📍
Remote | Full-Time
| 🏥
Healthcare | Clinical Documentation & Coding
About the Role
We're seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for DRG assignments, helping improve billing accuracy, reimbursement, and compliance. You'll work independently to review records, validate coding, and communicate findings clearly and professionally.
Key Responsibilities
Chart Review & Validation
Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions.
Physician Documentation Review
Confirm that physician notes and clinical indicators support assigned DRGs.
Audit & Compliance
Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities.
Coding Expertise
Apply ICD-10-CM and PCS coding guidelines, payer rules, and regulatory standards (Medicare, Medicaid, CMS).
Communication & Reporting
Clearly document findings and communicate results in a professional and concise manner.
Other Duties
Support additional documentation and coding-related tasks as assigned.
Qualifications
Licensure: RN or LPN/LVN license required -
or
RHIT credential for non-nurses.
Experience:
Minimum 1 year of recent DRG auditing experience in a hospital or health plan setting.
Inpatient ICD-10 coding experience required.
CDI candidates are encouraged to apply.
Certifications:
National coding certification through AHIMA (preferred) or AAPC.
CCS or CIC strongly preferred.
Technical Skills:
Proficient in MS and APR DRG methodology.
Familiarity with Coding Clinic citations and Official Coding Guidelines.
Strong understanding of Medicare/CMS documentation requirements.
Soft Skills:
Exceptional attention to detail.
Strong problem-solving and critical thinking abilities.
Effective verbal and written communication.
Ability to work independently in a fast-paced, production-driven environment.
Tools:
Proficient in Microsoft Office Suite.
Compensation
💵 Pay Range: $90,000 - $104,841
Salary is based on location, experience, qualifications, and internal equity. Final compensation may vary depending on assessment during the interview process.
Who We Are
Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals-from staff to leadership-with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.
$90k-104.8k yearly 21d ago
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Certified Medical Coder
Pride Health 4.3
Medical coder job in New York, NY
The MedicalCoder is responsible for accurate and timely coding of medical records in an acute care setting, including outpatient and emergency department encounters. This role ensures compliance with coding, billing, and regulatory guidelines while supporting accurate reimbursement and data integrity.
General information:
Job Location: Bronx, NY
Shift: 8am to 4pm
Duration: 13-14 Weeks
Start Date: Within 2-3 weeks
Pay Range: $32 - $35/hr
Key Highlights:
Perform accurate medical coding in an acute care setting, including Outpatient and Emergency Department records
Assign ICD-9-CM and CPT-4 codes in compliance with coding, payor, and federal billing guidelines
Utilize encoder tools and 3M/HDS coding applications
Research and resolve coding-related issues
Support coder training and quality initiatives
Requirements:
Three years' experience Knowledge of ICD10
Acute care medical coding experience
Proficient in MS Word, Excel, ICD-9-CM, CPT-4, and encoder tools
Strong knowledge of coding guidelines, anatomy, physiology, and disease processes
CCS certification required
Outpatient and ED coding experience required
Education:
High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS
$32-35 hourly 3d ago
Certified Medical Coder
Mindlance 4.6
Medical coder job in New York, NY
*Immediate Need - Remote MedicalCoder*.
+3 years of ICD 10 with IP or OP experience is Ideal.
Job Title: MedicalCoder (Remote)
Department: Inpatient / Outpatient and ED coding background
Duration: 3-9 Months (Contract Assignment)
Schedule: 8:00 AM-4:00 PM EST
Schedule Notes: Experience with EPIC and 3M is required, Candidate with in/out-patient coding experience will be ideal. CCS or CPC Certification is required. This role is remote, with 1-2 weeks of training at the start.
Job Summary:
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. Inpatient and ED experience.
Skills:
Three years' experience Knowledge of ICD10
Education:
High School Diploma/GED, AHIMA, RHIA or RHIT and/or CPC, CCS.
EEO: “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
$40k-61k yearly est. 15h ago
Senior Medical Coder
Clover Health
Medical coder job in Jersey City, NJ
At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America's seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member's complete health history, we ensure better care at a lower cost-delivering the highest value to those who need it most.
We're building a modern operating model for medical coding-one that connects Risk Adjustment, Payment Integrity, and Quality (STARS/HEDIS) into a single, data-driven system. This is a rare opportunity to work at the center of that transformation: ensuring compliant, high-quality coding today while helping design the workflows that will define how a plan of the future operates.
As part of the Office of the CEO's AI Ops initiative, you'll combine deep subject matter expertise with an appetite for experimentation. You'll ensure Medicare Advantage compliance and accuracy while partnering across teams to test, measure, and scale smarter chart and claim review workflows.
As a Senior MedicalCoder, you will:
Ensure compliant coding: Apply ICD-10-CM, HCC, and MEAT standards for Medicare Advantage across risk adjustment and quality-related workflows.
Lead chart and claim reviews: Execute prospective and retrospective reviews to validate documentation, specificity, and completeness for both revenue and quality use cases.
Support payment integrity: Identify coding inaccuracies or overpayment risks, develop prevention and remediation workflows, and partner with regulatory audit teams.
Advance quality measure closure: Map documentation elements to STARS and HEDIS requirements; identify and close documentation gaps.
Leverage GenAI and advanced tools: Streamline chart reviews and coding workflows while maintaining human validation and compliance guardrails.
QA software releases: Evaluate new tool and workflow launches from a medical coding perspective to ensure regulatory accuracy and usability.
Educate and enable: Build feedback loops and tip sheets to improve provider documentation quality; collaborate with cross-functional teams on best practices.
Standardize and scale: Author SOPs, audit playbooks, and process documentation that can be adopted across Revenue, Compliance, and Quality operations.
Success in this role looks like:
Improved HCC specificity and documentation completeness across chart and claim workflows.
Documented reductions in coding error and overpayment rates.
High-quality QA feedback integrated into product releases and AI-assisted tools.
Demonstrated progress toward faster, more accurate, and compliant review cycles.
Recognized by cross-functional partners as a trusted authority on compliant coding and documentation standards.
You should get in touch if:
Credentials: You are CPC, CCS-P, RHIT, or RHIA (required) certified; CRC preferred.
Experience: You have 5+ years in Medicare Advantage risk adjustment, payment integrity, or quality documentation programs.
Regulatory fluency: You have a deep understanding of CMS risk adjustment models, RADV, and STARS/HEDIS documentation requirements.
Analytical mindset: You are able to partner with analytics to measure performance, quantify impact, and validate experimental workflows.
Technical orientation: You are proficient with encoders and CAC tools; curious about GenAI-assisted workflows and automation.
Process discipline: You have proven experience developing SOPs and scalable QA systems.
Benefits Overview:
Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
Additional Perks:
Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
Reimbursement for office setup expenses
Monthly cell phone & internet stipend
Remote-first culture, enabling collaboration with global teams
Paid parental leave for all new parents
And much more!
About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
We are an E-Verify company.
A reasonable estimate of the base salary range for this role is $75,000 to $100,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.
#LI-Remote
$75k-100k yearly Auto-Apply 60d ago
Coding Specialist
Caduceus Inc.
Medical coder job in Jersey City, NJ
The Coding Specialist I is responsible for independently reviewing, analyzing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Coding Specialist I works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment.
Essential Functions:
Averages 10 front-end holds per hour
Maintains a minimum of 90% coding accuracy.
Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment.
Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses.
Ensures all diagnosis codes meet local and national medical necessity guidelines.
Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services.
Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality.
Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices.
Independently reviews and resolves all assigned front-end claim holds.
Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead.
Escalates identified client trends to the assigned Coding Team Lead.
Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification.
Maintains and completes all CEU requirements.
Performs other duties or tasks as assigned.
PREFERED SKILLS & EXPERIENCE
Must hold a current AAPC or AHIMA Certification for a minimum of 3 years.
Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines.
Familiarity with proper English grammar, usage, and professional documentation standards.
Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues.
Ability to read, interpret, and apply policies, procedures, laws, and regulations.
Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures.
Demonstrated ability to exercise independent judgment in coding and claim resolution.
Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff.
Strong commitment to maintaining confidentiality and safeguarding protected health information.
Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements.
Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams).
Minimum of 3+ years of professional coding experience.
work environment:
Standard business office environment with moderate noise levels.
Requires extended periods of computer and monitor use.
Ability to lift and move up to 30 pounds on a non-routine basis.
Ability to sit for extended periods while performing coding and claim review tasks.
Frequent handling, including seizing, holding, grasping, and fingering objects, tools, and controls.
Close vision required to read medical documentation, electronic health records, and coding resources.
Hearing ability sufficient to receive and interpret detailed information through oral and telephonic communication.
$50k-78k yearly est. Auto-Apply 13d ago
Prof Coding Specialist I
Maimonides Medical Center 4.7
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.
$37.8-39.6 hourly 60d+ ago
Building Code Specialist
The Perillo Group
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.
$42k-67k yearly est. 54d ago
Barcoder
BMI Merchandise 4.0
Medical coder job in Lakewood, NJ
Job Description
Who We Are
At BMI Merchandise , we're in the business of fun! And we take it pretty seriously!
We source and distribute trendy toys, electronics, candy, gifts, and novelty items to amusement and family entertainment centers worldwide.
Warehouse Barcoder
The Warehouse Barcoder is responsible for labeling pieces of product for outbound shipments.
Responsibilities/Duties:
Apply barcode labels to products and storage locations as needed.
Inspect products for damage or defects during scanning process.
Adhere to warehouse safety guidelines while handling products and operating scanning equipment.
Regularly lift and/or move objects up to 30 lbs.
Qualifications/Skills:
1-2 yrs. previous warehouse experience preferred
Attention to detail and accuracy
Ability to work quickly and efficiently in a fast-paced environment.
Good verbal communication and organizational skills
Ability to independently get to work everyday
Ability to work overtime if needed
Location: Lakewood, NJ (Required)
Diversity: All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
Job Type: Full-time, Day Shift
Salary: Based on experience
$42k-59k yearly est. 16d ago
Medical Device QMS Auditor
Environmental & Occupational
Medical coder job in Newark, NJ
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 47d ago
Medical Device QMS Auditor
Bsigroup
Medical coder job in Jersey City, NJ
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 48d 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. 1d ago
Health Information Coder Inpatient
Hunterdon Healthcare 3.4
Medical coder job in Flemington, NJ
Position#Summary Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities Codes and abstracts inpatient/outpatient records using ICD-10 Queries medical/clinical staff for clarification of documentation Uses 3M360 computer assisted coding program for coding and tracking queries Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) Maintains current CCS certification and/ or RHIT Qualifications Minimum Education: Required: High School Diploma or Equivalent Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: Associate#s Degree Minimum Years of Experience (Amount, Type and Variation): Required: Minimum 2-3 years coding experience Preferred: Minimum 2-3 years of hospital coding experience License, Registry or Certification: Required: Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: None Knowledge, Skills and/or Abilities: Required: Proficient in ICD-9 and ICD-10, DRG Assignment, CPT-4 coding. Excellent verbal/written communication skills. Preferred: Previous use of 3M Assisted Coding System. # Hunterdon Health is committed to providing a competitive benefit package to our employees.# Benefit#offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. # The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant#s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).
Position Summary
* Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff.
Primary Position Responsibilities
* Codes and abstracts inpatient/outpatient records using ICD-10
* Queries medical/clinical staff for clarification of documentation
* Uses 3M360 computer assisted coding program for coding and tracking queries
* Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded)
* Maintains current CCS certification and/ or RHIT
Qualifications
* Minimum Education:
* Required:
* High School Diploma or Equivalent
* Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT)
* Preferred:
* Associate's Degree
* Minimum Years of Experience (Amount, Type and Variation):
* Required:
* Minimum 2-3 years coding experience
* Preferred:
* Minimum 2-3 years of hospital coding experience
* License, Registry or Certification:
* Required:
* Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT)
* Preferred:
* None
* Knowledge, Skills and/or Abilities:
* Required:
* Proficient in ICD-9 and ICD-10, DRG Assignment, CPT-4 coding.
* Excellent verbal/written communication skills.
* Preferred:
* Previous use of 3M Assisted Coding System.
Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.
The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant's hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).
$52k-74k yearly est. 38d ago
Medical Records Specialist
Center for Hope Hospice 4.4
Medical coder job in Scotch Plains, NJ
The Medical Records Specialist will compile, process an maintain medical records of hospice patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the Center For Hope Hospice & Palliative Care. The Medical Records personnel will audit the overall completeness of patient charts upon admission, discharge, transfer, revocation or expiration, ensuring that the chart is current/complete in a timely manner. The Medical Records personnel will work closely with the information systems group with regard to the training and daily operations associated with the electronic medical record system.
$33k-38k yearly est. 60d+ ago
Veterinary Medical Records Clerk
Veritas Veterinary Partners
Medical coder job in Woodbridge, NJ
Job Description
World Class Medicine. Purpose-Driven Partnership.
Veritas Veterinary Partners offer exciting career opportunities in state-of-the-art facilities across the U.S. Our hospitals, open 24/7/365 and staffed by board-certified specialists, create a collaborative environment where you can work alongside like-minded, caring professionals. If you're passionate about veterinary medicine, this is your chance to thrive in a dynamic, high-quality setting.
At Veritas Veterinary Partners, our mission is to build a network of trust and opportunity for veterinary professionals nationwide. We specialize in supporting Specialty and Emergency care hospitals, aligning with your unique goals and medical standards. Veritas, founded by Thomas Scavelli, DVM, DACVS, is dedicated to recruiting top-tier talent and fostering collaboration within our community. With a focus on exceptional care, we bring together highly trained veterinarians, technicians, and teammates committed to our patients' well-being.
We believe in
Truth in Medicine and Trust in Partnerships
, ensuring we always provide the highest standard of care. Come join us and make a meaningful impact on the community you serve.
Our 24/7 veterinary emergency and specialty hospital in Woodbridge, New Jersey is seeking a Veterinary Medical Records Clerk to support our medical records and administrative operations. This role focuses on accuracy, organization, and data entry within a fast‑paced clinical environment.
Position Overview
The Veterinary Medical Records Clerk is responsible for maintaining accurate electronic medical records and supporting clerical workflows across the hospital. This is an administrative position and does not involve hands‑on animal care.
Responsibilities
Scan, upload, link, and verify medical records in the electronic medical record system
Ensure accuracy, completeness, and proper organization of patient documentation
Perform data entry with a high level of attention to detail
Monitor and respond to emails related to medical records and documentation
Organize and maintain digital files and records
Assist with general clerical and administrative tasks as needed
Follow established procedures to support documentation accuracy and compliance
Experience with impromed veterinary software preferred; training can be provided
Basic knowledge of Microsoft Office, including Word, Excel, and Teams
Strong computer skills and data entry accuracy
Qualifications
Prior clerical, data entry, or medical records experience preferred
Veterinary experience preferred but not required
Excellent organizational skills and attention to detail
Professional, dependable
Work is performed in a busy veterinary emergency and specialty clinical setting.
Schedule: Tuesday - Saturday, 9:00 AM - 5:30 PM (availability to work 2-3 holidays per year required)
Pay Range: $18.00 - $22.00 per hour, based on experience
GSVServices is proud to offer the following benefits:
Competitive salary based on your level of experience
Health, dental, and vision insurance, with HSA option- some plans paid 100%
Maternity/Paternity leave
Retirement Plan - 401K with employer match
Licensing fees paid for credentialed technicians
Employee Referral Bonus
Paid Time off
Mental health support with Talkspace
Uniforms provided
Full Time and credentialed technicians eligible for Sign On Bonus
Pet discounts for medical care
Garden State Veterinary Services is located at 1200 Route 9, Woodbridge NJ 07095
Veritas Veterinary Partners is an equal opportunity employer. In accordance with the requirements of all applicable federal, state and local laws, we welcome and encourage diversity in the workplace regardless of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Applicants must be authorized to work in the U.S. All current positions require the ability to speak, read, and write English proficiently. Additional fluency in other languages is preferred but not required.
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$18-22 hourly 4d ago
EMR (Emergency Medical Responder)
Metro Ambulance LLC
Medical coder job in Nutley, NJ
Job DescriptionAbout Metro Ambulance
At Metro Ambulance, our people are at the heart of everything we do. We are proud to provide compassionate, reliable, and patient-centered care to every individual we serve - and we recognize that delivering that level of care starts with our team.
We strive to be the employer of choice in the EMS industry, creating a workplace where employees are supported, respected, and encouraged to grow. Our teams represent the best in the field - combining professionalism, empathy, and teamwork to make a meaningful difference every day.
Whether you're starting your EMS career or preparing to become an EMT, Metro offers structured growth opportunities and the training to help you reach the next level.
Position Summary
The Emergency Medical Responder (EMR) works alongside an EMT partner to provide safe, professional, and compassionate care during emergency and non-emergency transport. The EMR supports patient assessment, assists with transport operations, and ensures a high standard of service and safety on every call.
Responsibilities
Assist in providing Basic Life Support (BLS) under the direction of an EMT or higher-level provider.
Drive emergency vehicles safely and in accordance with company policy and state regulations.
Support patient movement, lifting, and transfer using approved equipment and proper body mechanics.
Maintain communication with dispatch and field supervisors regarding transport status and updates.
Ensure vehicles and equipment are properly stocked, sanitized, and maintained.
Demonstrate professionalism and empathy when interacting with patients, families, and healthcare personnel.
Accurately document all care, transport details, and observations according to company policy.
Participate in company training and continuing education to maintain certification and skill proficiency.
Qualifications
Valid Emergency Medical Responder (EMR) Certification
Valid CPR/BLS Certification
Valid Driver's License and clean driving record
High School Diploma or GED
Must be 21 years of age or older
Ability to lift up to 125 pounds with assistance
Strong teamwork, communication, and customer service skills
Ability to remain calm and professional in high-stress situations
Why Metro Ambulance
Competitive Pay: $20 - $24/ hour
Shift Differentials - Friday, Saturday, Sunday & Overnight +$3
Flexible Scheduling: Full-Time, Part-Time, or Per Diem
Career Growth Opportunities: EMR → EMT → Leadership Roles
Comprehensive Benefits:
Health, Dental, Vision, and Life Insurance
Paid Time Off (PTO)
401(k) Retirement Plan
Tuition Reimbursement
Paid Training and Continuing Education
Weekly Direct Deposit
Our Hiring Process
We believe in transparency and respect at every step. Here's what to expect when you apply:
Application review by our HR team
Preliminary phone or virtual screening
Onsite interview with a member of our leadership team
Conditional offer, followed by:
Certification and license verification
Background check, drug screen, and fingerprinting
Orientation and onboarding - welcome to the Metro team!
Equal Opportunity Statement
Metro Ambulance is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Reasonable accommodations are available for qualified individuals with disabilities throughout the hiring process and employment.
$20-24 hourly 15d ago
Medical Records Coordinator
Greenlife Healthcare Staffing
Medical coder job in New York, NY
Job Description
Medical Records Coordinator - Corona, NY (#1678)
Employee retirement plan (401k) with a generous match and immediate vesting
Company-issued and company-paid Amex card for travel
All travel expenses paid directly by the company
Company-paid tax-free Health Savings Account (HSA)
CMS's Long-Term Care Basic Training and SMQT certification are required
Location: Corona, NY
Employment Type: Full-Time
Hourly Rate: $19.00 per hour
About Impact Recruiting Solutions:
Impact Recruiting Solutions is a dedicated recruitment partner connecting healthcare professionals with rewarding opportunities. We collaborate with hospitals, clinics, and multi-specialty facilities to match skilled individuals with roles that align with their expertise and career aspirations.
Position Overview:
We are seeking a bilingual Spanish Medical Records Coordinator to manage patient health information and ensure accurate documentation for a multi-specialty practice in Corona, NY. This role requires strong organizational skills and proficiency in electronic health records systems.
Key Responsibilities:
Maintain and organize electronic health records
Process medical record requests and releases
Ensure accuracy and completeness of patient documentation
Coordinate with healthcare providers for record completion
Maintain patient confidentiality and comply with HIPAA regulations
Assist with data entry and quality assurance of medical records
Requirements
Education: High School Diploma required
Experience: Minimum 1 year in medical records or related field
Technical Skills: Proficiency in EHR and Practice Management software; strong data entry skills; must have knowledge of computer office tools
Soft Skills:
Must be Bilingual in Spanish.
Must have strong organizational skills; attention to detail; confidentiality
Benefits
Competitive Compensation: $19.00 per hour
Comprehensive Benefits:
401K plan with 3% company match (eligible after one year)
2 weeks paid vacation (eligible after one year)
Work Schedule: Monday-Friday, 9:00 AM - 5:00 PM
Professional Growth: Opportunities for advancement in healthcare administration
Impactful Work: Ensure accurate patient records and support quality healthcare delivery
$19 hourly 22d ago
Medical Records Coordinator Corona
Impact Recruiting Solution
Medical coder job in New York, NY
Job Description
Medical Records Coordinator / Bilingual Spanish - Corona, NY (#1678)
Employment Type: Full-Time Hourly Rate: $19.00 per hour
s:
Impact Recruiting Solutions is a dedicated recruitment partner connecting healthcare professionals with rewarding opportunities. We collaborate with hospitals, clinics, and multi-specialty facilities to match skilled individuals with roles that align with their expertise and career aspirations.
Position Overview:
We are seeking a bilingual Spanish Medical Records Coordinator to manage patient health information and ensure accurate documentation for a multi-specialty practice in Corona, NY. This role requires strong organizational skills and proficiency in electronic health records systems.
Why Join Us?
Competitive Compensation: $19.00 per hour
Comprehensive Benefits:
401K plan with 3% company match (eligible after one year)
2 weeks paid vacation (eligible after one year)
Work Schedule: Monday-Friday, 9:00 AM - 5:00 PM
Professional Growth: Opportunities for advancement in healthcare administration
Impactful Work: Ensure accurate patient records and support quality healthcare delivery
Qualifications:
Education: High School Diploma required
Experience: Minimum 1 year in medical records or related field
Technical Skills: Proficiency in EHR and Practice Management software; strong data entry skills; must have knowledge of computer office tools
Soft Skills:
Must be Bilingual in Spanish.
Must have strong organizational skills; attention to detail; confidentiality
Key Responsibilities:
Maintain and organize electronic health records
Process medical record requests and releases
Ensure accuracy and completeness of patient documentation
Coordinate with healthcare providers for record completion
Maintain patient confidentiality and comply with HIPAA regulations
Assist with data entry and quality assurance of medical records
How to Apply:
If you are a detail-oriented professional ready to advance your career in healthcare, submit your Resume/CV to hr@irecruitings.com or call (607) 478-1810 to learn more about this opportunity and others.
Impact Recruiting Solutions: Driving Careers, Transforming Healthcare.
$19 hourly 9d ago
Medical Coding / Billing - Optometry
Sew Eyes Inc.
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 medicalcoder 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
$31k-40k yearly est. 22d ago
Medical Records Clerk (Per Diem)
St. Barnabas Church 3.9
Medical coder job in New York, NY
The Medical Records Clerk will be responsible for the the collection, maintenance, storage and security of patient's medical information by using established policies, rules, regulations and laws.
$27k-35k yearly est. 2d 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
The average medical coder in Edison, NJ earns between $41,000 and $96,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Edison, NJ
$63,000
What are the biggest employers of Medical Coders in Edison, NJ?
The biggest employers of Medical Coders in Edison, NJ are: