Top 39 Lead coder Jobs

Lead Denial Management Specialist
Piedmont Plastic Surgery & Dermatology —Gastonia, NC
- From $25 an hour
- Full-time
- Background check
- Ability to walk for extended periods
- Microsoft Office
- Dental insurance
- 401(k)
Quick Apply
7d
Lead Inpatient DRG Coder - Remote
LCMC Health —New Orleans, LA
- Full-time
- Remote
- Anatomy knowledge
- Computer literacy
- Windows
Quick Apply
Inpatient Lead Coder - Remote
Boston Medical Center —Boston, MA
- $62,500 - $91,000 a year
- Full-time
- Remote
- Anatomy knowledge
- 5 years
- Writing skills
- Health insurance
- Dental insurance
Team Lead, DRG Auditing
Cohere Health —Remote
- $100,000 - $110,000 a year
- Remote
- Nursing
- HIPAA
- Analysis skills
- Paid parental leave
- Health savings account
Quick Apply
5d
Certified Coder, Lead
Arctic Slope Native Association LTD —Barrow, AK
- $40.83 - $45.07 an hour
- Full-time
- Word processing
- Computer literacy
- Writing skills
Quick Apply
6d
Lead Coder, Hospital OP Coding
LCMC Health —New Orleans, LA
- Full-time
- Anatomy knowledge
- Computer literacy
- Mid-level
Quick Apply
Lead Inpatient Coder
Thomas Jefferson University and Hospitals —Philadelphia, PA
- Full-time
- Nursing
- Anatomy knowledge
- Bachelor's degree
- AD&D insurance
- Disability insurance
RCM Lead Oral Surgery and Surgery Center Specialist
KIDS CARE DENTAL AND ORTHODONTICS —Rancho Cordova, CA
- $28 - $30 an hour
- Remote
- Management
- Surgery
- HIPAA
- Health insurance
Quick Apply
12d
Lead Coder
Wayne Memorial —Honesdale, PA
- Full-time
- Anatomy knowledge
- Management
- Mid-level
Quick Apply
Lead Medical Coder
Tohono O'odham Nation —Tucson, AZ
- From $31.50 an hour
- Full-time
- Clean driving record
- Hospital
- Word processing
- Paid holidays
- Disability insurance
Quick Apply
Lead Coder
Driscoll Health —Corpus Christi, TX
- Part-time
- Mid-level
- Trade school
- Associate's degree
Clinical Intelligence Lead
Hike Medical —San Francisco, CA
- $160,000 - $250,000 a year
- Full-time
- 5 years
- In-person
- Senior level
- Health insurance
Medical Office Front Desk Lead – Alliance Women’s Healthcare Clinic – Full-Time, Days
Texas Health Resources —Keller, TX
- Email
- Computer literacy
- Mid-level
- High school diploma or GED
- Paid parental leave
- Loan repayment program
Lead Coder
Wayne Memorial Hospital —Honesdale, PA
- Full-time
- Anatomy knowledge
- Management
- Mid-level
Team Leader Inpatient Coding Operations
MedStar Health —Remote
- $31.28 - $56.39 an hour
- Full-time
- Remote
- Writing skills
- Mid-level
- High school diploma or GED
Medical Records Coder IV, Lead
University of Rochester —Albany, NY
- $27.24 - $38.14 an hour
- Full-time
- Hybrid work
- Anatomy knowledge
- 3 years
- High school diploma or GED
Lead Medical Insurance Technician (Office Automation)
US Military Treatment Facilities under DHA —Fort Benning, GA
- $53,361 - $69,371 a year
- Online Application
- Background check
- Pass drug screening
- Mid-level
3d
Medical Records Technician Coder IV-Lead
Koniag Government Services —Oklahoma City, OK
- Full-time
- Hybrid work
- Anatomy knowledge
- Customer service
- 5 years
- Paid holidays
- Health insurance
Lead IP Coding Quality Analyst
The Ohio State University —Remote
- Full-time
- Remote
- Background check
- Management
- Pass drug screening
Coding Lead
Renown Health —Reno, NV
- $32.76 - $45.87 an hour
- Full-time
- Anatomy knowledge
- Computer literacy
- English

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Lead Denial Management Specialist

Piedmont Plastic Surgery & Dermatology -
Gastonia, NC

Quick Apply

Job Details

Full-time
From $25 an hour
7 days ago

Benefits

Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Appeals
Medical insurance appeals management
Organizational skills
Business Administration
Business
Associate's degree
Insurance claims appeal handling
Medical terminology

Full Job Description

Job Summary

The Lead Denial Management Specialist serves as the subject matter expert (SME) for denial management and complex revenue cycle operations. This position is responsible for leading denial resolution efforts, maximizing reimbursement, supporting revenue integrity initiatives, and improving revenue cycle performance through data analysis, education, and process improvement.

The Lead Denial Management Specialist partners with providers, operational leaders, coding, billing, clinical departments, and external revenue cycle vendors to identify denial trends, resolve complex reimbursement issues, improve workflows, and ensure compliance with payer requirements and regulatory guidelines. This individual serves as the primary escalation resource for challenging accounts while mentoring team members and promoting best practices across the organization.

ESSENTIAL FUNCTIONS:

Serve as the primary escalation point for complex insurance denials, reimbursement issues, payer disputes, and patient account concerns.
Investigate, analyze, and resolve denied, rejected, and underpaid claims while identifying root causes and implementing corrective actions.
Prepare, submit, and monitor first-level and advanced payer appeals in accordance with payer guidelines and timely filing requirements.
Review patient accounts, claim submissions, coding, documentation, and charge activity to ensure billing accuracy and maximize reimbursement.
Conduct comprehensive denial trend analyses and collaborate with operational, coding, clinical, and provider teams to reduce future denials.
Identify revenue integrity opportunities and recommend workflow improvements that enhance reimbursement and operational efficiency.
Serve as the subject matter expert on payer policies, reimbursement methodologies, contractual obligations, and denial management best practices.
Assist with payer negotiations related to non-contracted services, underpayments, and reimbursement discrepancies; escalate unresolved issues as appropriate.
Monitor denial inventory, aging accounts, and productivity to ensure timely resolution and compliance with organizational performance standards.
Develop and deliver education and training to providers, clinical staff, revenue cycle personnel, and new employees regarding denial prevention, documentation, billing requirements, and payer updates.
Collaborate with internal departments and external Revenue Cycle Management partners to improve workflows and resolve complex reimbursement challenges.
Review and interpret payer communications, policy updates, and reimbursement changes to ensure organizational compliance.
Monitor and analyze key revenue cycle performance indicators, including denial rates, appeal success rates, reimbursement trends, and collection performance.
Maintain accurate documentation of account activity and appeal actions within the practice management system.
Support departmental quality assurance initiatives through account audits and compliance reviews.
Participate in special projects, system implementations, payer initiatives, and process improvement efforts as assigned.
Perform other duties as assigned.

Requirements:

Education/Experience:

Minimum of three (3) years of progressively responsible experience in physician practice revenue cycle management, medical billing, or denial management.
Experience with payer appeals, reimbursement analysis, and revenue cycle operations required.
Experience with multi-specialty physician practices preferred

Preferred Qualifications

Associate or bachelor’s degree in healthcare administration, Business Administration, Finance, or related field.
Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Revenue Cycle Representative (CRCR), or similar preferred certification.
Experience with ModMed, Epic, Athenahealth, or comparable physician practice management systems.
Experience supporting revenue cycle process improvement initiatives and operational performance reporting.

Knowledge, Skills and Abilities:

Knowledge: 3+ years ePM and EHR experience, ModMed knowledge preferred, Microsoft Office, mathematical calculations, understanding of billing requirements on claims and medical terminologies, general knowledge of healthcare insurer reimbursement systems, payer contracts and appeal rights and timely filing requirements of payers. Physician practice revenue cycle operations, insurance billing, reimbursement methodologies, and denial management
Abilities: Communicate effectively both in written and oral format about clinical information; work independently; exercise judgement and problem solving in investigating denied claims, build positive rapport with colleagues and work with all levels of the organization and third parties to resolves issues as needed
Skills: Excellent verbal, written and interpersonal communication; proficient in MS Office; excellent organization and time management, high attention to detail

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Constantly required to talk or hear. Frequently required to stand, walk, and sit; may sit for long durations of time. Frequent use of hands, fingers and arms. Occasionally needs to climb or balance, stoop, kneel, crouch, or crawl. Occasionally lift up to 20 pounds. Constantly required to see; review written material, computer screens & phones with the ability to adjust focus.

Pay: From $25.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible spending account
Life insurance
Paid time off
Vision insurance

Education:

Associate (Required)

Experience:

physician practice revenue cycle management: 3 years (Required)
revenue cycle operation: 3 years (Required)

Ability to Commute:

Gastonia, NC 28054 (Required)

Work Location: In person

Quick Apply

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