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Medical coder jobs in Buffalo, NY

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  • Certified Medical Coder

    Prokatchers LLC

    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
    $42k-67k yearly est. 2d ago
  • EHR/EMR Principal Data Analyst

    Elsevier 4.2company rating

    Medical coder job in Philadelphia, PA

    Client Facing EHR/EMR Principal Data Analyst About the role - We are seeking a Principal Data Analyst with an EHR/EMR expertise to provide the technical and operational expertise that supports ClinicalPath's sales, implementation, and product teams. This role combines a deep understanding of EHR integrations with hands-on technical skills in SQL, reporting, and automation. You will be a key partner in customer-facing technical discussions-helping clarify integration requirements, supporting security and compliance assessments, and ensuring a seamless handoff into implementation. This position is ideal for someone who thrives at the intersection of technology, healthcare workflows, and customer engagement. About the team - ClinicalPath is a clinical decision-support system used mainly in cancer care. It gives doctors evidence-based treatment pathways so they can choose the best possible care plan for each patient. Requirements Possess extensive and current SQL skills for query writing, optimization, and troubleshooting. Have a deep familiarity with EHR/EMR systems and integration workflows, including HL7, FHIR, and ADT message formats. Experience supporting or executing technical assessments, security reviews, or RFPs. Possess the ability to easily communication with both technical and clinical stakeholders. Proven ability to manage and maintain technical documentation and customer-facing collateral. Experience in technical or customer-facing role (product operations, solutions engineering, or technical account management). Understanding of cloud infrastructure (AWS, Azure) and healthcare data security best practices. Responsibilities Customer & Sales Support Participating in customer-facing technical and sales discussions to assess EHR integration needs, data exchange requirements, and clinical workflows. Providing expert guidance on interoperability standards (HL7, FHIR, ADT, API integrations) and their application within the ClinicalPath platform. Supporting the completion of technical documentation, risk/security questionnaires, and compliance assessments (HIPAA, ISO 27001). Maintaining and refresh demo environments (Figma-based and live) to ensure technical accuracy and consistency with current product capabilities. Serving as a technical liaison during the contracting and pre-implementation phase, ensuring accurate documentation and clear communication of requirements. Technical Execution & Operations Writing, optimizing, and troubleshooting SQL queries to support reporting, analytics, and data-driven product operations. Developing and maintaining recurring reporting and extract processes, including payer, client, and internal data feeds. Maintaining up-to-date technical documentation, architecture diagrams, and internal FAQs to support consistency and knowledge sharing. Cross-Functional Collaboration & Improvement Partnering closely with product, implementation, and customer success teams to translate customer requirements into clear, actionable specifications. Identifying opportunities to streamline demo, handoff, and documentation processes for greater operational efficiency. Contributing to product and process improvements based on recurring customer feedback or integration challenges. Supporting data analysis and technical insights for leadership teams across sales, product, and operations.
    $75k-99k yearly est. 1d ago
  • Billing and Coding Specialist

    Scion Staffing 4.2company rating

    Medical coder job in Rochester, NY

    Scion Staffing has been engaged to conduct a search for a Billing and Coding Specialist for an established clinic in Rochester, NY. This position is 100% onsite at the clinic's Rochester office. This Billing & Coding Specialist position supports daily billing operations for a high-volume clinic, handling claims, insurance follow-up, and coding for routine and interventional procedures. The role is ideal for someone with strong billing, denial management, and revenue cycle experience seeking long-term stability. This is a direct hire opportunity. PERKS: Competitive compensation at $30-$34/hr Hands-on training and mentorship in interventional psychiatry billing All equipment provided onsite Collaborative and inclusive clinic culture Long-term conversion opportunity with room to grow RESPONSIBILITIES: Process claims, manage insurance follow-up, and resolve denials Code and submit claims for psychiatric and interventional procedures Assist with backlog cleanup and recurring billing issue resolution Monitor cash flow trends and escalate problem areas Coordinate with clinicians on documentation, copays, and authorizations Maintain accurate records in EHR and clearinghouse platforms QUALIFICATIONS: Experience with medical billing, coding, or RCM workflows Knowledge of insurance portals and denial management practices Strong attention to detail, accuracy, and problem-solving Ability to manage high-volume billing with steady, reliable execution Comfortable learning systems such as Jane App, ClaimMD, and clearinghouses COMPENSATION AND BENEFITS: This role offers $30-$34/hr, depending on experience level. Benefits are available and may include health, dental, vision, 401(k), sick time, and additional offerings based on eligibility. ABOUT OUR SEARCH FIRM: Scion Staffing is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement, and temporary professional staffing. We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm can also be found online. Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent. For opportunities located in a region that have enacted fair chance, arrest or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.
    $30-34 hourly 2d ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Philadelphia, PA

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 12d ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical coder job in Philadelphia, PA

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 13d ago
  • Medical Record Auditor

    Healthcare Support Staffing

    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
    $48k-81k yearly est. 22h ago
  • Experienced Inpatient Medical Record Coder

    Stonybrooku

    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 โ€œessential. โ€ 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
    $65.8k-79.3k yearly Auto-Apply 18h ago
  • Experienced Inpatient Medical Record Coder

    Sbhu

    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 โ€œessential. โ€ 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
    $65.8k-79.3k yearly Auto-Apply 13h ago
  • Medical Records Coder IV, Lead

    Thus Far of Intensive Review

    Medical coder job in Rochester, NY

    As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): 220 Hutchison Rd, Rochester, New York, United States of America, 14620 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URCB 209 H Compensation Range: $25.79 - $36.11 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations. Responsibilities: GENERAL PURPOSE The Coding Lead is responsible for working within specific functions within the professional fee organization, providing expertise within the revenue cycle department and assisting in guiding the actions of staff. Responsible for providing guidance and direction for coding staff, resolving simple and complex questions and providing performance feedback to management. The Coding Lead is required to have demonstrated knowledge and understanding of some aspects of billing office operations, including basic principles of staff management/supervision. The Coding Lead is expected to maintain expert knowledge of professional fee coding including CPT, ICD, E&M, Modifiers and requirements for multiple specialties. Key Functions and Expected Performances With general direction of the Manager / Assistant Manager and in addition to the duties outlined for their specific functional assignment: 25% Supports priorities assigned by Manager and/or Assistant Manager. Acts as a resource to staff. Interprets direction and provides guidance to staff where necessary. Keeps current on relevant areas of knowledge. Functions as department leader in the absence of a supervisor/manager. Understands Coding workflows for abstract coding, resolving coding charge review and claim edits, and resolving coding denials. 25% Identifies and escalates coding issues and trends to management. Assists in recommending coding workflow solutions to resolve issues and improve operations. Facilitates staff training on new processes or identified quality issues. 25% The Coding Lead will retain coding assignments in their respective areas and will maintain productivity and accuracy standards in their own work product. 15% Provides performance feedback to supervisors and managers for staff. Keeps management informed of process changes and impacts to staff. 10% Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development. May perform other duties as assigned. Qualifications: Required: Associates degree in Health Information Technology or Bachelors in Health Information Administration preferred with three years coding experience; or equivalent combination of education and experience. Successful completion of Coding Certification such as: American Health Information Management Association (AHIMA); accreditation examination for Registered Health Information Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. Knowledge of ICD-9CM and ICD-10CM required Excellent problem-solving skills Excellent communication skills Excellent customer service skills Preferred: Certification in Professional Fee Coding (AAPC, AHIMA) Strong working knowledge of the professional billing software applications Ability to type 25 wpm. The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
    $25.8-36.1 hourly Auto-Apply 12d ago
  • Experienced Inpatient Medical Record Coder

    SBHU

    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 โ€œessential.โ€ 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.
    $62.4k-75.9k yearly Auto-Apply 60d+ ago
  • Senior Professional, Certified Coding Integrity

    Wright 4.2company rating

    Medical coder job in Scranton, PA

    The Senior Certified Coding Integrity Professional is responsible for all aspects of the coding and billing of all inpatient and outpatient claims, as well as all aspects of the CCM billing. The Senior Certified Coding Integrity Professional, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding issues. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues and will have an onsite presence at the clinical locations. Requirements ESSENTIAL JOB DUTIES and FUNCTIONS While living and demonstrating our Core Values, the Senior Certified Coding Integrity Professional will: Perform accurate and timely multi-specialty coding for daily claims submission. Prepare and submit clean claims to third-party payers working closely with clinical team members regarding claims appeal, denial, and resolution. Perform audits of the daily billing summary reviewing the quality of the clinical documentation and coded data to validate that the documentation supports services rendered while ensuring the integrity of the coding. Respond timely (either orally or written) to account inquiries from patients, third-party payers, clinical providers, and/or other staff on claims submission. Interact with physicians, learners and other patient care providers on daily basis regarding billing and documentation policies, procedures, and regulations to ensure receipt and analysis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documentation; as well as develop working relationship with operational leaders. Perform and monitor all steps in the billing and coding process to ensure maximum reimbursement from patients, third-party payers as well as from special billing arrangements. Assist in provider and learner education to ensure coding quality. Must have capacity to attend meetings day/evening as needed within assigned areas. Participate in clinical huddles/didactics and other clinical meetings as requested. Assist in the implementation and maintenance of the billing and coding educational materials used in clinical provider and learner training. Assist in the implementation and maintenance of population management learner training program addressing inpatient/outpatient chart review. Serve as a resource and subject matter expert for all billing and coding matters. Understand all aspects of Federally Qualified Health Center (FQHC) coverage, coding, billing and reimbursement of patient services, as well as other third-party payers. Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing/coding. Understand the considerations of coding in Value Based payment contracts. Responsible for reviewing and implementing changes from payor bulletins. Follow coding/billing guidelines and legal requirements to ensure compliance with federal and state regulations. Serve as a coach and mentor for billing team & education team. REQUIRED QUALIFICATIONS Bachelor or Associate degree in any Healthcare related field or equivalent experience. Must be a Certified Professional Coder with 7-10 years minimum direct professional coding experience. Certified Professional Coder CPC, Certified Risk Adjustment Coder CRC (not required but a plus), Certified Professional Compliance Officer Certification - CPCO (not required but a plus). Must have strong knowledge of all guidelines for ICD-10, CPT/HCPCS codes, medical terminology, and billing processes. Knowledge of Medical Billing/EHR (Electronic Health Records) systems preferably Medent. Knowledge of EOBs (Explanation of Benefit), EFTs (Electronic Funds Transfer) and ERAs (Electronic Remittance Advice). Knowledge of Microsoft Office software. Must possess team leadership skills and have a positive disposition. Must be focused, self-directed, & organized, with problem-solving abilities. Accurate and precise attention to detail. Excellent verbal and written communication skills. REQUIRED LICENSES/CERTIFICATIONS Certified Professional Coder-CPC Certified Risk Adjustment Coder-CRC (not required but a plus) Certified Professional Compliance Officer Certification - CPCO (not required but a plus) PREFERRED QUALIFICATIONS FQHC billing helpful (not required but a plus). General working knowledge/previous exposure of healthcare environments and auditing concepts, medical billing/operations, medical terminology and clinical documentation.
    $54k-63k yearly est. 60d+ ago
  • Medical Records Coder

    Wayne Memorial Health System & Community Health Centers 4.4company rating

    Medical coder job in Honesdale, PA

    Full-time (This is not a remote position.) Responsible for coding and abstracting of outpatient services which include; Ancillary, Infusion Clinic charts. Keep current with ICD-10-CM, HCPCS/CPT- 4, Modifiers and coding guidelines and disposition. Minimum Requirements Ability to communicate effectively; Good organization skills, detail oriented, legible handwriting; Knowledge of medical records principles and practices, anatomy, physiology, medical terminology and classification of diagnoses and operations. Possess a heightened level of knowledge and understanding of ICD 10-CM and CPT-4 coding principles as recommended by the AHIMA coding competencies. Prior hospital coding required; CCS preferred. Knowledge of insurance regulations helpful; Data entry experience necessary; Responsible party needs to be a self-starter and good at managing time effectively.
    $57k-83k yearly est. 31d ago
  • CASAC Certified TEAP Specialist

    Iroquois Job Corps

    Medical coder job in Medina, NY

    Job Description TEAP/CASAC ***MUST BE CASAC Certified *** We are seeking a TEAP specialist who holds a CASAC certification. who will Implements and maintain an effective trainee employee assistance program (TEAP), in compliance with DOL and management directives with emphasis placed on substance abuse awareness, prevention, staff training and networking with community resources. Full or part time can be discussed during interview. Flexible schedule after training is available. Duties include: Makes assessments of all students to determine those who might be in need of intervention due to substance use. Conducts individual and group counseling to students who in are in need of intervention .Participates in the orientation of new students during the Career Preparation Period. Ensures all students who test positive for drugs are retested within the 45 day probationary period. Provides follow-up counseling to students who have completed TEAP to encourage and prevent relapse. Provides prevention education to all student employees during all phases of the Job Corps program. Conducts in-service training sessions with both staff and students in all areas related to substance use and abuse. Qualifications: Must have CASAC certification. State certification as a Substance Abuse Counselor. 2 years of experience in work related field. Ability to design, develop and implement a program related to alcohol and other drugs of abuse and intervention. Proficient in training staff and students on the signs, symptoms and early identification of alcohol and other drug use and abuse, and the disease of alcoholism and drug dependency. Demonstrated ability to assess students' need for inpatient/outpatient substance abuse treatment and, when appropriate, coordinates access to these services. Demonstrated ability to assist students receiving drug and alcohol treatment in developing and maintaining social support networks, and self-help support groups. Proven track record of developing trusting relationships to enhance successful substance abuse outcomes, by educational, behavioral, and motivational interventions. The candidate must possess a valid driver's license with an acceptable driving record Why Job Corps? Imagine a career where your success is measured by the progress of those you serve: aspiring young students. You can inspire others to realize their full potential, achieve their goals and make the most of their abilities at Iroquois Job Corps. Our team is committed to making a difference, one amazing student at a time. We invite you to do the same in this exciting role. What is Job Corps? It is the country's most extensive nationwide residential career training program and has been operating for over 50 years. The program helps eligible young people ages 16 through 24 complete their high school education, trains them for meaningful careers, and assists them with obtaining employment. Job Corps has trained and educated over two million individuals since 1964. Iroquois Job Corps offers training in the medical trades (Certified Nursing Assistant and Certified Medical Assistant), Bricklaying, Carpentry, Electrical and Paint. Benefits include: Low Cost Premiums for Medical Coverage (Employee only) and reduced rates for Family Coverages, Dental, Vision, Additional Life Insurance, and Other Add-Ons Paid vacation and sick (2 weeks each), 12 Paid Holidays (Thanksgiving and Christmas are two-day holidays), Short Term Disability, 401K Retirement Plan, Employee Assistance Plan, free access to our Weight Room and Cardio Rooms, low-cost meals daily from our dining hall ($2.00 per meal) Iroquois Job Corps provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status a victim of domestic violence, or any other status protected by law
    $43k-63k yearly est. 3d ago
  • Certified Peer Specialist

    Risewell Community Services

    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 helpโ€ฆand 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.
    $45k-69k yearly est. 5d ago
  • Certified Peer Specialist-HOPE

    Comhar 4.2company rating

    Medical coder job in Philadelphia, PA

    Full-time Description At COMHAR, it's our mission to provide health and human services that empower individuals, families and communities to live healthier, self-determined lives. We are currently looking for an Certified Peer Specialist for our HOPE program. The HOPE (Helping Opportunities for People's Empowerment) program is a site and community based psychiatric rehabilitation program that is part of COMHAR's CIRC (Community Integrated Recovery Center) model for adults and seniors. Responsibilities: Act as a role model to persons in recovery to inspire hope, share life experiences and lessons learned as a person in recovery Engage individuals who may be at-risk and provide stage-appropriate recovery education and supports, e.g., usage of the leveling system and evidence based practice Assist in the orientation process for persons who are new to receiving mental health and substance use disorders services Assist in development and implementation of educational and support groups, activities deemed beneficial by the program community, e.g., warm line, calendar of events, etc. Introduce and link individuals to community resources and peer supports outside of the facility to promote community integration, e.g., public transportation training, computer educational/G.E.D. classes, vocational services, (OVR, job training), health and wellness, banking, and financial entitlements, etc. Actively participate in team meetings and promote a recovery perspective as a key component of all discussions Requirements Requirements: HS/GED + Certified Peer Specialist (CPS) Certification, Experience working with people who have co-occurring challenges, Mental Health, and Substance Abuse 1 year experience of MH direct service This can be paid or volunteer work experience in MH direct care. Forensic training is a plus We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace. COMHAR, Inc. is a not-for-profit community based health and human service organization founded in 1975. We do not discriminate in services or employment on the basis of race, color, religion, ancestry, national origin, sex, sexual orientation, gender identity, age, disability, past or present receipt of disability-related services or supports, marital status, veteran status, or any other class of persons protected by federal, state or local law.
    $36k-48k yearly est. 60d+ ago
  • Certified Peer Specialist

    Thresholds 4.6company rating

    Medical coder job in Reading, PA

    Requirements Completed the Certified Peer Specialist Training and proof of Certified Peer Specialist Certification. 12 months' work or volunteer experience within the last 3 years or have 24 credit hours of post-secondary education. Computer knowledge is a must. Pre-employment Drug Screen. PA Criminal History Clearance. FBI Clearance (if candidate has not been a resident of PA for the past two consecutive years).
    $37k-51k yearly est. 32d ago
  • Ambulatory Biller / Coder

    Suny Upstate Medical University

    Medical coder job in Syracuse, NY

    Under the general guidance of the Ambulatory Billing Manager, the Ambulatory biller/coder is responsible for monitoring, auditing, and identifying negative trends in hospital billing. Provides support to staff in the respective areas as needed. Responsible to add, remove, and prioritize diagnosis codes received from clinical departments, physicians, and Financial Service staff to ensure claims are billed and/or resubmitted with appropriate coding. Responsible to assist ambulatory departments with coding issues and/or questions to ensure claims are billed compliantly and accurately based on medical record documentation. Minimum Qualifications: Associates degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and relevant experience. Strong communication skills, analytical, and interpersonal skills necessary. CBCS, CPC, CCA, or equivalent coding certification. Preferred Qualifications: Bachelor's degree in Business, Finance or Healthcare related field. Two years of healthcare billing or coding experience. Work Days: Monday to Friday 8am - 4:30pm Message to Applicants: Recruitment Office: Human Resources
    $37k-44k yearly est. 60d+ ago
  • Physician Billing Coder

    RTR Financial Services

    Medical coder job in New York, NY

    Our Company: 'The goals of RTR Financial are centered around the collective wellness of people. We fight to strengthen the communities our clients represent by optimizing the health care resources available to the very residents who define those communities.' RTR Financial Services has been in business since 1999 collecting on behalf of hospitals from insurance carriers. If debt settlement agencies were not in business, patients would be held responsible when an insurance carrier has failed to pay. In recent years, RTR has expanded its services to include government collections such as parking and camera violations. As we continue to grow, we are serving more hospitals and Physician groups nationwide as well as further expanding our participation in other forms of debt settlement collections. Job Description The Physician Billing Coder plays a critical role in the Insurance Department at RTR. This position begins with reviewing the status of hospital and physician claims submitted to insurance companies, utilizing both payer portals and direct calls with carrier offices. Responsibilities include: Researching claim denials to determine the cause. Identifying and implementing appropriate corrective actions. Making accurate charge corrections on denied claims. Communicating trends and findings with management as needed. After approximately 6-8 weeks, the role transitions to include additional coding responsibilities. Candidates must have prior knowledge of coding-related denials and corrective actions for charge corrections. Qualifications AAPC certification (required) 3+ years of physician coding experience (preferred) Proficiency in Microsoft Office (Excel, Word, Outlook) Typing speed of ~40 words per minute Strong computer literacy with the ability to learn new systems Clear written communication and detailed note-taking skills Ability to review prior account notes and determine next steps Strong time management, organization, and teamwork skills Knowledge of medical billing terminology and processes Familiarity with payer portals, denials, and appeals Professional telephone communication skills with carrier representatives Expectations Must provide your own computer/laptop (minimum 8GB RAM), headset, and reliable internet (minimum 50 Mbps). Chromebooks are not compatible. Training: One week, Monday-Friday, 9AM-5PM EST. Productivity standards: After training: 20 accounts per day with 75% accuracy After 10 weeks: 40 accounts per day with 85% accuracy Cell phone use is limited to designated breaks and lunch periods. 90-Day probationary period with eligibility for incentives and overtime review. Compensation Pay range: $16.50 - $22.00 per hour, based on experience Full-time, Monday-Friday, 8-hour shifts Benefits (eligible after 90 days) Medical coverage through UnitedHealthcare Oxford Vision & Dental through Reliance Supplemental insurance through Allstate Paid Time Off (PTO) accrued weekly, up to 16 days annually 401(k) auto-enrollment at 3% with employer match (25ยข per $1, up to 4%) - opt-out available Company-paid life insurance ($10,000 through Reliance), with optional supplemental coverage at employee cost Schedule Monday-Friday, day shift, 8 hours per day Experience & License Physician coding: 3 years (preferred) AAPC certification (required)
    $16.5-22 hourly 60d+ ago
  • HIM Coder

    Rome Health 4.4company rating

    Medical coder job in Rome, NY

    Job Description Rome Health is seeking an experienced HIM Coder. The HIM Coder is responsible for coding discharged patient encounters which may include inpatient, observation, skilled nursing, behavioral health, emergency room, surgical, ancillary, or clinics. Duties may include abstracting and charge verification. EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION, AND LICENSURE: High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
    $40k-52k yearly est. 7d ago
  • Medical Coding Auditor

    Misty's Angels Home Health Care

    Medical coder job in Aspers, PA

    We are seeking a detail-oriented and motivated Auditor to join our dynamic team. In this vital role, you will be responsible for reviewing and analyzing medical records, billing practices, and coding accuracy to ensure compliance with industry standards and regulations. Your expertise will help maintain the integrity of healthcare data, improve billing processes, and support the overall quality of healthcare services. This position offers an exciting opportunity to contribute to the efficiency and accuracy of medical documentation and reimbursement processes while working in a collaborative and fast-paced environment. Duties: Conduct thorough audits of medical records to verify completeness, accuracy, and compliance with established guidelines.Review coding practices including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to ensure proper classification of diagnoses and procedures. Analyze medical billing submissions for correctness and adherence to payer requirements. Identify discrepancies or errors in medical documentation, coding, or billing, and communicate findings clearly to relevant departments for correction. Collaborate with healthcare providers, billing specialists, and management to implement process improvements based on audit findings. Maintain detailed records of audit activities, findings, and corrective actions taken. Stay current with industry standards, regulatory changes, and updates related to medical coding systems and billing practices. Assist in training staff on proper documentation and coding procedures to reduce errors and enhance compliance. Utilize Electronic Medical Record (EMR) systems and Electronic Health Record (EHR) systems efficiently for data review and documentation audits. Ensure all medical records are properly organized, secured, and accessible for review purposes. RequirementsSkills: Strong knowledge of medical terminology, anatomy, and physiology is essential for accurate record review.Proficiency in medical coding systems including DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards. Experience with medical billing processes and medical collection procedures. Familiarity with EMR systems and EHR systems used in healthcare settings. Excellent analytical skills with keen attention to detail for identifying discrepancies or errors in complex data sets. Ability to interpret healthcare regulations and compliance standards effectively. Strong communication skills for documenting findings clearly and collaborating across teams. Prior experience in medical office environments or healthcare administration is preferred. Join us as an Auditor to ensure the highest standards of accuracy in healthcare documentation while supporting the integrity of our organization's financial health. Your expertise will directly impact patient care quality by promoting precise record keeping and compliance!
    $50k-85k yearly est. 25d ago

Learn more about medical coder jobs

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

The average medical coder in Buffalo, NY earns between $33,000 and $74,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Buffalo, NY

$49,000

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

The biggest employers of Medical Coders in Buffalo, NY are:
  1. RPCI Oncology, PC
  2. Kaleida Health
  3. Jericho Road Community Health Center
  4. ECMC
  5. Catholic Health East
  6. Progressive Staffing
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