Top 131 Benefit file coder Jobs

Denial Coding Specialist
Xtensys Connected Health Solutions —Remote
- $21.63 - $28.85 an hour
- Full-time
- Remote
- 5 years
- Research
- Bachelor's degree
Payment Policy Analyst (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $58,320 - $115,830 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Mid-level
- 401(k)
Quick Apply
Medical Coder
PROMD PRACTICE MANAGEMENT INC —Pinecrest, FL
- Full-time
- Hybrid work
- Research
- High school diploma or GED
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
Medical Records Coder
Lucas County Health Center —Chariton, IA
- Full-time
- Mid-level
- Critical & Intensive Care
- Typing
- AD&D insurance
- Paid holidays
Certified Coder, Special Investigations Unit (SIU)
Summa Health —Remote
- $28.10 - $42.15 an hour
- Full-time
- Remote
- Background check
- Research
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
Medical Records Specialist
NYC Health + Hospitals —New York, NY
- $67,281 a year
- Online Application
- Management
- Mid-level
- High school diploma or GED
- Commuter assistance
- Paid holidays
Certified or Experienced Coder
Mountain Communities Healthcare District —Weaverville, CA
- From $26 an hour
- Full-time
- Anatomy knowledge
- Surgery
- Computer literacy
HCC Coder
PedIM Healthcare —Lecanto, FL
- Full-time
- Hybrid work
- Private practice
- Internal Medicine
- Primary Care
- Health savings account
- Health insurance
Quick Apply
On Site - Coding Manager
Starling Physicians —Rocky Hill, CT
- $75,000 - $85,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
8d
Revenue Cycle Liaison
Compassion Health Care —Yanceyville, NC
- From $49,200 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Computer literacy
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Medical Certified Professional Coder (CPC)- not remote
Family Practice, Urgent Care, and Specialty Coding —Idaho Falls, ID
- From $17.50 an hour
- 8 hour shift
- Basic math
- Research
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Outpatient Coding Manager
Choices Women's Medical Center —Jamaica, NY
- From $85,000 a year
- Part-time
- Management
- Surgery
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
10d
Medical Claims Specialist
CH Revenue Management Solutions —Tinton Falls, NJ
- From $24 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Accounts Receivable Specialist
CH Revenue Management Solutions —Red Bank, NJ
- From $27 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Certified Medical Records Coder - On Site - Eastern Long Island Hospital
Eastern Long Island Hospital —Stony Brook, NY
- $33.76 - $36.10 an hour
- Online Application
- Anatomy knowledge
- Psychiatry
- Hospital
OB/GYN Surgical Scheduler and Financial Coordinator
The Women's Group of Northwestern —Chicago, IL
- $20 - $30 an hour
- Full-time
- Background check
- Private practice
- Surgery
- Profit sharing
- Health insurance
Quick Apply
Certified Coder
SB Clinical Practice Management —Stony Brook, NY
- $27.91 - $34.87 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- 5 years
- Work from home
Compliance Specialist
Sanford Health —San Diego, CA
- $27.50 - $44.00 an hour
- 8 hour shift
- Remote
- Background check
- Pass drug screening
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
9d
SUP MED RECORDS TECHNICIAN (Coder)
US Veterans Health Administration —Westmont, IL
- $75,983 - $98,772 a year
- Part-time
- Hybrid work
- Background check
- Anatomy knowledge
- Microsoft Outlook
10d
Certified Medical Coder
UNITED WOUND HEALING PS —Evans, GA
- $25 - $33 an hour
- Overtime
- Microsoft Outlook
- Customer service
- Pass drug screening
- AD&D insurance
- Paid holidays
Quick Apply

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Denial Coding Specialist

Xtensys Connected Health Solutions -
Remote

Apply Now

Job Details

Full-time
$21.63 - $28.85 an hour

Qualifications

Research
Stakeholder relationship building

Full Job Description

Who We Are:

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking. We are seeking an experienced Denial Coding Specialist to support our continued growth and commitment to delivering exceptional client outcomes.

Work Arrangement: This position is 100% remote

Job Summary:

The Denial Coding Specialist is a key member of the Revenue Cycle team, responsible for overseeing the review and appeal of coding-related denials. This role focuses on analyzing coding guidelines, driving claims recovery, and identifying root causes of denials. The specialist partners cross-functionally to support a thorough denial management process and resolve underlying revenue cycle issues contributing to denials.

Key Responsibilities:

Denial Review & Appeal Management: Make preliminary determinations on whether coding denials can be recovered and assess the need for further appeal submissions.
Research & Documentation: Research and prepare appeal files in response to coding denials, ensuring all necessary documentation and support are included.
Root Cause Analysis: Analyze coding denials to identify underlying issues and work towards resolving them effectively.
Resolution of Denials: Resolve coding and benefit exhausted denials by researching payer guidelines, preparing appeals, and submitting them as necessary.
Escalation of Errors: Identify coding, billing, or reimbursement errors within denied or aging claims and escalate to the CHS Director of Denials for further action.
Reimbursement Evaluation: Assess denied dollars in comparison to expected reimbursements, identifying discrepancies and discrepancies in payments.
Medical Necessity Review: Review denials requiring coding or medical necessity evaluations and prepare appeal responses.
Tracking & Trend Analysis: Track and trend denial issues, escalating leadership to assist with process improvements.
Special Projects: Participate in special projects as assigned to improve denial management processes.

Who You Are & What You’ll Bring:

Minimum of 5 years of medical coding experience.
Strong knowledge of the managed care landscape, including payer structures and government programs.
Solid understanding of the National Correct Coding Initiative (NCCI) guidelines.
Deep expertise in insurance reimbursement, billing practices, and payment compliance regulations, including denials and appeals recovery.
Familiarity with a variety of reimbursement methodologies, including PerDiem, DRG, fee schedules, percentage of charges, and stop loss.
Proficiency in coding and classification systems impacting claims adjudication, such as ICD9, CPT, HCPCS, DRG, APG, APC, and revenue codes.
Strong problemsolving skills with the ability to anticipate challenges and proactively implement solutions.
Excellent collaboration skills, with the ability to work both independently and as part of a team.
Proven ability to identify process gaps and drive operational improvements.
Exceptional analytical, investigative, and attentiontodetail capabilities.
Strong verbal and written communication skills.
Ability to effectively prioritize and manage workload to ensure timely, accurate results.
Adaptability in a fastpaced environment with evolving processes and requirements.
Working knowledge of industrystandard criteria (e.g., InterQual, Milliman Care Guidelines, NCCN).
Ability to build strong crossfunctional relationships and contribute to overall team success.
Motivation to support continued growth and evolution of denial management processes.

Education/Certifications:

Bachelor’s degree preferred; equivalent work experience of at least 7 years will also be considered
Certification: CPC Certified Professional Coder or COCCertified Outpatient Coder and CICCertified Inpatient Coder.

Physical Requirements:

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, and pulling objects. Sitting most of the time, walking and standing required only occasionally.

Why Join Us:

Autonomy & Ownership: You’ll manage projects with varying complexity, leading planning sessions, and defining what success looks like.
A Culture of Innovation: We value fresh perspectives. Here, you’re encouraged to take risks, drive brainstorming, and drive continuous improvement.
MissionDriven Work: You’ll be the "bridge" ensuring our technology truly serves health systems and their patients.
Continuous Growth: We support your "restless curiosity." You’ll have opportunities to expand your skillset and mentor others along the way.

#LI-Remote

About Xtensys Connected Health Solutions

We are new but mighty. Xtensys, a recently established managed service provider, delivers cutting-edge technology to health systems, starting in NY and expanding beyond. Owned by two industry leaders focused on innovation in rural and community health, we are rapidly growing with several major initiatives underway. We seek talented professionals to join our team of 500 and support our exciting journey. We value people and are building a culture to match. If you're a collaborative, innovative, and strategic leader, we’d love to talk.

Apply Now

Refine Your Search

benefit file coder jobs

Denial Coding Specialist

Payment Policy Analyst (Remote)

Medical Coder

Medical Records Coder

Certified Coder, Special Investigations Unit (SIU)

Medical Records Specialist

Certified or Experienced Coder

HCC Coder

On Site - Coding Manager

Revenue Cycle Liaison

Medical Certified Professional Coder (CPC)- not remote

Outpatient Coding Manager

Medical Claims Specialist

Medical Billing Accounts Receivable Specialist

Certified Medical Records Coder - On Site - Eastern Long Island Hospital

OB/GYN Surgical Scheduler and Financial Coordinator

Certified Coder

Compliance Specialist

SUP MED RECORDS TECHNICIAN (Coder)

Certified Medical Coder

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