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Medical coder jobs in Albany, NY - 45 jobs

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  • Hierarchical Condition Category (HCC) Coding Specialist

    Highmark Health 4.5company rating

    Medical coder job in Albany, NY

    This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522
    $26.5-41 hourly 31d ago
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  • Senior Hospital Coder

    Albany Medical Health System 4.4company rating

    Medical coder job in Albany, NY

    Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and Responsibilities * Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases. * Understands the hospital inpatient/outpatient and CBO billing and registration systems. * Assist with educating providers, clinicians, and others by advocating proper documentation practices and further specificity for both diagnoses and procedures when needed to more precisely reflect the acuity, severity, and the occurrence of events. Bring to the attention of the organization management any identified inappropriate coding practices that do not comply with requirements. * Assist in problem solving processes and workgroups, including participating in the development of query policies that support documentation improvement and meet regulatory, legal, and ethical standards for coding and reporting. * Assist leadership in team collaboration, leading meetings and onboarding new staff. * Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. * Responsible for communicating both verbally and written to physicians, clinical departments, medical coders, and management teams. * Query and/or consult as needed with the provider for clarification and additional documentation prior to final code assignment in accordance with acceptable healthcare industry practices. * Provides feedback to coding staff on quality scores. * Communicates with management when trends or concerns arise regarding poor quality. * Schedules calls and is available for coding staff when they have questions related to coding. * Leads a morning huddle one week each quarter in a 12-month calendar year. * Communicates to Coding Support Specialist on topics for monthly meetings. * Research new coding clinics, guidelines, and concepts and provides education to staff. * Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Research coding forums and coding issues related to registration status. * Works with a multitude of software systems at once, navigating efficiently between them. These systems include Meditech, Soarian Clinicals and Financials, 3M HDM and 360, Outlook, MS Teams, Word, Outlook, Excel, Glens Falls Hospital Citrix, Saratoga Hospital Citrix. * Assists with organizing the shared drive for the medical coding department. * Assist in development and compliance of comprehensive internal coding policies and procedures that are consistent with requirements. * Actively participates in discussions and projects to improve turnaround time for coding. * Participates in daily huddles and LEAN problem-solving activities. * Demonstrates change-leadership skills. Supporting the collaboration of coders to improve inefficiencies and solve problems. * Connect with coders when necessary. Being a mentor and guide to their success. Qualifications * High School Diploma/G.E.D. - required * Associate's Degree In Health Information Management or related program - preferred * 1-3 years Experience in a leadership, supervision, or code auditing position providing quality feedback to staff. - required * 2 or more years of experience coding ICD-10-CM/PCS and/or CPT coding. - required * Experience with 3M 360 and EPIC - preferred * Applicants must receive a minimum score of 85% on a coding assessment. (High proficiency) * Expert level with reading a medical record to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data elements for billing and reporting, and assign DRG, APC, and APG as appropriate. (High proficiency) * Highly skilled in team development, critical thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency) * Ability to work independently and effectively with a team. Knowledge in revenue cycle operations. (High proficiency) * Coding certification / credential through AHIMA or AAPC and be in good standing - required * RHIT / RHIA - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands * Standing - Occasionally * Walking - Occasionally * Sitting - Constantly * Lifting - Rarely * Carrying - Rarely * Pushing - Rarely * Pulling - Rarely * Climbing - Rarely * Balancing - Rarely * Stooping - Rarely * Kneeling - Rarely * Crouching - Rarely * Crawling - Rarely * Reaching - Rarely * Handling - Occasionally * Grasping - Occasionally * Feeling - Rarely * Talking - Frequently * Hearing - Frequently * Repetitive Motions - Frequently * Eye/Hand/Foot Coordination - Frequently Working Conditions * Extreme cold - Rarely * Extreme heat - Rarely * Humidity - Rarely * Wet - Rarely * Noise - Occasionally * Hazards - Rarely * Temperature Change - Rarely * Atmospheric Conditions - Rarely * Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
    $60.4k-90.6k yearly Auto-Apply 6d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Albany, NY

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 43d ago
  • Medical Coder II

    Ellis Medicine 4.7company rating

    Medical coder job in Schenectady, NY

    can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to: (1) managing the charge entry and charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims, (3) facilitating the accuracy and completeness of the practice's codes and charges in the Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts; and (5) ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. This position requires interacting with EMG leadership, healthcare practitioners, practice management and staff; (6) Establish relationships with medical/dental staff, follow-up with providers to ensure documentation supports the diagnoses and E/M level in question; (7) Responsible for weekly chart audits for practice providers to optimize accurate documentation and coding. Additionally, all Medical Coders will participate in regularly scheduled cross-functional work groups to coordinate and improve revenue cycle activities within all EMG practices and across Ellis Medicine. This position has significant responsibility for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required. Two (2) - five (5) years of out-patient coding experience required. Hospital, physician practice or insurance coding and billing experience required. Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payor regulations. Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards. Skilled experience and knowledge of Windows based software required, including but not limited to Microsoft Windows, Excel and Word. Experience with Siemens Soarian systems and Cerner PowerChart electronic health record preferred. Responsibilities: Responsible for managing charge entry and charge reconciliation for the assigned physician practice(s). Responsible for reviewing Inpatient, Surgeries, and Practice records for diagnoses and procedures and assigns the appropriate ICD-10-CM and CPT-4 codes utilizing PowerChart and the Soarian Financial Management Systems. Establish relationships with medical/dental staff, follow-up with providers to ensure documentation supports the diagnoses and E/M level in question. Responsible for weekly chart audits for practice providers to optimize accurate documentation and coding. Responsible for managing the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working relationship with the PBO dept. to reduce and address claim issues and denials timely. Assists in the maintenance of the practice's charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department. Responsible for participation in ongoing education relevant to practice specialty, assists in training for new employees and coverage. Works closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are implemented timely. Maintains a high level of confidentiality to protect patient health information privacy, while providing access to authorized individuals and entities, and safeguards the integrity of electronic records. Will participate in standing cross-functional work groups to facilitate resolution of systems issues and operational issues within Ellis Medical Group and across the enterprise (Ellis Medicine). Responds promptly to customer questions, provides excellent customer service and collaborates with other departments (PBO) throughout the organization. Medical Coder demonstrates knowledge of computer applications, specifically Soarian Financial Management, Soarian Scheduling, Soarian Clinicals (HIM Prod), and PowerChart. The Medical Coder performs other duties as assigned. Adheres to hospital and procedures related to mandatory education and annual health assessments, MEE Behavior and Standards, AIDET. Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, and will prohibit, discrimination on the basis of race, creed, color, religion, sex/gender (including pregnancy), age, national origin, disability (including pregnancy-related conditions), genetic information, predisposition or carrier status, military or veteran status, prior arrest or conviction record, marital or familial status, sexual orientation, transgender status, gender identity, gender expression, reproductive health decisions, domestic violence victim status, known relationship or association with any member of a protected class, and any other characteristic protected by applicable law violates federal, state and, where applicable, local laws , reproductive health decisions or source of payment, consistent with applicable legislation and to comply with the laws pertaining thereto. Salary Range: $17.46-$25.32/hour Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
    $17.5-25.3 hourly 60d+ ago
  • Certified Billing and Coding Specialist

    New York Oncology Hematology

    Medical coder job in Clifton Park, NY

    Why Join Us? Be part of a practice at the forefront of cutting-edge cancer care and advanced treatments Access opportunities for professional growth and continuing education. Work alongside a collaborative and compassionate team of experts dedicated to making a difference. Enjoy the convenience of multiple locations throughout the Capital Region. Contribute to groundbreaking clinical trials that shape the future of oncology care. Discover your career potential with a practice dedicated to excellence and innovation. Job Description: PAY RANGE: $62,000 - $75,000/year **This medical coding position is in-person only and located in Clifton Park, NY. This is not a remote or hybrid position.** SCOPE: Under minimal supervision performs periodic, comprehensive coding audits for all assigned regional oncologists (medical, radiation and surgical oncology). Verifies charge documentation and charge submission processes are in compliance with Federal and State regulations, as well as payer guidelines. Coordinates efforts with manager and front office managers to ensure optimal revenue cycle processes and adherence to compliance and revenue cycle policies and procedures. Provides effective educational feedback to physicians and staff on findings from audits and updates in Payer billing regulation. ESSENTIAL DUTIES AND RESPONSIBILITIES: Develops Audit and Education Programs Abstracts relevant clinical and demographic information from the medical record to assign current ICD and CPT codes in accordance with coding and reimbursement guidelines. Codes with an accuracy of 97% based on QA internal reviews Performs Evaluation and Management (E&M) audits for all assigned providers according to schedule established by State Business Office (SBO) Administrator Prepares reports of findings that details discrepancies and summarizes opportunities for improvement. Identifies trends that could be perceived as non-compliant with local and federal regulatory guidelines. Recommends procedural improvements and training opportunities to management. Provides written audit reports to supervisor for review and approval Reviews approved audit findings with physicians and mid level providers (individually and in group settings) to discuss recommendations and improvement opportunities Performs Charge Capture Report audits for all regional providers (medical, radiation and surgery oncology) Provides formal coding education to physicians and mid levels Provide training for practice staff on coding and revenue process improvements Recommends and documents audit procedures, standard reports and metrics in order to improve business revenue Maintains the confidentiality of medical information contained in each record Assists with other audits such as hospital visits, consultations, compliance, reimbursement and others as assigned MINIMUM QUALIFICATIONS: Bachelor's degree required. Current Certified Professional Coder (CPC) accreditation required. Minimum of five (5) to seven (7) years physician billing, coding audit experience. Must possess broad knowledge of Managed Care and HMO policies and procedures and Medicare benefits. Must possess strong knowledge of current versions of ICD-9, CPT-4 and HCPCS. CPC mandatory for position. Prior experience with presenting/educating in group environment (including physician and administrative staff) preferred. 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.
    $62k-75k yearly Auto-Apply 40d ago
  • Surgical Profee Medical Coder - General Surgery & GI

    Unitedhealth Group 4.6company rating

    Medical coder job in Albany, NY

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.** Under direction of the Coding Manager, the primary responsibility of the **Surgical Profee Medical Coder** is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers. Additionally, the Medical Coder serves as the key resource to the Chief and Administrative Director and/or Manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issues. The Medical Coder is ultimately responsible for efficient charge capture and reconciliation processes (electronic or paper), knowing and meeting expected targets at sufficient accuracy rates as measured by Transaction Editing System (TES) edits, claim action report volumes, and denials. The Medical Coder will identify potential compliance concerns and/or barriers toward timely completion of all tasks to the Coding Manager and will endeavor to work in collaboration with colleagues in Coding, Clinical Departments, Health Information Management, Information Technology, and Finance toward viable solutions. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** The following section contains representative examples of work that will be performed in positions allocated to this classification. Bassett Healthcare is a dynamic organization, and the environment can be fluid. Roles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employees. Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed. + Charge Capture + Review charge capture documents, paper or electronic, for completeness and accuracy + Reconcile collection of charges to daily census report or schedules depending on place of service + Accurately indicate and link all ICD-10 diagnosis codes, procedure codes and modifiers on the charge document + Prepare daily charge capture documents according to Bassett policies and procedures + Process all pre-billing edits on a daily basis and complete each edit within 2 business days + Ensure charges are posted within the following time lines: 4 days from date of service for Outpatient services and 7 days from date of service for Inpatient services by monitoring Lag Time Reports and working with practitioners and associated staff responsible for charge capture to meet those goals + Denial Management + Process denials on a daily basis ensuring all requested timelines are met + Ensure procedure and ICD-10 codes reflect documentation + Customer Service + Respond to customer service questions and report recurring issues to management + Work and communicate in a positive, cooperative manner with patients and their families when resolving customer service issues based on management observation and/or patient feedback + Competencies + Attend all staff meetings + Maintain current Coding Certification and active membership in local AAPC chapter, including participation in local events and meetings + Have a good working knowledge of all hospital computer systems and coding tools available to assist with correct coding. This includes Epic's Electronic Health Record application, MedAssets CodeCorrect application, and other department specific clinical/coding applications, e.g. CodeRyte + Keep abreast of coding changes and reimbursement reporting requirements and raise concerns to Coding Manager for resolution + Review and implement changes to departmental/site clinic sheets and charge documents to reflect current ICD-9 or ICD-10 in October, HCPCS and CPT's in January + Abide by Standards of Ethical Coding as set forth by the AAPC or AHIMA (depending on certification) and adhere to Official Coding Guidelines as set forth by CMS and the OIG + Coding Review and Reimbursement Resource + Conduct annual and focused reviews + Use interpersonal skills effectively to build and maintain cooperative working relationships with all levels and departments within the organization + Based on management request, assists with the orientation, skill development and mentoring of employees new to the coding function + Provide education to all providers within given specialty based on coding trends and will conduct new provider orientation + Performs similar or related duties as requested or directed + Performs other duties as requested and observed by supervisor or manager You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High School Diploma/GED (or higher) + Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually + 3+ years of experience in Professional Services Surgery Coding (General Surgery & GI) + 3+ years of experience working with CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology + 3+ years of experience working with coding rules and regulations for issues regarding medical record documentation, compliance and reimbursement, including medical necessity, claims denials, bundling issues and charge capture **Telecommuting Requirements:** + Required to have a dedicated work area established that is separated from other living areas and provides information privacy + Ability to keep all company sensitive documents secure (if applicable) + Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service **Physical Requirements:** + The position involves extensive work at computer station *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. **_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._ _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #GREEN
    $20-35.7 hourly 60d+ ago
  • Records Management Specialist II

    Contact Government Services

    Medical coder job in Albany, NY

    Employment Type: Full-Time, Mid-Level Department: Office Support CGS is seeking an experienced Records Management Specialist to provide administrative support for a large Federal agency initiative. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: * Customer Service Excellence: Demonstrated ability to interact professionally and effectively with a wide range of individuals, providing high-quality support, resolving issues promptly, and maintaining a positive and empathetic approach to service delivery. * Strong Organizational and Time Management Skills: Proven ability to manage records, files, and data systematically and accurately. Strong attention to detail and the ability to prioritize tasks effectively in a fast-paced environment. * Adaptability with Technology: Comfortable working with electronic records systems and adapting quickly to new software or technological processes. A proactive attitude toward learning and implementing digital tools to enhance productivity. * Training and Development Capabilities: Experience delivering training to colleagues or clients, with the ability to develop and write clear, engaging, and comprehensive training materials or instructional content. * Effective Communication: Excellent written and verbal communication skills, especially in documenting procedures, communicating with team members, and supporting end-users or customers. * Team-Oriented with Independent Drive: A collaborative team player who can also work independently, take initiative, and contribute to continuous improvement efforts. Qualifications: * Previous experience in a customer service role, with a strong focus on client satisfaction and support. * Background in records or data management, including organizing, maintaining, and retrieving information efficiently. * Proficiency in using current versions of Microsoft Windows and related applications (e.g., Microsoft Office Suite). * Experience with electronic recordkeeping systems or document management platforms. * Prior experience in training roles, including designing, writing, and facilitating training modules or instructional materials. Ideally, you will also have: * College Degree Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. * Health, Dental, and Vision * Life Insurance * 401k * Flexible Spending Account (Health, Dependent Care, and Commuter) * Paid Time Off and Observance of State/Federal Holidays Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: ************************************* For more information about CGS please visit: ************************** or contact: Email: [email protected] #CJ $45,000 - $65,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
    $45k-65k yearly 60d+ ago
  • ROI Medical Records Specialist - On Site

    MRO Careers

    Medical coder job in Glen, NY

    The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests* is Monday through Friday 9 am to 5:00 pm The pay range for this role is $22.23/hr. TASKS AND RESPONSIBILITIES: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Answer phone calls concerning various ROI issues and support the patient service desk. If necessary, responds to walk-in customers requesting medical records and logs information provided by customer into ROI On-Line database. If necessary, responds and processes requests from physician offices on a priority basis and faxes information to the physician office. Logs medical record requests into ROI On-Line database. Scans medical records into ROI On-Line database. Complies with site facility policies and regulations. At specified sites, responsible for handling and recording cash payments for requests. Other duties as assigned. SKILLS|EXPERIENCE: Demonstrates proficiency using computer applications. One or more years experience entering data into computer systems. Experience using the internet is required. Demonstrates the ability to work independently and meet production goals established by MRO. Strong verbal communication skills; demonstrated success responding to customer inquiries. Demonstrates success working in an environment that requires attention to detail. Proven track record of dependability. High School Diploma/GED required. Prior work experience in Release of Information in a physician's office or HIM Department is a plus. Knowledge of medical terminology is a plus. Knowledge of HIPAA regulations is preferred. *This job description reflects management's assignment of essential functions. It does not prescribe or reflect the tasks that may be assigned. MRO's employees work at client facilities throughout the United States. We are proud of the culture we create for our employees and offer an outstanding work environment. We strive to match the right applicant to the right position. To learn more about us, visit www.mrocorp.com. MRO is an Equal Opportunity Employer.
    $22.2 hourly 10d ago
  • Director of Medical Records

    The Wesley Community 4.3company rating

    Medical coder job in Saratoga Springs, NY

    Job Description Director of Medical Records Full Time Days Everything we do at The Wesley Community is guided by our Core Values which form the acronym "CARES". These Core Values are COMPASSION, ACCOUNTABILITY, RESPECT, EXCELLENCE and SPIRIT. It's more than a job: it's caring that starts in the heart. What will I do as a Director of Medical Records for The Wesley Community? Responsible for ensuring the electronic medical record is complete on day of admission and discharge to include (orders are signed, census line is updated, and chart is complete) in accordance with the medical records Audit Check List, following CMS and AHIMA guidelines Ensures medical records staff obtain lab requests, face sheets for evacuation book, and room labels are resent for all new admissions. Completes MD, NP, PA, and other medical consultants credentialing form and record vaccination licensure and liability compliance. Ensure unit secretaries upload/efile required documentation, such as all consultants, MOLST, labs, diagnositics, and any other required documents for medical visits into PCC. Ensures lab and x ray vendors receive required resident information for services. HMO and Medicare appeals management. For medical records requests follow medical record release policy. Gather and organize mailings, track dates and maintain a log of requests. Ensures unit secretaries manage resident appointments to include all required steps in process following the "appointment procedure" to include transportation. Maintain communications with third party payers. Send documentation as required for coverage, ensuring appropriate care level authorized according to residents care needs and insurance contract, working with MDS Coordinator as needed. Enters HMO authorizations under a/r tab in PCC to include insurance, auth#, start date, and end date. Maintains LOC (Level of Care) in PCC for all skilled residents, working with MDS coordinator Maintains binder of all insurance contracts and responsible for re-credentialing of contacts Director of Medical Records Requirements: 3-5 Years experience in Medical Records Director/Supervisory experience preferred ICD-10 Code Certification Required Point Click Care and EPIC experience preferred Knowledge of Insurance Authorizations and Livanta required Background in medical terminology Associates Degree in Health Related Field is preferred The Wesley Community strives to have its employees be a part of a culture of excellence and to enjoy their work. Our team is also committed to making sure our employees are rewarded for superior effort and performance and get a chance to have fun as part of their employment experience at The Wesley Community. We offer competitive and team-focused Employee Benefits (based on employment status eligibility) to include: Competitive pay A full benefits package Paid Time Off (PTO) Paid Holidays Flexible scheduling options NEW Weekly Pay Periods and Daily Pay Option A 401K retirement plan Tuition assistance and nursing scholarships Opportunities for growth and development A caring and supportive team work environment Perks such as self-care support and on-site prescription fills A fun work environment including theme weeks, recognition events, and opportunities for staff involvement About the Wesley Community: For over 50 years, The Wesley Community has provided services and programs with a commitment to compassion, caring and excellence. Our distinctive continuum of care offers a unique balance of community living and care giving that ensures quality of life at every stage of life. We are a mission driven, not-for-profit organization that puts people first. We are proud of our reputation for excellence, innovation, and a personal approach to care and services. We encourage and support our residents in their efforts to achieve their goals, and we treat them respectfully.
    $46k-79k yearly est. 9d ago
  • Advancement Information Coordinator - Informati...

    University at Albany 4.3company rating

    Medical coder job in Albany, NY

    The Advancement Information Coordinator serves as the primary coordinator of all day-to-day gift processing and data entry activities for the Division of Advancement. The coordinator manages and prioritizes the daily work flow and ensure the accurate processing and reconciliation of all gifts and pledges in a timely manner. The coordinator is also the primary staff person responsible for updating constituent data. The coordinator follows established procedures and considers constituent intent to process data accurately, while looking for opportunities to update existing procedures that will improve efficiency and constituent interactions with the Division of Advancement and the University as a whole. Primary Responsibilities: Gift and Constituent Record Management * Manage the process, workflow and handling for the recording and reconciliation of gifts, pledge payments, bequest intentions, life insurance gifts, charitable gift annuities, DAF expectancies and charitable trusts. Organize, index and archive digital and physical gift documentation. * Gift entry into AIS database (Raiser's Edge NXT) to industry reporting standards and ensure they are appropriately reconciled with the business office. * Outright gifts checks, stock gifts, credit card gifts and pledge payments. * Pledges - single, multi-year, payroll deduction. * Planned gifts - bequest intentions, life insurance, annuities and trusts. * Matching gifts - Troubleshoot unlinked matching gifts. * Adjustments - to previously entered gifts based on documentation received from the Foundation Business Office. * Enter and oversee data/information updates into constituent records * As needed demographic updates in response to requests from Advancement and other University staff. * Regular updates to code student scholarship recipients. * Develop an on-going program to verify and update biographical and employment data. * Safeguard database integrity by setting and enforcing standards and controls to ensure uniformity of record keeping and execute and supervise the entry of confidential constituent data. * Maintain database performance and usefulness by identifying and troubleshooting problems in data collection, coding, and uniformity. * Test new processes and database upgrades within the Development ("test") environment before changes are implemented into Production environment. * Secure the database by developing and enforcing policies, procedures, documentation and controls for all staff utilizing the database. * Research data-related policies and best practices used by other institutions. Share discoveries with supervisor for implementation. * Data-related nondisclosure agreements. * FERPA policies. * Perform step-down research via fee-based research tools (i.e. LexisNexis, LinkedIn) or University-wide databases including PeopleSoft on constituent biographical data. * Flag potential major gift donors to the attention of the division's research team. * Ensure new information is added to the database. * Monitor public-facing email address where data updates are sent. Update the database as necessary and follow up to these requests if gathering more information if necessary. * Maintain monthly GOLD 1844 Society member coding. * Serve as subject matter expert for new CRM (Raiser's Edge NXT). * Make recommendations for system optimization in the areas of constituent record management and gift processing. * Build and maintain guides and best practice documents in the areas of gift processing and record management. Data Import, Data Extraction and Phonathon * Review imported records from the student database upon graduation. Create records for parents. Maintain mailing addresses, employment, and other biographic information. * In coordination with Human Resources, update faculty/staff demographic data on a monthly basis ("HR Updates"). * Serve as liaison to phonathon manager for nightly credit card and pledge report reconciliation purposes. Monitor and track issues associated with our phonathon's reporting process and make recommendations to Annual Fund staff as needed. Supervisory Responsibilities and Professional Development * Directly supervise work-study students (one per semester). * Attend national conferences and webinars to stay informed of current best practices in development and advancement services. * Utilize resources such as CASE, the HEP matching Gifts database, the Fundsvcs listerserv and the Foundation Center while researching gift-processing issues. * Other reasonable duties as assigned Functional and Supervisory Relationships: * Reports to the Director, Advancement Information * Supervises the following positions: student worker/s * May supervise employees as assigned (if no direct reports at time of filling position) none Job Requirements: * Ability to handle highly confidential information. * Strong analytical skills, a commitment to customer service, and a respect for the importance of how confidential information is handled. * Attention to detail, strong written and verbal communication skills, and excellent project management and organizational abilities. * Applicants must address in their applications their ability to work with a culturally diverse population. Requirements: Minimum Qualifications: * Bachelor's degree from a college or University accredited by the US Department of Education or internationally recognized accrediting organization. * Experience with basic accounting principles and financial reporting and be able to interpret Council in Support of Education (CASE) and IRS regulations in addition to other. governing policies and procedures relating to the processing of charitable gifts. * Applicants must demonstrate an ability to develop inclusive and equitable relationships within our diverse campus community. * Applicants must demonstrate an ability to support diversity, equity, access, inclusion, and belonging relative to their role. Preferred Qualifications: * Experience working with relational databases. Working Environment: * Typical office environment Additional Information: Professional Rank and Salary Range: Advancement Information Coordinator, SL2, $51,261 - $55,000 Special Notes: Visa sponsorship is not available for this position. If you currently need sponsorship or will need it in the future to maintain employment authorization, you do not meet eligibility requirements. Additionally, please note that UAlbany is not an E-Verify employer. The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, or Clery Act, mandates that all Title IV institutions, without exception, prepare, publish, and distribute an Annual Security Report. This report consists of two basic parts: disclosure of the University's crime statistics for the past three years; and disclosures regarding the University's current campus security policies. The University at Albany's Annual Security Report is available in portable document format [PDF] by clicking this link ********************************** Pursuant to NYS Labor Law 194-A, no State entity, as defined by the Law, is permitted to rely on, orally or in writing seek, request, or require in any form, that an applicant for employment provide his or her current wage, or salary history as a condition to be interviewed, or as a condition of continuing to be considered for an offer of employment, until such time as the applicant is extended a conditional offer of employment with compensation, and for the purpose of verifying information, may such requests be made. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ************** or via email at ****************. THE UNIVERSITY AT ALBANY IS AN EO/AA/IRCA/ADA EMPLOYER Please apply online via ************************************************************** Application Instructions: Applicants MUST submit the following documents: * Resume/CV * Cover letter stating all the required minimum qualifications and any of the applicable preferred qualifications * Contact information for three professional references Note: After submitting your resume/CV, the subsequent pages give you instructions for uploading additional documents (i.e. cover letter etc.). See the FAQ for using our online system. Please contact us if you need assistance applying through this website. Returning Applicants - Login to your UAlbany Careers Account to check your completed application. Closing date for receipt of applications: October 31, 2025
    $51.3k-55k yearly 60d+ ago
  • Senior Coder - Outpatient

    Highmark Health 4.5company rating

    Medical coder job in Albany, NY

    This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%) + Acts as a mentor and subject matter expert to others. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School/GED + 5 years of Hospital and/or Physician Coding + 1 year of Coding - all specialties and service lines + Extensive knowledge in Trauma/Teaching/Observation guidelines + Successful completion of coding courses in anatomy, physiology and medical terminology + Any of the following: + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) Preferred + Associate's Degree **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J270102
    $23-35.7 hourly 33d ago
  • Senior Hospital Coder - TSH

    Albany Medical Health System 4.4company rating

    Medical coder job in Albany, NY

    Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and Responsibilities * Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases. * Understands the hospital inpatient/outpatient and CBO billing and registration systems. * Assist with educating providers, clinicians, and others by advocating proper documentation practices and further specificity for both diagnoses and procedures when needed to more precisely reflect the acuity, severity, and the occurrence of events. Bring to the attention of the organization management any identified inappropriate coding practices that do not comply with requirements. * Assist in problem solving processes and workgroups, including participating in the development of query policies that support documentation improvement and meet regulatory, legal, and ethical standards for coding and reporting. * Assist leadership in team collaboration, leading meetings and onboarding new staff. * Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. * Responsible for communicating both verbally and written to physicians, clinical departments, medical coders, and management teams. * Query and/or consult as needed with the provider for clarification and additional documentation prior to final code assignment in accordance with acceptable healthcare industry practices. * Provides feedback to coding staff on quality scores. * Communicates with management when trends or concerns arise regarding poor quality. * Schedules calls and is available for coding staff when they have questions related to coding. * Leads a morning huddle one week each quarter in a 12-month calendar year. * Communicates to Coding Support Specialist on topics for monthly meetings. * Research new coding clinics, guidelines, and concepts and provides education to staff. * Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Research coding forums and coding issues related to registration status. * Works with a multitude of software systems at once, navigating efficiently between them. These systems include Meditech, Soarian Clinicals and Financials, 3M HDM and 360, Outlook, MS Teams, Word, Outlook, Excel, Glens Falls Hospital Citrix, Saratoga Hospital Citrix. * Assists with organizing the shared drive for the medical coding department. * Assist in development and compliance of comprehensive internal coding policies and procedures that are consistent with requirements. * Actively participates in discussions and projects to improve turnaround time for coding. * Participates in daily huddles and LEAN problem-solving activities. * Demonstrates change-leadership skills. Supporting the collaboration of coders to improve inefficiencies and solve problems. * Connect with coders when necessary. Being a mentor and guide to their success. Qualifications * High School Diploma/G.E.D. - required * Associate's Degree In Health Information Management or related program - preferred * 1-3 years Experience in a leadership, supervision, or code auditing position providing quality feedback to staff. - required * 2 or more years of experience coding ICD-10-CM/PCS and/or CPT coding. - required * Experience with 3M 360 and EPIC - preferred * Applicants must receive a minimum score of 85% on a coding assessment. (High proficiency) * Expert level with reading a medical record to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data elements for billing and reporting, and assign DRG, APC, and APG as appropriate. (High proficiency) * Highly skilled in team development, critical thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency) * Ability to work independently and effectively with a team. Knowledge in revenue cycle operations. (High proficiency) * Coding certification / credential through AHIMA or AAPC and be in good standing - required * RHIT / RHIA - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands * Standing - Occasionally * Walking - Occasionally * Sitting - Constantly * Lifting - Rarely * Carrying - Rarely * Pushing - Rarely * Pulling - Rarely * Climbing - Rarely * Balancing - Rarely * Stooping - Rarely * Kneeling - Rarely * Crouching - Rarely * Crawling - Rarely * Reaching - Rarely * Handling - Occasionally * Grasping - Occasionally * Feeling - Rarely * Talking - Frequently * Hearing - Frequently * Repetitive Motions - Frequently * Eye/Hand/Foot Coordination - Frequently Working Conditions * Extreme cold - Rarely * Extreme heat - Rarely * Humidity - Rarely * Wet - Rarely * Noise - Occasionally * Hazards - Rarely * Temperature Change - Rarely * Atmospheric Conditions - Rarely * Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
    $60.4k-90.6k yearly Auto-Apply 48d ago
  • Surgical Profee Medical Coder

    Unitedhealth Group Inc. 4.6company rating

    Medical coder job in Albany, NY

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Under direction of the Coding Manager, the primary responsibility of the Surgical Profee Medical Coder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers. Additionally, the Medical Coder serves as the key resource to the Chief and Administrative Director and/or Manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issues. The Medical Coder is ultimately responsible for efficient charge capture and reconciliation processes (electronic or paper), knowing and meeting expected targets at sufficient accuracy rates as measured by Transaction Editing System (TES) edits, claim action report volumes, and denials. The Medical Coder will identify potential compliance concerns and/or barriers toward timely completion of all tasks to the Coding Manager and will endeavor to work in collaboration with colleagues in Coding, Clinical Departments, Health Information Management, Information Technology, and Finance toward viable solutions. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The following section contains representative examples of work that will be performed in positions allocated to this classification. Bassett Healthcare is a dynamic organization, and the environment can be fluid. Roles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employees. Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed. * Charge Capture * Review charge capture documents, paper or electronic, for completeness and accuracy * Reconcile collection of charges to daily census report or schedules depending on place of service * Accurately indicate and link all ICD-10 diagnosis codes, procedure codes and modifiers on the charge document * Prepare daily charge capture documents according to Bassett policies and procedures * Process all pre-billing edits on a daily basis and complete each edit within 2 business days * Ensure charges are posted within the following time lines: 4 days from date of service for Outpatient services and 7 days from date of service for Inpatient services by monitoring Lag Time Reports and working with practitioners and associated staff responsible for charge capture to meet those goals * Denial Management * Process denials on a daily basis ensuring all requested timelines are met * Ensure procedure and ICD-10 codes reflect documentation * Customer Service * Respond to customer service questions and report recurring issues to management * Work and communicate in a positive, cooperative manner with patients and their families when resolving customer service issues based on management observation and/or patient feedback * Competencies * Attend all staff meetings * Maintain current Coding Certification and active membership in local AAPC chapter, including participation in local events and meetings * Have a good working knowledge of all hospital computer systems and coding tools available to assist with correct coding. This includes Epic's Electronic Health Record application, MedAssets CodeCorrect application, and other department specific clinical/coding applications, e.g. CodeRyte * Keep abreast of coding changes and reimbursement reporting requirements and raise concerns to Coding Manager for resolution * Review and implement changes to departmental/site clinic sheets and charge documents to reflect current ICD-9 or ICD-10 in October, HCPCS and CPT's in January * Abide by Standards of Ethical Coding as set forth by the AAPC or AHIMA (depending on certification) and adhere to Official Coding Guidelines as set forth by CMS and the OIG * Coding Review and Reimbursement Resource * Conduct annual and focused reviews * Use interpersonal skills effectively to build and maintain cooperative working relationships with all levels and departments within the organization * Based on management request, assists with the orientation, skill development and mentoring of employees new to the coding function * Provide education to all providers within given specialty based on coding trends and will conduct new provider orientation * Performs similar or related duties as requested or directed * Performs other duties as requested and observed by supervisor or manager You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * High School Diploma/GED (or higher) * Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually * 3+ years of experience in Professional Services Surgery Coding (General Surgery & GI) * 3+ years of experience working with CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology * 3+ years of experience working with coding rules and regulations for issues regarding medical record documentation, compliance and reimbursement, including medical necessity, claims denials, bundling issues and charge capture Telecommuting Requirements: * Required to have a dedicated work area established that is separated from other living areas and provides information privacy * Ability to keep all company sensitive documents secure (if applicable) * Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Physical Requirements: * The position involves extensive work at computer station * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN
    $20-35.7 hourly 27d ago
  • Medical Records Tech

    New York Oncology Hematology

    Medical coder job in Clifton Park, NY

    Why Join Us? Be part of a practice at the forefront of cutting-edge cancer care and advanced treatments Access opportunities for professional growth and continuing education. Work alongside a collaborative and compassionate team of experts dedicated to making a difference. Enjoy the convenience of multiple locations throughout the Capital Region. Contribute to groundbreaking clinical trials that shape the future of oncology care. Discover your career potential with a practice dedicated to excellence and innovation. Job Description: Pay Range: $19 - $24 per hour SCOPE: Under direct supervision, assists with organizing, sorting, and filing all incoming and outgoing patient information. Prepares charts for patient visits. Files, locates, retrieves and delivers medical records and/or electronic medical records as assigned. Supports and adheres to the New York Oncology Hematology Compliance Program, to include the Code of Ethics and Business Standards. Demonstrates an understanding of patient confidentiality to protect the patient and clinic/corporation. ESSENTIAL DUTIES AND RESPONSIBILITIES: Scan and attach all internal and external correspondence and electronic medical reports into patient' medical record chart according to filing system. Pulls charts for scheduled appointments in advance according to guidelines. Ensure that all appropriate documentation for the scheduled patient visit is attached to the patient's chart. Prints, mails, and/or faxes patient chart information as requested and authorized. Documents all processes. Releases medical records information to persons or agencies according to State and Federal regulations. Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Picks up out guides at designated locations and returns to Medical Records. Catalogue charts for storage and keeps electronic reports of those records. Submits request for chart retrieval from storage if needed to comply with a medical records request. Makes copies of dictated interval notes accordingly. Monitors physician dictation and makes sure it is completed in the EMR (electronic medical record) and alerts physicians who are behind. Follows policies and procedures to contribute to the efficiency of the front office Provides back-up assistance as needed by front office staff. Sends out dictations to referring providers via manual faxing, right fax, or electronically “Direct Message” (direct message via EMR is for MIPS. In Radiation department may convert dosimetry plans into a PDR of zip file when a patient transfers to another facility for treatment. Logs FMLA/Disability forms for provider completion. Will mail or fax forms and contact patient once completed. Sends outgoing faxes and distributes incoming faxes. Prepares correspondence, memos, forms and other typing as requested by supervisor. MINIMUM QUALIFICATIONS: High school diploma or equivalent required. Position is entry level and requires 0-3 years' experience, preferably in a medical office setting. Previous experience in a medical records' experience preferred. Knowledge of electronic health record systems. Time Management, Organization, Attention to Detail and Quality Focus skills needed. 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.
    $19-24 hourly Auto-Apply 60d+ ago
  • Records Management Specialist II

    Contact Government Services, LLC

    Medical coder job in Albany, NY

    Records Management Specialist IIEmployment Type: Full-Time, Mid-LevelDepartment: Office Support CGS is seeking an experienced Records Management Specialist to provide administrative support for a large Federal agency initiative. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Customer Service Excellence: Demonstrated ability to interact professionally and effectively with a wide range of individuals, providing high-quality support, resolving issues promptly, and maintaining a positive and empathetic approach to service delivery. - Strong Organizational and Time Management Skills: Proven ability to manage records, files, and data systematically and accurately. Strong attention to detail and the ability to prioritize tasks effectively in a fast-paced environment. - Adaptability with Technology: Comfortable working with electronic records systems and adapting quickly to new software or technological processes. A proactive attitude toward learning and implementing digital tools to enhance productivity. - Training and Development Capabilities: Experience delivering training to colleagues or clients, with the ability to develop and write clear, engaging, and comprehensive training materials or instructional content. - Effective Communication: Excellent written and verbal communication skills, especially in documenting procedures, communicating with team members, and supporting end-users or customers. - Team-Oriented with Independent Drive: A collaborative team player who can also work independently, take initiative, and contribute to continuous improvement efforts. Qualifications:- Previous experience in a customer service role, with a strong focus on client satisfaction and support. - Background in records or data management, including organizing, maintaining, and retrieving information efficiently. - Proficiency in using current versions of Microsoft Windows and related applications (e. g. , Microsoft Office Suite). - Experience with electronic recordkeeping systems or document management platforms. - Prior experience in training roles, including designing, writing, and facilitating training modules or instructional materials. Ideally, you will also have:- College Degree Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. - Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:******************* com/join-our-team/For more information about CGS please visit: ************ cgsfederal. com or contact:Email: info@cgsfederal. com #CJ
    $39k-60k yearly est. Auto-Apply 60d+ ago
  • ROI Medical Records Specialist - On Site

    MRO Careers

    Medical coder job in Hillsdale, NY

    The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests* is Monday through Friday 8 am to 4:00 pm The pay range for this role is $22.23/hr. TASKS AND RESPONSIBILITIES: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Answer phone calls concerning various ROI issues. If necessary, responds to walk-in customers requesting medical records and logs information provided by customer into ROI On-Line database. If necessary, responds and processes requests from physician offices on a priority basis and faxes information to the physician office. Logs medical record requests into ROI On-Line database. Scans medical records into ROI On-Line database. Complies with site facility policies and regulations. At specified sites, responsible for handling and recording cash payments for requests. Other duties as assigned. SKILLS|EXPERIENCE: Demonstrates proficiency using computer applications. One or more years experience entering data into computer systems. Experience using the internet is required. Demonstrates the ability to work independently and meet production goals established by MRO. Strong verbal communication skills; demonstrated success responding to customer inquiries. Demonstrates success working in an environment that requires attention to detail. Proven track record of dependability. High School Diploma/GED required. Prior work experience in Release of Information in a physician's office or HIM Department is a plus. Knowledge of medical terminology is a plus. Knowledge of HIPAA regulations is preferred. *This job description reflects management's assignment of essential functions. It does not prescribe or reflect the tasks that may be assigned. MRO's employees work at client facilities throughout the United States. We are proud of the culture we create for our employees and offer an outstanding work environment. We strive to match the right applicant to the right position. To learn more about us, visit www.mrocorp.com. MRO is an Equal Opportunity Employer.
    $22.2 hourly 60d+ ago
  • Coder - Inpatient

    Highmark Health 4.5company rating

    Medical coder job in Albany, NY

    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 average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School / GED + 1 year in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + Familiarity with medical terminology + Strong data entry skills + An understanding of computer applications + Ability to work with members of the health care team Preferred + Associate's degree in Health Information Management or Related Field **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272373
    $23-35.7 hourly 37d ago
  • Senior Hospital Coder

    Albany Med 4.4company rating

    Medical coder job in New Scotland, NY

    Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and Responsibilities Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases. Understands the hospital inpatient/outpatient and CBO billing and registration systems. Assist with educating providers, clinicians, and others by advocating proper documentation practices and further specificity for both diagnoses and procedures when needed to more precisely reflect the acuity, severity, and the occurrence of events. Bring to the attention of the organization management any identified inappropriate coding practices that do not comply with requirements. Assist in problem solving processes and workgroups, including participating in the development of query policies that support documentation improvement and meet regulatory, legal, and ethical standards for coding and reporting. Assist leadership in team collaboration, leading meetings and onboarding new staff. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Responsible for communicating both verbally and written to physicians, clinical departments, medical coders, and management teams. Query and/or consult as needed with the provider for clarification and additional documentation prior to final code assignment in accordance with acceptable healthcare industry practices. Provides feedback to coding staff on quality scores. Communicates with management when trends or concerns arise regarding poor quality. Schedules calls and is available for coding staff when they have questions related to coding. Leads a morning huddle one week each quarter in a 12-month calendar year. Communicates to Coding Support Specialist on topics for monthly meetings. Research new coding clinics, guidelines, and concepts and provides education to staff. Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Research coding forums and coding issues related to registration status. Works with a multitude of software systems at once, navigating efficiently between them. These systems include Meditech, Soarian Clinicals and Financials, 3M HDM and 360, Outlook, MS Teams, Word, Outlook, Excel, Glens Falls Hospital Citrix, Saratoga Hospital Citrix. Assists with organizing the shared drive for the medical coding department. Assist in development and compliance of comprehensive internal coding policies and procedures that are consistent with requirements. Actively participates in discussions and projects to improve turnaround time for coding. Participates in daily huddles and LEAN problem-solving activities. Demonstrates change-leadership skills. Supporting the collaboration of coders to improve inefficiencies and solve problems. Connect with coders when necessary. Being a mentor and guide to their success. Qualifications High School Diploma/G.E.D. - required Associate's Degree In Health Information Management or related program - preferred 1-3 years Experience in a leadership, supervision, or code auditing position providing quality feedback to staff. - required 2 or more years of experience coding ICD-10-CM/PCS and/or CPT coding. - required Experience with 3M 360 and EPIC - preferred Applicants must receive a minimum score of 85% on a coding assessment. (High proficiency) Expert level with reading a medical record to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data elements for billing and reporting, and assign DRG, APC, and APG as appropriate. (High proficiency) Highly skilled in team development, critical thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency) Ability to work independently and effectively with a team. Knowledge in revenue cycle operations. (High proficiency) Coding certification / credential through AHIMA or AAPC and be in good standing - required RHIT / RHIA - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands Standing - Occasionally Walking - Occasionally Sitting - Constantly Lifting - Rarely Carrying - Rarely Pushing - Rarely Pulling - Rarely Climbing - Rarely Balancing - Rarely Stooping - Rarely Kneeling - Rarely Crouching - Rarely Crawling - Rarely Reaching - Rarely Handling - Occasionally Grasping - Occasionally Feeling - Rarely Talking - Frequently Hearing - Frequently Repetitive Motions - Frequently Eye/Hand/Foot Coordination - Frequently Working Conditions Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
    $60.4k-90.6k yearly Auto-Apply 7d ago
  • Medical Records Tech

    New York Oncology Hematology

    Medical coder job in Clifton Park, NY

    Why Join Us? Be part of a practice at the forefront of cutting-edge cancer care and advanced treatments Access opportunities for professional growth and continuing education. Work alongside a collaborative and compassionate team of experts dedicated to making a difference. Enjoy the convenience of multiple locations throughout the Capital Region. Contribute to groundbreaking clinical trials that shape the future of oncology care. Discover your career potential with a practice dedicated to excellence and innovation. Job Description: Pay Range: $19 - $24 per hour SCOPE: Under direct supervision, assists with organizing, sorting, and filing all incoming and outgoing patient information. Prepares charts for patient visits. Files, locates, retrieves and delivers medical records and/or electronic medical records as assigned. Supports and adheres to the New York Oncology Hematology Compliance Program, to include the Code of Ethics and Business Standards. Demonstrates an understanding of patient confidentiality to protect the patient and clinic/corporation. ESSENTIAL DUTIES AND RESPONSIBILITIES: Scan and attach all internal and external correspondence and electronic medical reports into patient' medical record chart according to filing system. Pulls charts for scheduled appointments in advance according to guidelines. Ensure that all appropriate documentation for the scheduled patient visit is attached to the patient's chart. Prints, mails, and/or faxes patient chart information as requested and authorized. Documents all processes. Releases medical records information to persons or agencies according to State and Federal regulations. Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Picks up out guides at designated locations and returns to Medical Records. Catalogue charts for storage and keeps electronic reports of those records. Submits request for chart retrieval from storage if needed to comply with a medical records request. Makes copies of dictated interval notes accordingly. Monitors physician dictation and makes sure it is completed in the EMR (electronic medical record) and alerts physicians who are behind. Follows policies and procedures to contribute to the efficiency of the front office Provides back-up assistance as needed by front office staff. Sends out dictations to referring providers via manual faxing, right fax, or electronically “Direct Message” (direct message via EMR is required for MIPS. In Radiation department may convert dosimetry plans into a PDR of zip file when a patient transfers to another facility for treatment. Logs FMLA/Disability forms for provider completion. Will mail or fax forms and contact patient once completed. Sends outgoing faxes and distributes incoming faxes. Prepares correspondence, memos, forms and other typing as requested by supervisor. MINIMUM QUALIFICATIONS: High school diploma or equivalent required. Position is entry level and requires 0-3 years' experience, preferably in a medical office setting. Previous experience in a medical records' experience preferred. Knowledge of electronic health record systems. Time Management, Organization, Attention to Detail and Quality Focus skills needed. 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.
    $19-24 hourly Auto-Apply 33d ago
  • Records Management Specialist III

    Contact Government Services, LLC

    Medical coder job in Day, NY

    Records Management Specialist IIIEmployment Type: Full-Time, Mid-LevelDepartment: Office Support CGS is seeking an experienced Records Management Specialist to provide technical, management, and documentation support for a large Federal agency initiative. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Provides technical support for records management programs, dockets, records center, or other information services under the supervision of a Records Information Manager. - May assist in planning and program development, analysis of records or docket management problems, and design of strategies to meet ongoing records or docket management needs. - Specific technical duties may vary according to the needs of the work site and include, but are not limited to, response to inquiries; collection maintenance and retrieval tasks; metadata review and input; equipment maintenance; and use of automated information systems, such as the Federal Docket Management System (FDMS). Qualifications:- At Level III, the personnel must have at least three (3) years of records management experience. - Experience with at least one automated information system is required. - A college degree is preferred but not required. Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:**************************************** more information about CGS please visit: ************************** or contact:Email: ******************* #CJ
    $38k-58k yearly est. Auto-Apply 60d+ ago

Learn more about medical coder jobs

How much does a medical coder earn in Albany, NY?

The average medical coder in Albany, NY earns between $31,000 and $72,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Albany, NY

$48,000

What are the biggest employers of Medical Coders in Albany, NY?

The biggest employers of Medical Coders in Albany, NY are:
  1. Albany Med
  2. UnitedHealth Group
  3. Datavant
  4. Highmark
  5. Baylor Scott & White Health
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