Role Description We are seeking a highly analytical and detail-oriented Denials Specialist to join our team. This role is responsible for managing and resolving denied claims through in-depth investigation, payer communication, and cross-functional collaboration. Unlike traditional denial roles, this position requires strong critical thinking skills, as claims are processed outside of standard CPT billing and heavily managed through Excel-based workflows. The ideal candidate is proactive, tech-savvy, and skilled in building relationships with payer contacts to drive successful claim resolution. Key Responsibilities - Review and analyze denied claims by accessing payer and claims portals (e.g., Athena and payer-specific systems) - Identify root causes of denials, including copays, deductibles, coding issues, or service discrepancies - Categorize denied and unpaid claims into appropriate buckets based on denial reason - Collaborate with internal Revenue Cycle Specialists to research, correct, and resolve claim issues - Resubmit corrected claims to payers in a timely and accurate manner - Maintain detailed tracking and reporting of denials using Excel and Google Sheets - Communicate directly with payer representatives to resolve issues and prevent future denials - Continuously identify trends and opportunities to improve denial resolution processes Qualifications - Minimum 6 months to 3 years of denials management experience within a provider-side environment - Proven ability to independently investigate and resolve claim denials end-to-end - Experience using payer portals to review denial reasons, pull reports, and resubmit claims - Strong analytical and critical thinking skills; able to diagnose issues and determine solutions - Advanced proficiency in Excel and/or Google Sheets (sorting, filtering, formulas required; pivot tables and VLOOKUP preferred) - Comfortable working on a Mac operating system with dual monitors - Excellent communication and relationship-building skills, particularly with external payer contacts - Highly organized with the ability to manage multiple priorities Requirements - Fully remote position (exclusions apply) - Must maintain a HIPAA-compliant workspace, including: - Private, secure work environment - No other individuals present during working hours - Secure internet connection - Equipment Requirements (employee-provided): - Dual monitors - Mac-compatible wireless keyboard and mouse Schedule - Training Period (Approx. 4 Weeks): - Part-time hours - Start time: 8:00 AM MST - Schedule may adjust based on performance - Post-Training: - Full-time hours - Schedule must fall between 7:00 AM – 5:00 PM MST - No overtime permitted Compensation - $22/hour for candidates with 6 months experience - Up to $25/hour for candidates with up to 3 years of experience Location Restrictions Candidates must reside in eligible states. We are unable to hire in the following locations: - Alaska - Arkansas - Delaware - Hawaii - Maine - Mississippi - New Mexico - Oklahoma - Puerto Rico - South Dakota - Vermont - Wisconsin Employment Type Open-ended contract What Sets This Role Apart This is not a traditional denials role. Success in this position requires: - Deep analytical thinking beyond surface-level claim review - Strong collaboration across internal and external stakeholders - Comfort working in non-traditional billing structures with data-heavy workflows Pay and Benefits The pay range for this position is $22.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jul 3, 2026.

Role Description The University of Miami/UHealth Department Health Information Management has an exciting opportunity for a full-time Outpatient Coder 3 to work in Miami, FL. Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 3 reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all encounter specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes. - Review, analyze, and interpret the entire electronic medical record (EMR) to identify all diagnoses and procedures documented during a patient’s admission. - Reviews documentation and reaches out to physicians for additional information when information for proper coding is missing or incomplete. - Assigns codes to outpatient records for use in reimbursement and data collection. - Complies with policies and procedures and maintains confidential patient records. - Reports unusual circumstances, risk factors, errors, and discrepancies to management. - Consistently maintain coding accuracy and productivity standards of ≥ 95%. - Adheres to University and unit-level policies and procedures and safeguards University assets. Qualifications - High School Diploma or equivalent. - Minimum 5 years of current ICD-10 and CPT outpatient coding experience required. - Certified Professional Coder (CPC), Certified Coding Specialist (CCS), CIRCC OR Registered Health Information Technician (RHIT). - Skill in completing assignments accurately and with attention to detail. - Understanding of and adherence to the Health Insurance Portability and Accountability Act (HIPAA). - Commitment to the University of Miami Health System policies and procedures. - Must stay up to date with continuing education requirements to maintain credentials. - Ability to work independently and/or in a collaborative environment. - Background in use of encoder, computer assisted coding, and EMR software applications. - Efficient communication skills (interpersonal, verbal, and written). - Strong organizational and analytical skills. - Demonstrate critical thinking skills, and ability to interpret, assess, and evaluate provider documentation. - Proficient with Microsoft Office applications. - Ability to sit for long periods of time. - Capable of working in a 100% remote environment with little supervision, while also staying focused on assignment tasks. - Any appropriate combination of relevant education, experience and/or certifications may be considered. Benefits - Competitive salaries. - Comprehensive benefits package including medical, dental, tuition remission, and more.

Role Description Accurately codes Outpatient Surgery and Observation records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM and CPT4 coding system for BHSF facilities. - Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG). - Works as a team to meet departmental goals and AR goals. - Abstracts prescribed data elements from the medical records. Estimated pay range for this position is $26.90 - $34.97 / hour depending on experience. Qualifications - Degrees: High School, Cert, GED, Trn, Exper. - Licenses & Certifications: - AHIMA Certified Coding Specialist. - AHIMA Registered Health Information Technician. - Additional Qualifications: - Required Coding Certificate. - If not CCS or RHIT certified upon hire, they must obtain within 2 years. - Knowledge of encoder system, outpatient prospective payment system (OPPS); APCs and Ambulatory Surgical Center payment system (ASC). - Knowledge and thorough understanding of National and Local Coverage Determination, NCD and LCD, Policies. - Competency in Word and Excel. - Ability to communicate effectively with coworkers, management staff, and physicians. Requirements - Minimum Required Experience: 2 Years Benefits - Career growth and development opportunities, with clear pathways and ongoing support. - Comprehensive health and wellness resources that go beyond traditional benefits. - A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs. - Tuition reimbursement to support continued learning and advancement. - And so much more.

Role Description The Inpatient Medical Coder is responsible for accurately coding hospital inpatient records using ICD‑10‑CM and ICD‑10‑PCS to support appropriate reimbursement, data integrity, and compliance with federal and state regulations. Candidates must reside in one of the following states: Maryland, Pennsylvania, Washington D.C., West Virginia, Virginia, Tennessee, Texas, North Carolina, South Carolina, Georgia, or Florida. Key Responsibilities - Analyze inpatient medical records and assign accurate ICD‑10‑CM/PCS codes - Ensure correct APR‑DRG/MS‑DRG, SOI, ROM, and POA assignment - Review documentation and collaborate with clinical staff and CDI teams to resolve discrepancies - Code and abstract records within established productivity and turnaround time standards - Maintain high coding accuracy to prevent denials and compliance risk - Communicate with billing and hospital departments regarding coding or registration issues - Adhere to AHIMA ethical standards and HIPAA requirements Qualifications - Minimum 3 years of inpatient coding experience - Strong knowledge of APR‑DRGs, MS‑DRGs, SOI, ROM, and reimbursement impact - Required Certifications: CPC, CIC, or CCS Benefits - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Company Description