to August)
SharkNinja
Needham, MA
Location & Schedule: This is a full-time, 40-hour-per-week position with 5 days per week onsite in Needham, MA · Must be able to work a full-time, 40-hour-per-week schedule with 5 days per week onsite in Needham, MA
Added 13 hours ago
Spring 2027: Control Systems & Algorithms Co-op (January to June)
SharkNinja
Needham, MA
Location & Schedule: This is a full-time, 40-hour-per-week position with 5 days per week onsite in Needham, MA · Must be able to work a full-time, 40-hour-per-week schedule with 5 days per week onsite in Needham, MA
Added 13 hours ago
Clinic Billing Office Coder
Central Valley Medical Center
Nephi, UT
Certified coder or working toward certification
Added 13 hours ago
Coding Auditor 1
Baylor Scott & White Health
United States
Must have one of these registrations or certifications and 5 years of coding experience
Added 13 hours ago
TA
Security & Trust Analyst
TypeSafe AI
San Francisco, CA
- $153,000 to $216,000 USD / year
You should also be extremely fluent with AI: you don’t need to be a (vibe-)coder, but you should be able to use AI to build tools and workflows that automate and accelerate your work.
Added 14 hours ago
Certified Medical Coder
Ascension Health
Tulsa, OK
Schedule: Full-time | Day shift · High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
Added 14 hours ago
GH
Professional Fee OB/Women's Care Surgery & Clinic Coder
GeBBS Healthcare Solutions, Inc.
Remote, United States
- $27 to $30 USD / hour
Must be based in the United States
Added 15 hours ago
SN
Professional Medical Coding Supervisor - Southern NH Health - Full Time
Southern NH Medical Center
Remote, United States
- Full-time
Create and manage coder work schedules, attendance, and assignments to ensure appropriate coverage and continuity of operations
Added 15 hours ago
IG
Behavioral Coder
Insight Global
Seattle, WA
- From $42 USD / hour
Familiarity with inter-rater reliability, coder agreement, or Cohen's kappa.
Added 15 hours ago
Coding Denial Management Specialist
RAYUS Radiology
St. Louis Park, MN
Active professional medical coding certification, such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Radiology Certified Coder (RCC), or an equivalent and…
Added 16 hours ago
Certified Medical Coder
Commonwealth Pain & Spine
Remote, United States
Must have an up-to-date certification through AAPC or AHIMA
Added 16 hours ago
Clinical Review Nurse - Novitas
GuideWell Source
FL
Identity Documentation: You must have access to a current and unrestricted REAL ID, U.S
Added 16 hours ago
CODER/MEDICAL BILLING SPEC
Premier Health
Centerville
The Coder/Medical Billing Specialist is responsible to assign and report these more specified codes from clear and concise provider documentation. The Coder/Medical Billing Specialist…
Added 16 hours ago
Inpatient Coder (Swing bed)
GeBBS Healthcare Solutions, Inc.
Remote, United States
Must have ICD-10 coding experience and have completed an ICD-10 course
Added 16 hours ago
Physician Practice Coder - Remote
BMC Company 100
Remote, United States
The Physician Practice Coder position is responsible for accurate and compliant coding of surgical cases for multiple specialties across all care settings. This position directly impacts…
Added 16 hours ago
SH
Coder III - Sharp Tri-City - Full Time
Sharp HealthCare
Oceanside, CA
- Full-time
Under the supervision of the Director or Manager, the Coder 3 is responsible for coding all diagnoses and procedures using current ICD-10-CM, ICD-10-PCS and CPT/HCPCS coding systems in…

RAYUS Radiology

Coding Denial Management Specialist

St. Louis Park, MN, United States

The pay range for this position is $23.48 - $33.95 based on direct and relevant experience.

Apply on myjobs.adp.com About employer

Applications open in a new tab.

Job details

Pay: The pay range for this position is $23.48 - $33.95 based on direct and relevant experience.
Posting language: English

Original job description

RAYUS now offers DailyPay! Work today, get paid today!

The pay range for this position is $23.48 - $33.95 based on direct and relevant experience.

RAYUS Radiology is looking for a Coding Denial Management Specialist -- RCM to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Coding Denial Management Specialist -- RCM, you will be responsible for investigating and resolving post-service claim denials related to medical coding, medical necessity, and claim accuracy, with the goal being to secure appropriate reimbursement and reduce outstanding accounts receivable. This role reviews clinical documentation, physician orders, diagnostic reports, and payer coverage requirements to confirm coding accuracy, determine if a corrected claim is needed, and build the supporting rationale for reconsiderations and appeals. This role partners with Revenue Cycle Management teams to resolve complex coding denials and strengthen overall denial management performance.

This is a Full-Time position.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(85%) Resolve Post-Service Claim Denials

Investigate and resolve post-service claim denials involving diagnosis coding, CPT/HCPCS codes, modifiers, bundling, National Correct Coding Initiative (NCCI) edits, physician reading locations, Medicare localities, and other coding-related discrepancies.
Review medical records, physician orders, and diagnostic reports to validate coding accuracy and determine medical necessity support.
Interpret Medicare Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), commercial payer policies, and applicable coding guidelines.
Evaluate and implement appropriate diagnosis, procedure, and modifier corrections, including submission of corrected claims for payer reprocessing.
Research and resolve coding-related billing discrepancies, including split billing, duplicate charges, charge transfers between encounters, and referring/rendering provider corrections within established departmental workflows.
Develop accurate, evidence-based coding and medical necessity rationale to support reconsiderations and appeals prepared and submitted by the AR and Denials team.
Collaborate with internal teams to obtain necessary documentation, resolve complex denials, and escalate issues outside the scope of coding denial management.
Maintain accurate documentation of findings, coding determinations, corrective actions, and resolution activities.
Identify recurring denial patterns and opportunities to improve coding accuracy, workflows, and denial prevention through front end coding improvement, denial review efficiency, provider documentation improvement, or any other means.
Prioritize assigned inventory based on aging, reimbursement impact, filing deadlines, and operational priorities.
Meet established productivity, quality, accuracy, and turnaround time standards.

(10%) Coding Denials Support

Participate in process improvement, education, and denial prevention initiatives.
Support expanded coding denial resolution activities, including the preparation of coding-related reconsiderations and appeals, as assigned.

(5%) Other Duties and Projects as Assigned

Required:

High school diploma, or equivalent
Associate degree in Health Information Management, Healthcare Administration, or other related and relevant field; the equivalent in applicable experience may be considered in lieu of degree
Two (2) years' experience in professional medical coding and coding-related denial review or resolution
Experience reviewing clinical documentation and interpreting payer medical necessity requirements
Active professional medical coding certification, such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Radiology Certified Coder (RCC), or an equivalent and approved credential.
Strong knowledge of coding guidelines, clinical documentation standards, and payer reimbursement policies
Working knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and applicable coding guidelines
Proficiency in using healthcare billing or practice management systems
Proficiency in Microsoft Windows and Office Suite; Outlook, Teams, Excel, Word, PowerPoint, etc.
Valid driver's license and proof of current insurance is required for the team member to personally drive a vehicle for company business (regardless of whether it's a company or personal vehicle)

Preferred:

Bachelor's degree in Health Information Management, Healthcare Administration, or other related and applicable field
Experience in diagnostic radiology coding and reimbursement.
Experience resolving post-service medical necessity and coding denials
Familiarity with Medicare LCDs (Local Coverage Determinations), NCDs (National Coverage Determinations), NCCI (National Correct Coding Initiative) edits, and commercial payer policies.
Experience supporting coding-related reconsiderations and appeals.

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.

We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.

Apply on myjobs.adp.com About employer

Report this job

Work requirements

Jobs in the United States