Certified Medical Coder
Medical coder job in New York, NY
Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application.
Experience with EPIC and 3M is required, Candidate with in/out-patient coding experience will be ideal.
CCS or CPC Certification is required.
Outpatient and ED experience.
This role will initially be onsite. Once the candidate is comfortable with the job duties, the manager will be flexible with a hybrid work arrangement.
Education:
High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.
Skills:
Three years of experience, Knowledge of ICD10.
Must have EPIC and 3M experience.
CCS or CPC certification required
Certified Medical Coder - Inpatient - CMC25-34020
Medical coder job in Bronxville, NY
Job Title: Certified Medical Coder - Inpatient Duration: 14 Weeks Shift: 8:00 AM - 4:00 PM Pay Rate: $35-$37 per hour
"Navitas Healthcare, LLC" is seeking an experienced Inpatient Medical Coder to support acute care coding operations. The ideal candidate brings strong knowledge of coding guidelines, excellent analytical skills, and proficiency with industry-standard coding applications.
Responsibilities:
Perform accurate inpatient and emergency department coding in an acute care setting.
Apply ICD-10, CPT, and federal/payor-specific billing guidelines.
Utilize MS Word, Excel, Encoder, and 3M/HDS coding applications effectively.
Research and resolve coding-related issues as needed.
Support coder training and quality improvement initiatives.
Required Skills & Experience:
Minimum 3 years of inpatient coding experience.
Strong knowledge of ICD-10, anatomy, physiology, and disease processes.
Proficient computer and technical skills.
Education & Certifications:
High School Diploma or GED required.
AHIMA credentials preferred: CCS, RHIA, RHIT, or CCP.
For more details contact at **************************
About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.
Easy ApplyMedical Coding Specialist - Article 28 - 1861
Medical coder job in New York, NY
A healthcare clinic is seeking an experienced Medical Coding Specialist with expertise in Article 28 coding. This hybrid role involves reviewing provider documentation, assigning accurate codes, and ensuring compliance with healthcare regulations.
Responsibilities Include:
Reviewing doctors' notes and clinical documentation
Assigning accurate codes in accordance with Article 28 standards
Ensuring compliance with state, federal, and payer requirements
Collaborating with providers to resolve documentation discrepancies
Supporting audits and preparing coding compliance reports
Ideal Qualifications:
Proven experience in medical coding, with Article 28 expertise required
Knowledge of healthcare regulations and payer requirements
Strong attention to detail and accuracy in documentation
Ability to work independently and meet deadlines
Coding certification (CPC, CCS, or equivalent) strongly preferred
Additional Info:
Hybrid role based in Boro Park, Brooklyn
Opportunity to contribute to compliance and revenue accuracy
Salary: $100k+/Year
To apply, please send your resume to *******************
Easy ApplyCharge Entry Coding Specialist
Medical coder job in Roslyn Heights, NY
Who we are
Our award-winning Bariatric Practice is based on providing exemplary customer service, while assisting patients to achieve their weight loss goals. With the support of our employees and our team of skilled bariatric surgeons, we use innovative systems to successfully get our patients on the path to improved health. We serve patients in New York, New Jersey and Connecticut.
How you'll serve our patients
Every day is an opportunity to grow and provide better outcomes at every level. Whether your interests lie as medical staff, administrative, facilities or marketing, every individual plays an important part in our success and the success of our patients. We are a fast-paced growing practice that is always looking for new talent and great employees to enhance our team.
You will serve patients daily in a multitude of ways:
What is in it for you
Medical Insurance, Dental & Vision Insurance, 401k & 4% Match, Employer Paid Life and AD&D insurance, Paid Time Off and Sick Time, 7 Holidays and 2 Floating holidays, Career Growth & Development. Compensation is $28.00 - $34.00 per hour.
Responsibilities
Job Summary
Reviewing and auditing charts for accuracy and proper codes
Assist staff with general questions regarding coding.
Identifies and resolves work problems to ensure quality patient service.
Keeps current with healthcare trends and practices.
Codes all outpatient services (hospital, facility, and/or office).
Consults with medical providers and/or staff, to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes.
Provides a thorough, timely, and accurate review of ICD10 and/or CPT code assignments with physicians, rules, and industry standards.
Review and resolve Practice Management and Clearinghouse rejections by examining the provider documentation and payor requirements.
Understand coding trends to include NCD, LCD, AMA, and CMS guidelines
Identifies trends and issues with overall division and individual physician coding practices and proposes solutions
Maintains confidentiality of patient care and business matters including compliance with HIPAA rules and guidelines
Extensive knowledge of coding surgical procedures and applicable modifiers.
Understands and is able to apply effective coding teaching tools during physician teaching opportunities
Qualifications
Certified Professional Coder (CPC) certification preferred
Have a minimum of three (3) years of coding experience required
The position requires strong surgical coding experience specifically in the areas of General Surgery, Bariatrics or Gastroenterology, and Plastic Surgery
Knowledge of computer systems, programs, and applications.
Knowledge of general billing office procedures.
Good oral and written communication skills.
Skill in gathering, analyzing, and evaluating data.
Auto-ApplyBuilding Code & Zoning Specialist
Medical coder job in New York, NY
Building Code & Zoning Specialist New York, NY | Hybrid | Full-Time
Build Your Career While We Build the Future
About Us At Milrose Consultants, LLC, we build more than buildings-we build trust, expertise, and lasting partnerships. As leaders in building code and zoning consulting, we help shape the skylines of tomorrow through excellence in compliance and development strategy.
Position Overview We're seeking a Building Code & Zoning Specialist to join our Code & Zoning team. In this role, you'll serve as a subject matter expert, guiding clients through complex building code and zoning requirements. You'll collaborate with design professionals, project teams, and regulatory agencies to ensure compliance and support successful project outcomes.
What You'll Do
Review design plans for compliance with NYC and regional zoning and building codes.
Conduct due diligence for proposed developments and prepare technical documentation.
Advise clients on achieving compliance and resolving code-related issues.
Represent Milrose at project and agency meetings; liaise with city, state, and town officials.
Prepare variance requests, determinations, and zoning/building code reports.
Train staff on code updates and best practices.
Support business development by identifying new opportunities and contributing to service growth.
What You'll Bring Required:
Bachelor's degree in Architecture, Engineering, Urban Planning, or related field.
10+ years of experience on complex, large-scale projects.
Strong knowledge of NYC Zoning Resolution, Building Code, and regional codes.
Excellent organizational, communication, and problem-solving skills.
Proficiency in Microsoft Word and Excel.
Preferred :
RA, PE, or NYC Department of Buildings Class 2 Filing Representative License.
Familiarity with construction methodologies and approval processes.
Work Environment & Schedule
This position is based in New York, NY, with a hybrid schedule.
Standard working hours are Monday-Friday, 8:30am - 5:00pm.
Minimal travel may be required.
Compensation & Benefits
Salary range: $115,000 - $125,000, based on knowledge, skills, and experience.
Comprehensive health, dental, and vision, insurance, and 401K plan with a match.
Paid time off: Holiday, vacation, sick time, personal and birthday.
Career development and growth opportunities.
Milrose Consultants, LLC is an Equal Opportunity Employer . We are committed to creating an inclusive environment for all employees and applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law.
Milrose Consultants, LLC is committed to providing reasonable accommodation for qualified individuals with disabilities. If you need assistance or an accommodation due to a disability, please contact us at *******************.
Notice to third party agencies:
Please refrain from calling or emailing our team directly. Our in-house Talent Acquisition team manages all recruiting operations, including the selection and management of all external suppliers.
Auto-ApplyProf Coding Specialist I
Medical coder job in New York, NY
About Us We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clincal progams rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine.
Overview
Professional and Outpatient Coding Services
Professional Outpatient Coding Specialist
Full Time
Permanent
Monday-Friday
8:00AM-4:00PM
35 hours Per Week
Responsibilities
Contact with physician office staff, billing office staff, and, on occasion, compliance and regulatory personnel.
Qualifications
HS Diploma or equivalent required. Successful completion of a program in ICD 10/CPT 4 coding recognized by the American Health Information Management Association or AAPC Required. 1-year prior coding experience preferred.
Knowledge of medical terminology, disease processes, pharmacology, anatomy, physiology required. Must pass departmental coding proficiency test. Good oral communication and interpersonal skills required.
Bilingual Preferred
Pay Range
USD $37.79 - USD $39.58 /Hr.
Equal Employment Opportunity Employer
Maimonides Medical Center (MMC) is an equal opportunity employer.
Medical Coding Specialist
Medical coder job in Shelton, CT
Join our Culture of Caring!
Mission: With every action we take, Advanced Radiology Consultants is committed to building and maintaining the trust of our referring physicians and providing our patients with exceptional care.
Advanced Radiology is one of the largest independent radiology practices in the tri-state area with the most experienced radiologists. We look for team members who want to grow and be professionally challenged, while enjoying a rewarding, caring, and friendly environment. We are looking for a Revenue Cycle Coding Specialist to join our team. The pay range for this role will depend on experience and qualifications.
Position Summary:
Under the direction of the Senior Revenue Cycle Manager, provide assistance with practice education on insurance and billing criteria with CPT and ICD-10. Chart review for proper coding and/or denial follow up or for clinical information and/or study confirmation as requested through Lyra RAI to expedite radiology claim submission and denial follow up. Assist Revenue Cycle Specialists with various A/R follow-up functions, patient dispute resolution Review AR reports for patterns/issues. Insurance carrier contract maintenance.
Essential Job Duties and Responsibilities:
Review/resolve billing company's ‘request for additional information' (RAI's)
CPT/ICD-10 review and/or confirmation prior to billing
Coding denials; review for resolution/resubmission and/or adjustment
Authorization denials: review/work, forward to appropriate dept. for correction, if needed
Patient disputes: investigate coding accuracy, clinical information, claim transactions and patient's dispute. Resolve as applicable.
Assist Revenue Cycle Manager with practice education on complying with CPT, ICD-10, and carrier guidelines. Educate staff as requested on insurance guidelines and billing criteria on examinations performed
Interventional Radiology procedure audits to ensure billing company is correctly coding/billing
Handle escalated billing calls and/or web inquiries as received. Professionally handle/resolve issues with exceptional customer service and/or assist ADRAD staff and/or patients with escalated coding/insurance questions
Review of AR Denial's, categorize & work with billing company towards claim resolution
Monthly review of current outstanding A/R report;
Provide assistance in identifying denial patterns/coding issues
Identify claims mishandled with Sr. Manager for educational review and improvement and improvement with internal ADRAD staff and/or billing company
Review insurance carrier, State and Federal resources (publications/websites) for administrative and/or medical policy changes and updates. Summarize monthly and review with manager for ADRAD staff education when applicable
Monthly charge reconciliation in EMR, when needed
Assistance with other Revenue Cycle Departments, as needed
Knowledge, Skills and Abilities:
Attention to detail, meticulously reviewing reports, charts and assigning codes with a high degree of accuracy is critical to assign accurate CPT, ICD-10, HCPCS & modifiers
Knowledge of medical terminology
Understanding of insurance carrier claim processing, rules and regulations to include payment, denial and appeal processes, authorization requirements and guidelines.
Ability to multi-task yet remain focused.
Proficient with automated radiology information systems including billing component.
Ability to handle escalated patient issues
Bi-Lingual helpful though not required.
Educational Requirements:
Current CPC and/or RCC certification. High school diploma or general education degree (GED)
5+ years' experience in healthcare billing/collections, preferably radiology or a combination of education and experience.
Work Smart, Live Well : The success of Advanced Radiology is earned every day through our dedication to quality patient care and continual improvement of the patient experience. Our success allows us to enjoy a wide range of benefits designed to support and enhance our lives, both at work and at home.
Health Benefits:
Medical and Prescription Drug Coverage
Dental Coverage
Vision Coverage
Health Savings Account (HSA) with Matching Employer Contribution
Additional Benefits:
Generous Paid Time Off (PTO)
Paid Holidays
401(k) Plan with Employer Contribution
Annual Profit-Sharing Plan Contribution
Paid Opt-Out Benefit Option
Basic Life and Accident Insurance
Advanced Radiology is an Equal Opportunity Employer, offering outstanding compensation and benefits plans designed to reward and retain exceptional employees. Apply today and join our team of dedicated and caring professionals!
Auto-ApplyCertified Medical Coder - Manager
Medical coder job in Hauppauge, NY
Job Description
About the Role:
The Certified Medical Coder - Manager plays a pivotal role in overseeing the accuracy and efficiency of medical coding and billing operations within a healthcare organization. This position ensures that all medical records are coded correctly according to established guidelines, facilitating proper reimbursement from insurance providers and patients. The manager will lead a team of AR billing specialists, providing training, support, and quality control to maintain compliance with healthcare regulations and payer requirements.
Minimum Qualifications:
Certified Professional Coder (CPC) or equivalent certification in medical coding.
Minimum of 3 years of experience in medical coding and billing, including experience with CPT coding and healthcare reimbursement.
Proven experience managing a team or leading projects within a medical coding or billing environment.
Strong knowledge of Medicare, commercial insurance billing, and patient collections processes.
Familiarity with healthcare regulations and compliance standards related to medical coding and billing.
Preferred Qualifications:
Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.
Experience with electronic health record (EHR) systems and medical billing software.
Additional certifications such as Certified Coding Specialist (CCS) or Certified Medical Reimbursement Specialist (CMRS).
Demonstrated success in process improvement initiatives within a healthcare revenue cycle.
Strong analytical skills with experience in data reporting and financial analysis related to medical billing.
Responsibilities:
Supervise and mentor a team of billing specialists to ensure accurate and timely coding and billing processes.
Review and audit medical records and coding to ensure compliance with CPT, ICD-10, and other relevant coding standards.
Develop and implement policies and procedures to improve coding accuracy and reimbursement rates.
Collaborate with healthcare providers and administrative staff to address coding discrepancies and optimize healthcare reimbursement.
Skills:
The required skills such as Medical Billing, Medical Coding, and CPT Coding are essential for ensuring that all healthcare services are accurately documented and billed according to regulatory standards. Patient Collections and Medical Insurance Billing skills are used daily to manage accounts receivable and ensure timely payments from both patients and insurance companies. Knowledge of Private Pay and Medicare billing processes allows the manager to navigate complex reimbursement environments and resolve payment issues effectively. These skills are applied in training and supervising staff to maintain high coding accuracy and compliance. Preferred skills like proficiency with EHR systems and advanced certifications enhance the ability to implement efficient workflows and improve overall revenue cycle management.
Building Code Specialist
Medical coder job in New York, NY
We are seeking a detail-oriented and experienced Building Code Specialist to join our team in NYC with pay starting at 100K. The ideal candidate will have a strong background in building codes and regulations, with a focus on ensuring compliance and safety.
Review and interpret building codes and regulations
Conduct on-site inspections to ensure compliance
Collaborate with architects, engineers, and construction teams
Provide guidance and recommendations on building code requirements
Stay up-to-date on changes in building codes and regulations
If you have a passion for ensuring safe and compliant buildings and possess excellent analytical and communication skills, we encourage you to apply for the Building Code Specialist position.
Medical Coder
Medical coder job in New York, NY
LaSante Health Center is seeking a detail-oriented in-person Medical Coder to ensure accurate coding and abstraction of patient encounters. The ideal candidate will possess strong analytical skills, attention to detail, and expertise in coding conventions.
Responsibilities:
* Code and abstract patient encounters accurately.
* Research data for reimbursement needs.
* Analyze medical records for documentation deficiencies.
* Review documentation to support diagnoses and procedures.
* Audit clinical documentation for accuracy.
* Assign codes for reimbursement and compliance.
* Provide coding guidance to care providers.
* Identify and resolve billing issues
* Complete additional tasks as assigned by supervisor.
* Ensure compliance with payer guidelines and supports revenue cycle integrity
Qualifications:
* Experience necessary
* Must be a Certified Medical Coder, CPC / CPC-A
* Must be capable of working in a fast paced environment
Audit and Coding Specialist (Healthcare)
Medical coder job in New York, NY
At Essen Health Care, we care for that!
As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.
Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!
Job Summary
Position Title: Audit and Coding Specialist
Job Summary: The Audit and Coding Specialist is responsible for ensuring that all billing and coding activities across the organization are accurate, compliant with applicable laws and regulations, and aligned with internal policies. Responsible for ensuring timely responses to Insurances regarding audit requests. This role works closely with billing staff, coders, healthcare providers, and compliance officers to identify risk, provide education, and ensure integrity in revenue cycle operations.
Responsibilities
Respond in a timely manner to Insurance audit requests.
Review clinical documentation and coding to ensure appropriate CPT, ICD-10, and HCPCS codes are assigned.
Identify and report compliance risks and recommend corrective actions to mitigate risk.
Collaborate with customer service and billing staff to provide guidance, and feedback on patient disputes.
Assist in the development, implementation, and enforcement of policies and procedures related to billing and coding compliance.
Investigate and resolve coding or billing discrepancies.
Prepare and maintain documentation of audit results, findings, and improvement plans.
Support internal and external audits and respond to requests for documentation or clarification.
Stay current on updates to coding regulations, payer policies, and compliance requirements.
Participate in compliance committees and contribute to continuous improvement initiatives.
Qualifications
Education & Certification:
· High School Diploma or equivalent required; Associate's or Bachelor's degree preferred.
· Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential required.
· Certified in Healthcare Compliance (CHC) a plus.
Experience:
· Minimum of 3 years of experience in medical billing, coding, or compliance auditing.
· Strong knowledge of Medicare, Medicaid, and commercial payer rules.
· Familiarity with EHR and billing systems (e.g.,EWC).
Skills & Competencies:
· Strong attention to detail and analytical skills.
· Excellent communication and interpersonal skills.
· Ability to handle confidential information with integrity.
· Proficiency in Microsoft Office Suite, especially Excel and Word.
Working Conditions:
· Primarily office-based or remote with occasional travel for training or audits.
· Standard business hours with flexibility as needed to meet deadlines or address urgent compliance issue
Salary: $64,000-$65,000
Equal Opportunity Employer
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
Auto-ApplyAudit and Coding Specialist (Healthcare)
Medical coder job in New York, NY
At Essen Health Care, we care for that!
As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.
Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!
Job Summary
Position Title: Audit and Coding Specialist
Job Summary: The Audit and Coding Specialist is responsible for ensuring that all billing and coding activities across the organization are accurate, compliant with applicable laws and regulations, and aligned with internal policies. Responsible for ensuring timely responses to Insurances regarding audit requests. This role works closely with billing staff, coders, healthcare providers, and compliance officers to identify risk, provide education, and ensure integrity in revenue cycle operations.
Responsibilities
Respond in a timely manner to Insurance audit requests.
Review clinical documentation and coding to ensure appropriate CPT, ICD-10, and HCPCS codes are assigned.
Identify and report compliance risks and recommend corrective actions to mitigate risk.
Collaborate with customer service and billing staff to provide guidance, and feedback on patient disputes.
Assist in the development, implementation, and enforcement of policies and procedures related to billing and coding compliance.
Investigate and resolve coding or billing discrepancies.
Prepare and maintain documentation of audit results, findings, and improvement plans.
Support internal and external audits and respond to requests for documentation or clarification.
Stay current on updates to coding regulations, payer policies, and compliance requirements.
Participate in compliance committees and contribute to continuous improvement initiatives.
Qualifications
Education & Certification:
· High School Diploma or equivalent required; Associate's or Bachelor's degree preferred.
· Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential required.
· Certified in Healthcare Compliance (CHC) a plus.
Experience:
· Minimum of 3 years of experience in medical billing, coding, or compliance auditing.
· Strong knowledge of Medicare, Medicaid, and commercial payer rules.
· Familiarity with EHR and billing systems (e.g.,EWC).
Skills & Competencies:
· Strong attention to detail and analytical skills.
· Excellent communication and interpersonal skills.
· Ability to handle confidential information with integrity.
· Proficiency in Microsoft Office Suite, especially Excel and Word.
Working Conditions:
· Primarily office-based or remote with occasional travel for training or audits.
· Standard business hours with flexibility as needed to meet deadlines or address urgent compliance issue
Salary: $64,000-$65,000
Equal Opportunity Employer
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
Auto-ApplyCoder, Edits/Denials
Medical coder job in Brentwood, NY
Duties and Responsibilities: * Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims.
* Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals.
* Researches payer policies and processes.
* Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment.
* Works assigned work queues and tasks and reviews remittance advice for rejections and accuracy of payment amounts as needed. Identifies invoices or claims that have been rejected per billing edits/criteria.
Knowledge, Skills, and Abilities:
* Knowledge of ICD-10 and CPT Coding
* Must be comfortable working with AR teams to resolve issues.
* Must be able to pass a coding assessment.
* Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.
* Ability to multi-task and have excellent communication skills.
* Must meet and maintain a 95% quality accuracy rate and productivity standards.
* Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.
* Must have experience working in a remote environment.
Auto-ApplyCertified Medical Coder - Outpnt & ED
Medical coder job in New York, NY
Title: Certified Medical Coders Duration: 3 Months on W2 Medical coding in an acute care setting;must possess proficient computer skills (e.G., MS Word, Excel, ICD 9 CM, CPT 4, Encoder);knowledge of coding guidelines, payor guidelines, federal billing guidelines;knowledge of anatomy, physiology & disease processes;ability to research coding related issues;competence in coder training;must have CCS and knowledgeable with 3M/HDS coding application. Outpatient and ED experience. This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. If applicable]. Pay range: *** hrly -*** hrly
Skills:
Three years experience Knowledge of ICD10
Education:
High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS
Experienced Inpatient Medical Record Coder
Medical coder job in Commack, NY
Experienced Inpatient Medical Record Coder At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes.
Duties of a Coder may include the following, but are not limited to:Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.
Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follows all HIPAA regulations and upholds a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Maintains a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures.
Supports and promotes the HIM department by participating in special projects.
Assigns and sequences ICD-10CM-PCS diagnostic and procedural codes for designated service lines.
Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis, procedures documented in the medical record.
Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
Other duties as assigned.
QualificationsRequired: Associate's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics, or related field and at least 5 years of facility inpatient coding experience, OR in lieu of degree, at least 8 years of facility inpatient coding experience.
CCS certification.
Preferred: Bachelor's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics or related field.
10 or more years facility inpatient coding experience.
Experience coding facility inpatient encounters for an academic medical center.
Special Notes: Resume/CV should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days.
An initial review of all applicants will occur two weeks from the posting date.
Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date.
Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
______________________________________________________________________________________________________________________________________ Stony Brook Medicine is a smoke free environment.
Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions may be subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position may be designated as “essential.
” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 4 panel drug screen*Meet Regulatory Requirements for pre employment screenings.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination.
_____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at *************.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here.
Visit our WHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range:The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year.
The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting.
In addition, all full time UUP positions have a $4,000 location pay.
Your total compensation goes beyond the number in your paycheck.
SBUH provides generous leave, health plans, and state pension that add to your bottom line.
Job Number: 2502642Official Job Title: TH Medical Records SpecialistJob Field: Administrative & Professional (non-Clinical) Primary Location: US-NY-CommackDepartment/Hiring Area: Revenue IntegritySchedule: Full-time Shift :Day Shift Shift Hours: 8:00 AM - 4:00 PM EST Pass Days: Sat, SunPosting Start Date: Dec 1, 2025Posting End Date: Jan 1, 2026, 4:59:00 AMSalary:$65,824 - $79,349 / year Salary Grade:SL2SBU Area:Stony Brook University Hospital
Auto-ApplyExperienced Inpatient Medical Record Coder
Medical coder job in Commack, NY
Experienced Inpatient Medical Record Coder At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes.
Duties of a Coder may include the following, but are not limited to:Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.
Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follows all HIPAA regulations and upholds a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Maintains a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures.
Supports and promotes the HIM department by participating in special projects.
Assigns and sequences ICD-10CM-PCS diagnostic and procedural codes for designated service lines.
Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis, procedures documented in the medical record.
Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
Other duties as assigned.
QualificationsRequired: Associate's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics, or related field and at least 5 years of facility inpatient coding experience, OR in lieu of degree, at least 8 years of facility inpatient coding experience.
CCS certification.
Preferred: Bachelor's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics or related field.
10 or more years facility inpatient coding experience.
Experience coding facility inpatient encounters for an academic medical center.
Special Notes: Resume/CV should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days.
An initial review of all applicants will occur two weeks from the posting date.
Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date.
Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
______________________________________________________________________________________________________________________________________ Stony Brook Medicine is a smoke free environment.
Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions may be subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position may be designated as “essential.
” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 4 panel drug screen*Meet Regulatory Requirements for pre employment screenings.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination.
_____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at *************.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here.
Visit our WHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range:The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year.
The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting.
In addition, all full time UUP positions have a $4,000 location pay.
Your total compensation goes beyond the number in your paycheck.
SBUH provides generous leave, health plans, and state pension that add to your bottom line.
Job Number: 2502642Official Job Title: TH Medical Records SpecialistJob Field: Administrative & Professional (non-Clinical) Primary Location: US-NY-CommackDepartment/Hiring Area: Revenue IntegritySchedule: Full-time Shift :Day Shift Shift Hours: 8:00 AM - 4:00 PM EST Pass Days: Sat, SunPosting Start Date: Dec 1, 2025Posting End Date: Jan 1, 2026, 4:59:00 AMSalary:$65,824 - $79,349 / year Salary Grade:SL2SBU Area:Stony Brook University Hospital
Auto-ApplyMedical Record Auditor
Medical coder job in New York, NY
With a 16-year tradition of excellence. A single source provider of world-class technology products and services for the healthcare industry. We are at the forefront of delivering cutting-edge, scalable technologies and solutions that respond to and anticipate the market's needs while providing sustainable value to our customers. Healthcare is our only business, giving us an unparalleled understanding of the volatile healthcare landscape. We take great pride in maintaining the highest levels of client satisfaction for the hundreds of U.S. hospitals and healthcare providers we serve. Our innovative products and services empower our customers to do what they do best - deliver outstanding patient care.
Job Description
Associate would be in charge of conducting Medical Records reviews to identify
HCCs (short-term insurance) that still haven't been submitted to CMS
(tools provided by the department). Collect the medical records that
support those findings upload in to our tool and code it.
Evaluates
and audits physician and hospital medical records and medical assessment
forms to ensure compliance with CMS guidelines and medical
documentation requirements. Responsible for serving as final auditing
arbiter regarding the Sr. Risk & Recovery's Retrospective Risk
Adjustment (RA) Coding Team and responsible for the identification of
training opportunities for our internal and external stakeholders
related to CMS guidelines, HCC best practices and medical record
documentation requirements.
Essential Functions:
Collects and analyzes data to formulate recommendations and solutions based on audit trends and results.
Provides
regular feedback to Sr. Risk & Recovery leadership on performance
improvement opportunities as a result of performance gaps.
Acts as a subject matter expert to internal and external stakeholders in the area of CMS requirements and HCC best practices.
Participates
in and represents the department in business leadership groups,
including external professional groups specializing in coding and
provider education.
Assists the business with research and documentation of workflows and policies and procedures.
Qualifications
Must have Bachelor's Degree in Health Sciences, Health Management, Nursing; or any combination of EDU/experience
CPC or
CPMA (Medical Auditing Certification) from accredited source (American
Health Information Management Association, American Academy of
Professional Coders, or Practice Management Institute)
At least 5 years of experience relevant to ICD-9 coding or medical record audit experience in a consultative role
Experience developing educational materials and delivering trainings related to ICD-9 coding
Additional Information
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm
Experienced Inpatient Medical Record Coder
Medical coder job in Commack, NY
At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes.
Duties of a Coder may include the following, but are not limited to:
Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.
Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follows all HIPAA regulations and upholds a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Maintains a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures. Supports and promotes the HIM department by participating in special projects.
Assigns and sequences ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis, procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
Other duties as assigned.
Qualifications
Required:
Associate's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics, or related field
and
at least 5 years of facility inpatient coding experience,
OR in lieu of degree, at least 8 years of facility inpatient coding experience.
CCS certification.
Preferred:
Bachelor's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics or related field.
10 or more years facility inpatient coding experience.
Experience coding facility inpatient encounters for an academic medical center.
Special Notes\: Resume/CV should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
______________________________________________________________________________________________________________________________________
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions may be subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position may be designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements:
Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 4 panel drug screen*
Meet Regulatory Requirements for pre employment screenings.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination.
_____________________________________________________________________________________________________________________________________
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at *************.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed
here
.
Visit our WHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year.
The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting.
In addition, all full time UUP positions have a $4,000 location pay.
Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line.
Auto-ApplyCertified Peer Specialist
Medical coder job in West Babylon, NY
Job Description
RiseWell Community Services is seeking a Full-time Peer Specialist to join the Assertive Community Treatment Team in West Babylon, NY
As a Peer Specialist, you will provide direct services with a focus on recovery on a mobile, multi-disciplinary treatment team for persons with severe and persistent mental illness.
The world does not run out of people to help…and we need people like YOU to help us make a positive change in the community!
QUALIFICATIONS:
Lived experience relevant to client population. Current NYS license as a Peer Specialist and/or Youth Peer Advocate. A valid and clean NY State driver license. Minimum 1 years of experience in a treatment or rehabilitation setting. Fingerprinting, criminal record check, approval from NYS Office of Mental Health.
BENEFITS INCLUDE:
Comprehensive Medical/Dental/Vision
Retirement 401K Savings Plan with Employer Match
Generous Paid Time Off for Full-time and Eligible Part-Time Employees
13 paid Holidays for Full-time and Eligible Part-Time Employees
Long and Short Term Disability
Life Insurance
Employee Assistance Program
CALM App Subscription
Flexible Work Schedules
Career Growth & Promotional Opportunities
Comprehensive Paid Training
Supplemental Accident, Illness and Hospitalization Insurance
Supplemental Pet Insurance
Encouragement for Educational Professional Advancement
Employee Perks & Discounts on Broadway shows, theme parks, and other attractions
Eligibility for Federal/Public Loan Forgiveness
EQUAL OPPORTUNITY EMPLOYER:
RiseWell provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
About Us:
RiseWell Community Services (RiseWell) is a multi-service, community-based social wellness agency and is a major provider of health and wellness, senior & children's services, housing, and support services in Suffolk, Nassau, Queens, Brooklyn, Bronx and Manhattan. Originally comprised of an alliance of family advocacy groups, RiseWell Community Services was incorporated as a not-for-profit in 1972. For fifty years, RiseWell has developed innovative, successful programs that are designed to meet the needs of vulnerable populations, such as individuals in recovery, those living with chronic medical conditions, adult home residents, the homeless, low-income seniors and at-risk children. Since 1977, RiseWell's mission has been to engage people with disabilities in community service and provide a wide range of programs including care coordination, housing, clinical treatment, employment, peer advocacy, and other rehabilitative services. One of RiseWell's main goals is to improve the lives of people with disabilities and their families through education, information and referral services, legislative action and program development.
Medical Coding / Billing - Optometry
Medical coder job in New York, NY
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Competitive salary
Employee discounts
Opportunity for advancement
Paid time off
Profit sharing
Signing bonus
Training & development
Vision insurance
Seeking experienced medical coder and biller for chain of optical stores performing medical optometry. We are looking for someone that has worked specifically or has experience in Optical coding / billing to join our team in a fast paced working environment. We offer career development and substantial opportunity for growth within the company.
Lens Lab has been serving New York for over forty years and has a deep history of promoting from within which is exactly what we plan on doing for this role.
Responsibilities
Assist processing insurance claims through both private insurance and Medicaid/Medicare
Note and process all necessary forms from the insurance
Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures
Work with doctors obtain charge information and billing details
Enter all billing and payment information into the system properly and without errors
Maintains the highest level of confidentiality
Desired Qualifications
Previous experience with medical coding and billing portals such as Versant, Eyemed, Trizetto, Availity, Eyesynergy and others
Strong organization skills
Excellent attention to detail