Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500). * Epic HB billing knowledge preferred. LICENSURE * Certified Coding Specialist (CCS ...
Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500). * Epic HB billing knowledge preferred. LICENSURE * Certified Coding Specialist (CCS ...
Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500). * Epic HB billing knowledge preferred. LICENSURE * Certified Coding Specialist (CCS ...
Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500). * Epic HB billing knowledge preferred. LICENSURE * Certified Coding Specialist (CCS ...
PreVisit Planning Coder - Summit Medical Group
$15.50 - $20.50/hr
... ICD coding to the highest level of specificity. * Through record review prior to scheduled appointments, accurately identify conditions not yet incorporated in Active Problem List, gaps in preventive ...
Quick apply
PreVisit Planning Coder - Summit Medical Group
$15.50 - $20.50/hr
... ICD coding to the highest level of specificity. * Through record review prior to scheduled appointments, accurately identify conditions not yet incorporated in Active Problem List, gaps in preventive ...
PreVisit Planning Coder - Summit Medical Group
Knoxville, TN · On-site
$15.50 - $20.50/hr
... ICD coding to the highest level of specificity. * Through record review prior to scheduled appointments, accurately identify conditions not yet incorporated in Active Problem List, gaps in preventive ...
PreVisit Planning Coder - Summit Medical Group
Knoxville, TN · On-site
$15.50 - $20.50/hr
... ICD coding to the highest level of specificity. * Through record review prior to scheduled appointments, accurately identify conditions not yet incorporated in Active Problem List, gaps in preventive ...
Registrar Scheduler-UMCEPH High Desert OMFS
$16.25 - $21/hr
Training or educational background with medical terminology and familiarity with ICD coding preferred.
Registrar Scheduler-UMCEPH High Desert OMFS
$16.25 - $21/hr
Training or educational background with medical terminology and familiarity with ICD coding preferred.
Insurance Billing Specialist
Fairview Heights, IL · On-site
$19 - $23/hr
Prepare and submit accurate insurance claims using appropriate coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.
Quick apply
Insurance Billing Specialist
Fairview Heights, IL · On-site
$19 - $23/hr
Prepare and submit accurate insurance claims using appropriate coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.
The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 Coding Guidelines. REGULATORY REQUIREMENTS (IF APPLICABLE): Registered Health Information Administrator (RHIA) or;
The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 Coding Guidelines. REGULATORY REQUIREMENTS (IF APPLICABLE): Registered Health Information Administrator (RHIA) or;
Insurance Billing Specialist
Fairview Heights, IL · On-site
$19 - $23/hr
Prepare and submit accurate insurance claims using appropriate coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.
Quick apply
Insurance Billing Specialist
Fairview Heights, IL · On-site
$19 - $23/hr
Prepare and submit accurate insurance claims using appropriate coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.
The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 Coding Guidelines. REGULATORY REQUIREMENTS (IF APPLICABLE): Registered Health Information Administrator (RHIA) or;
The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 Coding Guidelines. REGULATORY REQUIREMENTS (IF APPLICABLE): Registered Health Information Administrator (RHIA) or;
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the ...
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the ...
Radiological Tech
Bluffton, SC · On-site
Maintain accurate documentation in Electronic Health Record (EHR) systems, including ICD coding and treatment updates * Deliver excellent patient service by answering questions, explaining procedures ...
Quick apply
Radiological Tech
Bluffton, SC · On-site
Maintain accurate documentation in Electronic Health Record (EHR) systems, including ICD coding and treatment updates * Deliver excellent patient service by answering questions, explaining procedures ...
Prepay Coding Consultant
Plymouth, MN · Remote
$23.89 - $42.69/hr
Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3 years of CPT & ICD coding experience (surgical, hospital, clinic settings) * Intermediate level of proficiency ...
Prepay Coding Consultant
Plymouth, MN · Remote
$23.89 - $42.69/hr
Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3 years of CPT & ICD coding experience (surgical, hospital, clinic settings) * Intermediate level of proficiency ...
MEDICAL BILLING SPECIALIST II-
$16.50 - $21/hr
Knowledgeable about third party billingregulations and CPT/ICD coding. * Proficient computer and data entry skills. * Effective problem solving skills and ability towork independently. * Working ...
MEDICAL BILLING SPECIALIST II-
$16.50 - $21/hr
Knowledgeable about third party billingregulations and CPT/ICD coding. * Proficient computer and data entry skills. * Effective problem solving skills and ability towork independently. * Working ...
Radiological Tech
Bluffton, SC · On-site
Maintain accurate documentation in Electronic Health Record (EHR) systems, including ICD coding and treatment updates * Deliver excellent patient service by answering questions, explaining procedures ...
Quick apply
Radiological Tech
Bluffton, SC · On-site
Maintain accurate documentation in Electronic Health Record (EHR) systems, including ICD coding and treatment updates * Deliver excellent patient service by answering questions, explaining procedures ...
Prepay Coding Consultant
Plymouth, MN · Remote
$23.89 - $42.69/hr
Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3 years of CPT & ICD coding experience (surgical, hospital, clinic settings) * Intermediate level of proficiency ...
Prepay Coding Consultant
Plymouth, MN · Remote
$23.89 - $42.69/hr
Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3 years of CPT & ICD coding experience (surgical, hospital, clinic settings) * Intermediate level of proficiency ...
Training or educational background with medical terminology and familiarity with ICD coding is preferred.
Training or educational background with medical terminology and familiarity with ICD coding is preferred.
Registrar Scheduler-UMCEPH High Desert OMFS
El Paso, TX · On-site
$16.25 - $21/hr
Training or educational background with medical terminology and familiarity with ICD coding preferred.
Registrar Scheduler-UMCEPH High Desert OMFS
El Paso, TX · On-site
$16.25 - $21/hr
Training or educational background with medical terminology and familiarity with ICD coding preferred.
Prepay Coding Consultant
Plymouth, MN · On-site
$23.89 - $42.69/hr
Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3+ years of CPT & ICD coding experience (surgical, hospital, clinic settings) * Intermediate level of proficiency ...
Prepay Coding Consultant
Plymouth, MN · On-site
$23.89 - $42.69/hr
Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3+ years of CPT & ICD coding experience (surgical, hospital, clinic settings) * Intermediate level of proficiency ...
Registrar Scheduler-UMCEPH High Desert OMFS
El Paso, TX · On-site
$16.25 - $21/hr
Training or educational background with medical terminology and familiarity with ICD coding preferred.
Registrar Scheduler-UMCEPH High Desert OMFS
El Paso, TX · On-site
$16.25 - $21/hr
Training or educational background with medical terminology and familiarity with ICD coding preferred.
Training or educational background with medical terminology and familiarity with ICD coding is preferred.
Training or educational background with medical terminology and familiarity with ICD coding is preferred.
Icd Coding information
See salary details
$18.33 is the 25th percentile. Wages below this are outliers.
$15.87 - $18.38
26% of jobs
$18.38 - $20.89
9% of jobs
$20.89 - $23.40
12% of jobs
The median wage is $24.66 / hr.
$23.40 - $25.92
9% of jobs
$25.92 - $28.43
11% of jobs
$28.43 - $30.94
5% of jobs
$32.83 is the 75th percentile. Wages above this are outliers.
$30.94 - $33.46
6% of jobs
$33.46 - $35.97
5% of jobs
$35.97 - $38.48
5% of jobs
$38.48 - $41
3% of jobs
$41 - $43.51
10% of jobs
$15
$27
$43
How much do icd coding jobs pay per hour?
What are the key skills and qualifications needed to thrive as an ICD Coder, and why are they important?
Is ICD coding difficult?
What are some common challenges faced by ICD Coding professionals, and how can they be managed effectively?
Is AI replacing medical coders?
What is the difference between Icd Coding vs Medical Billing Specialist?
| Aspect | Icd Coding | Medical Billing Specialist |
|---|---|---|
| Credentials | Certification in ICD coding (e.g., CPC, CCS) | Certification in billing and coding (e.g., CPC, CBCS) |
| Work Environment | Hospitals, clinics, insurance companies | Medical offices, billing companies, hospitals |
| Primary Focus | Assigning ICD codes for diagnoses | Processing insurance claims and payments |
| Industry Usage | Healthcare, insurance | Healthcare, insurance |
While both Icd Coding and Medical Billing Specialists work closely within healthcare billing and coding, Icd Coding focuses on accurately assigning diagnosis codes, whereas Medical Billing Specialists handle the claims process and payments. Understanding their differences helps in choosing the right career path or job role.
What pays more, CCS or CPC?
What are ICD coding jobs?
How much do ICD-10 coders make?

Other
Posted 16 days ago
Yale New Haven Health rating
7.3
Based on 226 frontline employees who took The Breakroom Quiz
294th of 873 rated healthcare providers
Job description
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The OP Clinical Denial Specialist supports the organization by reducing financial liability and recovering lost revenue for coding and medical necessity denials. This individual is responsible for, but not limited to: managing medical denials by conducting a comprehensive review of clinical documentation, writing compelling arguments based on the clinical documentation and the medical policies of the payor, submitting appeals in a timely manner, and identifying/resolving denial trends to mitigate potential loss. The OP Clinical Denial Specialist will also handle audit-related / compliance responsibilities and other administrative duties as required. This individual works closely with colleagues within the organization and with managed care payers to resolve issues and expedite reimbursement on overturned appeals.
EEO/AA/Disability/Veteran
Responsibilities
- Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment.
- Evaluates Outpatient Clinical denials against medical record documentation, the coding of the encounter, payer policies and contracts, and coverage determinations to determine the viability of an appeal
- Compiles the supporting documentation by working in partnership with internal departments and uses technology, drafts detailed, customized appeal letters to payers in accordance with Medicare, Medicaid, Commercial, and YNHHS policies and procedures.
- Ensures and tracks receipt of appeals and timely follow-up with all submissions until determination is made.
- Identifies payer denial trends, triage discrepancies, ongoing medical necessity, coding, or service issues, and collaborate or escalate appropriately for resolution.
- Collaborate internally to provide educational opportunities derived from common themes discovered through the appeal process in an effort to prevent future denials.
- Track key denial data as they relate to departmental metrics and performance. Develop and maintain key metrics report including the identification of trends, action plans, etc. Attend organizational committees to present data, as required.
- Communicate directly with payer and coordinate meetings with contracting and payers as needed to support appeals process.
- Perform other duties as assigned.
Qualifications
EDUCATION
- Two (2) years of college or equivalent with familiarity with medical terminology and anatomy. Knowledge of coding, billing and the revenue cycle. Working knowledge of human anatomy and physiology, Disease process, demonstrated knowledge of medical terminology and the medical record.
EXPERIENCE
- Three to five years of coding and/or billing experience required.
- Previous experience with governmental and managed care denial/appeal process including familiarity with RAC.
- Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500).
- Epic HB billing knowledge preferred.
LICENSURE
- Certified Coding Specialist (CCS), Certified Coding Specialist Physician based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) through American Academy of Professional Coders (AAPC) or similar certification is required, or must be obtained within a year of hire.
SPECIAL SKILLS
- In-depth knowledge of documentation elements within the medical record
- Expertise in governmental payment policies and regulations including medical necessity, NCCI, OCE, and MUE policies and procedures
- Ability to analyze and resolve coding and medical necessity payer denials through in depth knowledge of payer policies and appeal procedures
- Previous experience with clinical denials and appeals for all payers is preferred
YNHHS Requisition ID
180073Qualifications:
EDUCATION
- Two (2) years of college or equivalent with familiarity with medical terminology and anatomy. Knowledge of coding, billing and the revenue cycle. Working knowledge of human anatomy and physiology, Disease process, demonstrated knowledge of medical terminology and the medical record.
EXPERIENCE
- Three to five years of coding and/or billing experience required.
- Previous experience with governmental and managed care denial/appeal process including familiarity with RAC.
- Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500).
- Epic HB billing knowledge preferred.
LICENSURE
- Certified Coding Specialist (CCS), Certified Coding Specialist Physician based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) through American Academy of Professional Coders (AAPC) or similar certification is required, or must be obtained within a year of hire.
SPECIAL SKILLS
- In-depth knowledge of documentation elements within the medical record
- Expertise in governmental payment policies and regulations including medical necessity, NCCI, OCE, and MUE policies and procedures
- Ability to analyze and resolve coding and medical necessity payer denials through in depth knowledge of payer policies and appeal procedures
- Previous experience with clinical denials and appeals for all payers is preferred
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Pay
Benefits
Hours and flexibility
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About Yale New Haven Health
Sourced by ZipRecruiter
Industry
Health care and social assistance and hospitals
Company size
10,000+ Employees
Headquarters location
New Haven, CT, US