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Director of EMR Systems & Workflow Optimization
Always Compassionate Health
Medical coder job in Melville, NY
Title: Director of EMR System & Workflow Optimization Reports To: Vice President of Enterprise Platforms & IT Supervises: N/A Always Compassionate Health is seeking a Director of EMR System & Workflow Optimization to own, optimize, and scale the organization's use of AlayaCare across all service lines. This role is responsible for ensuring the EMR is configured to support real operational workflows, not work around them. The Director will serve as the bridge between operations, clinical leadership, finance, compliance, and technology, translating business requirements into system design, automation, and measurable efficiency gains. This role is critical to reducing manual work, improving data integrity, ensuring regulatory compliance, and enabling growth without administrative bloat. Key Responsibilities · Own and serve as the system lead for AlayaCare across all service lines, ensuring the EMR is configured to support real operational workflows and not workarounds · Act as the primary liaison between operations, clinical leadership, finance, compliance, HR, and technology to translate business needs into EMR design and automation · Map current-state and future-state workflows across intake, referrals, authorizations, staffing, scheduling, nursing documentation, aide supervision, billing, payroll, and reporting · Redesign workflows to eliminate manual processes, duplication, bottlenecks, and inconsistent practices across offices and service lines · Configure and maintain forms, documentation templates, task flows, alerts, visit verification rules, and system controls within AlayaCare · Establish and enforce EMR governance standards, including change control, configuration discipline, and documentation standards · Prevent ad-hoc customization that creates downstream operational, billing, or compliance risk · Optimize mobile workflows for field staff to improve documentation timeliness, accuracy, and completion rates · Ensure EMR data integrity and consistency to support billing, payroll, productivity tracking, and leadership reporting · Partner with Finance and Revenue Cycle teams to align EMR workflows with authorization requirements, billing rules, and payer expectations · Build and maintain standardized dashboards and reports that provide leadership with clear visibility into operations, productivity, utilization, and compliance · Ensure EMR workflows support NY DOH regulations, LHCSA requirements, Medicaid and MLTC documentation standards, and payer audit readiness · Lead EMR-related audit preparation, corrective action planning, and remediation efforts · Develop and deliver role-based EMR training programs for intake teams, schedulers, nurses, aides, billing staff, and administrators · Drive adoption and accountability by addressing improper system use, incomplete documentation, and reliance on manual workarounds · Partner with AlayaCare support, implementation teams, and vendors to resolve issues, deploy enhancements, and optimize system performance · Serve as the escalation point for complex EMR issues impacting patient care, operations, billing, or compliance · Lead cross-functional working sessions to resolve workflow breakdowns and implement sustainable system solutions · Support organizational growth by ensuring EMR scalability, standardization, and readiness for new service lines, offices, or acquisitions · Monitor system performance, user behavior, and workflow adherence to identify improvement opportunities and risk areas · Establish success metrics and track progress against efficiency, compliance, and productivity goals tied to EMR optimization · Provide executive leadership with clear recommendations, data-driven insights, and implementation plans related to system and workflow improvements Education · Bachelor's degree required in Healthcare Administration, Health Information Management, Nursing, Information Systems, Business, Operations Management, or a related field or an equivalent combination of education and relevant experience · Advanced degree (Master's in Healthcare Administration, Business Administration, Health Informatics, Nursing, or related field) preferred but not required · Formal training or demonstrated expertise in EMR systems, healthcare workflows, or process improvement strongly preferred Experience · Minimum of 7 years of progressive experience in healthcare operations, EMR/EHR optimization, clinical systems, or workflow redesign within a regulated healthcare environment · Hands-on experience owning, configuring, and optimizing an enterprise EMR system, preferably AlayaCare, across multiple departments or service lines · Demonstrated experience redesigning end-to-end workflows spanning intake, referrals, authorizations, staffing, scheduling, clinical documentation, billing, payroll, and reporting · Proven ability to translate operational, clinical, financial, and compliance requirements into system configuration and automation · Experience leading cross-functional initiatives involving clinical leadership, operations, finance, compliance, HR, and technology teams · Direct experience supporting home care, LHCSA, MLTC, Medicaid, Medicare, or similar highly regulated healthcare service models · Experience improving documentation timeliness, accuracy, and completeness through system design rather than manual enforcement · Demonstrated success reducing manual processes, workarounds, and operational inefficiencies through EMR optimization · Experience aligning EMR workflows with billing, authorization, and revenue cycle requirements to reduce delays and denials · Experience supporting audit readiness, regulatory surveys, and payer audits through system controls and documentation standards · Experience developing and delivering role-based EMR training programs and driving user adoption across diverse teams · Experience establishing system governance, change management, and configuration control in a growing or multi-site organization · Ability to analyze system data and reporting outputs to identify operational risks, performance gaps, and improvement opportunities · Experience partnering with EMR vendors and external technology partners to resolve issues and implement enhancements · Demonstrated ability to manage complex priorities, competing stakeholders, and change in a fast-paced, high-growth environment · Experience presenting recommendations, data, and implementation plans to executive leadership Always Compassionate Health is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Always Compassionate Health are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, creed, national, social or ethnic origin, political viewpoint, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, protected veteran status, citizenship status when otherwise legally able to work, or any other status protected by the laws or regulations in the locations where we operate
$58k-107k yearly est. 3d ago

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Hierarchical Condition Category (HCC) Coding Specialist
Highmark Health 4.5
Medical coder job in Hartford, CT
This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522
$26.5-41 hourly 30d ago
Coding Specialist (Revenue Integrity Operations)
Northwell Health 4.5
Medical coder job in Melville, NY
Reviews, analyzes and resolves accounts that have failed coding and charging related claim edits, including departments requiring clinical/coding expertise. Responsible for validation of items, assuring the appropriate assignment of coding system, modifier(s) and revenue codes, by reviewing medical record documentation, facility protocol, regulatory guidance and other applicable documentation. Job Responsibility Adheres to regulations and maintains a reasonable understanding of the billing process to ensure that hospital procedures and services are properly ordered. Coordinates with ancillary departments regarding the instruction of appropriate charge capture and regulatory guidelines. Identifies front-end process improvement initiatives; monitors coding changes for governmental agencies and other payers; educates departments on coding and compliance issues. Ensures revenue codes are in compliance with the Federal Register and other regulatory agencies. Uses various coding resources, including researching availability of additional documentation to assign accurate codes. Keeps abreast of federal regulatory agencies and changes in coding and reimbursement. Involved in coding system conversion projects in which new facilities are added to coding system structure. Serves as the coding resource with charge capture knowledge during coding system departmental reviews with responsibilities including voluminous charge validation and corporate mapping of each charge by department. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications as needed. 1-3 years of relevant experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
$61k-81k yearly est. Auto-Apply 3d ago
Outpatient Coder (Temp)-FlexStaff
Flexstaff 4.0
Medical coder job in Danbury, CT
**Req Number** 163253 Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance. * Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. * Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. * Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable) and all charges as documented in the medical record. * Applies knowledge of ambulatory payment classification reimbursement for procedure coding, current procedural terminology guidelines, knowledge of local coverage determination's for medical necessity, and appropriate use of modifiers. * Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and procedures for ambulatory payment classification and for medical necessity. * Ability to code using either 3M encoder or ICD-9-CM/ICD-10-CM book. * Performs E/M (Evaluation Management) coding for physician and facility with a minimum accuracy of 95%. * Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. * Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. * Achieves the organization's established expectations with regard to customer service, teamwork and safety. * Responds to all questions regarding diagnoses and procedures with the billing office in a timely manner. * Fulfills all compliance responsibilities related to the position. * Performs other duties as assigned. Education, Skills, Experience: + Essential: CPC, COC, CCS, or CCS-P certification + Required: Specialized training in medical terminology, ICD-10-CM Diagnosis, CPTprocedure and E/M coding. + Able to decipher operative reports, medical orders, and various medical records in the appropriate selection of codes. + Experience in acute care coding with outpatient records. + Minimum Experience: 2 years demonstrated coding experience in appropriate application of coding and documentation guidelines + Desired: Course work in Anatomy and Physiology.Education-HS Graduate or Equivalent *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $40-$45/hour It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of age, race, creed/religion, color, national origin, immigration status, or citizenship status, military or veteran status, sexual orientation, sex/gender, gender identity, gender expression, height, weight, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, their or their dependent's sexual or other reproductive health decisions, or other characteristics protected by applicable law.
$40-45 hourly 6d ago
ED Coder
Phaxis
Medical coder job in Saint James, NY
This role involves reviewing and analyzing physicians'documentation, as well as CPT, ICD-9, and ICD-10 diagnosis codes. The coding function ensures compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions Perform complex and technical assignments related to medical coding. Analyze, code, and abstract information to assign and enter consistent diagnoses and procedure codes for reimbursement. Resolve discrepancies related to coding issues. Review and correct rejected claims from various third-party carriers. Handle CPMP account notifications and accounts receivable reports (IDX), and ICD-09/10 coding. Maintain account records and track IDX record requests. Maintain PK files for validity errors. Monitor TES Open Encounter file. Manage CLIA renewals for all sites. Perform additional duties as assigned by management. Required Qualifications Certified Professional Coder (CPC) Certification. Associate's Degree, or 5 years of experience in lieu of a degree. Working knowledge of coding requirements. Excellent expressive and written communication skills. Highly organized. Proficient in Microsoft Office Word and Excel.
$42k-66k yearly est. 11d ago
Coder/Abstractor -Inpatient & Ambulatory
Waterbury Hospital 4.3
Medical coder job in Waterbury, CT
Assign ICD-10-CM codes, CPT and HCPC codes for inpatient, ED, Ambulatory Surgery, and other outpatient records. Assign appropriate DRG or APC based on review of the admission diagnoses, principal diagnoses and other operations and procedures. Assign ICD-10-CM, CPT4 and HCPC codes as appropriate based on documentation from the report, order or medical record following coding rules and guidelines. Ensure that outpatient ICD-10 codes are entered onto the computer within the timeframe allotted to assure accurate billing. Requirements: High School diploma required. Minimum one year ICD-10-CM/CPT4 coding experience in hospital or related setting. Knowledge of CRT/PC and other technology as well as knowledge of APC categories required. Knowledge of medical terminology, anatomy and physiology.
$54k-70k yearly est. 25d ago
Outpatient Coder I
Yale-New Haven Health 4.1
Medical coder job in New Haven, CT
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 1 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in one complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks , resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff. EEO/AA/Disability/Veteran Responsibilities * 1. Reviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines. * 2. Reviews medical record documentation and accurately selects the appropriate CPT codes, modifiers, and ICD-10-PCS, when applicable, in accordance with official coding guidelines. This includes resolving CCI edits, as applicable. * 3. Maintains a minimum of 95% overall coding quality score in diagnostic, procedural, and modifier code selection. * 4. Maintains the productivity expectations as defined by the department for the coding service line. * 5. Capable of coding a minimum of one complex OP service line, which would include: Cardiology, Interventional Radiology, Observation, Oncology, or Same Day Surgery at proficiency. * 6. Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes to ensure appropriate code selection, regularly attends coding education sessions, and actively participates in learning circles. * 7. Uses department resources regularly and follows workflows, with minimal assistance or intervention, to perform daily work to meet CFB (candidate for billing) goals. * 8. Resolves cases returned coder for education and/or errors, and uses feed back to improve ongoing performance. * 9. Handles coding DNBs and stop bills (if assigned), or other projects and/or coding initiatives as assigned. * 10. Works with peers and/or leadership to create and maintain accurate up-to-date policies and procedures. * 11. Exhibits enthusiasm for the profession, embraces educational opportunities and department support offered and remains engaged in the goals and vision of the department. Qualifications EDUCATION Bachelors degree preferred. Requires course work, preferably college level, in anatomy and physiology, medical terminology, pathophysiology, and disease process. EXPERIENCE Requires a minimum of 2 years of outpatient or professional coding experience in a complex service line. Coding experience may be partly substituted for a college degree with an RHIT/RHIA credential or CCS/CCS-P coding credential. Prior experience in Epic and 3M encoder is preferred. LICENSURE CCS, CCS-P, or RHIT credential preferred. Must possess a valid coding credential through AAPC and/or AHIMA. CPC-A or CCA not accepted. SPECIAL SKILLS Comprehensive knowledge of anatomy/physiology, medical terminology, ICD-10-CM/PCS, and CPT coding with the ability to acclimate and apply knowledge in a fast-paced OP Coding department setting. Knowledge of professional E/M leveling preferred. Must possess excellent communications skills orally and in writing, strong critical thinking and reasoning skills, in addition to time management skills. Must be able to perform functions independently and under limited supervision. YNHHS Requisition ID 161127
$53k-69k yearly est. 60d+ ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Medical coder job in Hartford, CT
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$26.7 hourly 43d ago
Outpatient Coder II
Nuvance Health 4.7
Medical coder job in Danbury, CT
at Nuvance Health Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA, and WV.Summary:Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance.Responsibilities:• Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. • Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. • Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable) and all charges as documented in the medical record. • Applies knowledge of ambulatory payment classification reimbursement for procedure coding, current procedural terminology guidelines, knowledge of local coverage determination's for medical necessity, and appropriate use of modifiers. • Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and procedures for ambulatory payment classification and for medical necessity. • Ability to code using either 3M encoder or ICD-9-CM/ICD-10-CM book. • Performs E/M (Evaluation Management) coding for physician and facility with a minimum accuracy of 95%. • Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. • Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. • Achieves the organization's established expectations with regard to customer service, teamwork and safety. • Responds to all questions regarding diagnoses and procedures with the billing office in a timely manner. • Fulfills all compliance responsibilities related to the position. • Performs other duties as assigned.Other Information:Required: CPC, COC, CCS, or CCS-P certification Required: Specialized training in medical terminology, ICD-10-CM Diagnosis, CPT procedure and E/M coding. Able to decipher operative reports, medical orders, and various medical records in the appropriate selection of codes. Experience in acute care coding with outpatient records.Minimum Experience: 2 years demonstrated coding experience in appropriate application of coding and documentation guidelines Desired: Course work in Anatomy and Physiology.Education: HS Graduate or EquivalentMust have profee coding experience in one of the following areas: Vascular Surgery Thoracic Surgery Neuro Surgery OBGYN Surgery Company: Nuvance Health Org Unit: 1826 Department: Patient Accounting Med Practice Exempt: No Salary Range: $22.94 - $42.61 Hourly
$22.9-42.6 hourly Auto-Apply 60d+ ago
Certified Medical Coder
New York Cancer and Blood Specialists 3.0
Medical coder job in Shirley, NY
Why Join Our Team? At New York Cancer & Blood Specialists (NYCBS), we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hematologists, and healthcare professionals work together to provide world-class cancer care close to home. By offering cutting-edge treatments, innovative research, and a patient-centered approach, we are redefining what's possible in the fight against cancer and blood disorders. If you want to be part of a growing organization committed to healing, hope, and advanced care, join us and help make a meaningful impact! Job Description: Certified Medical Coder Location: Shirley, NY Organization: New York Cancer & Blood Specialists (NYCBS) In This Role, You Will: Running daily reports for incomplete physician charges and notes for review. Once appropriately reviewed throughout the day you will send correspondence to providers on items for completion and will follow up appropriately Reminding healthcare providers on proper workflows to ensure notes and charges are completed timely. Review daily worksheets or queues to add appropriate clinical ICD codes to patients charts for laboratory, radiology, procedures, and treatments. Review and analyze medical records to assign accurate codes for diagnoses, procedures, and treatments Ensure compliance with federal, state, and payer regulations and guidelines Collaborate with healthcare providers to clarify diagnosis and procedure information Maintain and update coding guidelines and documentation for accuracy Stay current with coding updates and industry changes Provide coding guidance and education to healthcare staff where appropriate We Require: Certified professional coder (CPC) certification required Associates degree required. Experience working in the healthcare field, preferably in a business office. Experience in insurance requirements and medical terminology ICD-10 and CPT coding. Experience in billing practice management systems, electronic medical record systems, Microsoft Word, and Microsoft Excel. insurances, outside programs. Excellent verbal and communication skills between co-workers, physicians, management staff, patients, Ability to multitask, problem solve, utilize basic math skills and follow complex instructions. Must have ability to converse in a calm and friendly manner. Able to relate and comfort patients during a difficult time. What We Offer: Starting Salary: $27/hr Benefits: Tuition reimbursement, Health Insurance on day 1, Dental, Vision, Life Insurance, Short- and Long-term disability, 401k Plan, generous PTO, 8 paid holidays (2 floating) Join us at NYCBS, where we are making strides in healthcare through innovative and compassionate care. Visit our website at: nycancer.com Follow us on Facebook: NYCBS on Facebook New York Cancer and Blood Specialists is an Equal Opportunity Employer.
$27 hourly Auto-Apply 42d ago
Coder, PRN
Ovation Healthcare
Medical coder job in Brentwood, NY
Duties and Responsibilities: * Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. * Submit necessary provider queries to resolve documentation discrepancies. * Perform quality assessment of records, including verification of medical record documentation. * Review appropriate charges and make changes or recommendations based on the documentation. * Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. * Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable. Knowledge, Skills, and Abilities: * Must have facility outpatient surgery and observation experience and ideally be exposed to observation hours, injections, anesthesia, and infusion code assignment. * Must be able to pass a coding assessment. * Must be proficient in Microsoft Office, including Outlook, Excel, and Teams. * Ability to multi-task and have excellent communication skills. * Must meet and maintain a 95% quality accuracy rate and productivity standards. * Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics. * Must have experience working in a remote environment.
$42k-66k yearly est. Auto-Apply 19d ago
Epic Medical Analyst
Human Hire
Medical coder job in Melville, NY
Job Title: Epic Analyst / Epic Clinical Analyst / EHR Analyst Job Type: Full-Time, Direct Hire Salary: $127,000 - $150,000 per year Advance Your Healthcare IT Career as an Epic Analyst Are you an experienced Epic Analyst ready to take on a high-impact, hybrid role in a healthcare setting? A leading healthcare organization is seeking a certified Epic Analyst to support and optimize their Epic EHR system. In this role, you'll work across departments to improve clinical workflows, ensure data accuracy, and enhance patient care. This is a direct hire opportunity with strong potential for growth, cross-functional collaboration, and long-term career development in healthcare IT. What You'll Do: As an Epic Analyst, your day-to-day will include: Configuring and maintaining Epic applications to support system performance Troubleshooting issues and providing end-user support Collaborating with clinical and administrative teams to streamline workflows Conducting training sessions and creating user documentation Analyzing data using Epic's reporting tools Supporting QA, testing, and system upgrades You'll be a key player in the success of major Epic EHR projects, bridging IT and clinical operations. What We're Looking For: 1+ year of experience in Epic configuration, build, or support Epic certification in Ambulatory, Inpatient, Clinical Documentation, or similar Experience working in healthcare, hospital, or clinical environments Strong problem-solving and communication skills Bachelor's degree in Health IT, Computer Science, or related field (Master's a plus) Knowledge of HIPAA regulations and healthcare data privacy What's In It for You: Competitive pay: $127,000-$150,000 annually Hybrid schedule (Mon-Fri, 9-5) - flexibility to work on-site and remotely Medical, dental, and vision insurance (multiple plan options) Flexible Spending Account (FSA) 401(k) plan Tuition reimbursement Paid time off: vacation, personal, sick days, and 9 paid holidays Business casual work environment Opportunity to grow into senior Epic or health informatics roles Why This Role? You'll be part of a collaborative team working on high-priority Epic projects that directly impact clinical care. This is more than just system support - it's about shaping how technology improves healthcare outcomes. If you're a certified Epic Analyst looking for your next challenge in healthcare IT, apply now to learn more about this rewarding opportunity.
$127k-150k yearly 60d+ ago
Medical Coder
Pact MSO, LLC
Medical coder job in Branford, CT
Job Description Salary Range: $26.00 to $31.00 an hour By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company. Flu Vaccine Considerations Proof of annual flu vaccination is required for all employees. PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coder who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position. Summary The coder reviews, analyzes, and codes diagnostic and procedural information in the medical record that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to assign ICD10, CPT, and HCPCS coding based on provider documentation to ensure accurate reimbursement and tracking of services provided. The coding function ensures compliance with established coding guidelines, third party reimbursement policies, and regulations for a busy Multi-Specialty Practice. Essential Functions • Thorough understanding of the contents of medical records in order to identify information to support coding. • Extracts pertinent information from patient medical records. Assigns ICD10CM, CPT/HCPCS codes and modifiers. • Reviews and analyzes medical records to identify relevant diagnoses and procedures for distinct patient encounters within a Multispecialty Practice. • Translates/extracts diagnostic and procedural phrases into coded form - the accurate translation process requires understanding and interpretation of medical reports, industry standard and payer specific coding conventions and guidelines. • Reviews denials for coding lapses and suggests coding changes for corrective and preventive action. • Notifies a Manager/Supervisor or designated individual when reports are incomplete and code assignments are not straightforward or documentation is inadequate and updates relevant logs. • Keeps updates of coding guidelines, federal reimbursement requirements, and changes to third party reimbursement policies. • Abides by Standards of ethical coding as set forth by American Academy of Professional Coders (AAPC} and American Health Information Management Association (AHIMA) and adheres to official coding guidelines. • Performs other related duties as required. Skills and Knowledge • Demonstrate expertise in coding Evaluation and Management (E/M) visits across multiple specialties, ensuring accurate level selection based on documentation guidelines and supporting providers in optimizing clinical notes for compliance and reimbursement. • Maintain up-to-date knowledge of billing and coding regulations across multiple specialties by actively engaging in continuing education, certifications, and industry updates to ensure accurate and compliant coding practices. • Identify and facilitate educational opportunities for billing and clinical staff, tailoring training to address specialty-specific documentation and coding challenges. • Research new procedures and clinical documentation requirements, providing clear coding guidelines and educational resources to support accurate billing and improve provider documentation across specialties. • Thorough understanding of the contents of multi-specialty medical records in order to identify information to support coding. • Thorough knowledge and experience in EHR, preferably EPIC. • Basic knowledge of anatomy and physiology of human body and diseases in order to understand etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and procedures to be coded. • Basic understanding of claims form and reimbursement process • Understanding of local medical policies of carriers and Medicare. Education and Experience • Education: High School degree or equivalent required, Associates preferred. • Must possess and maintain coding certification from the American Academy of Professional Coders (CPC). • Experience: Minimum 3 years' experience as a coder in a multi-specialty physician group. • Experience: Strong coding and reimbursement background.
$26-31 hourly 9d ago
Medical Coder
Stony Brook Community Medical, PC 3.2
Medical coder job in Commack, NY
Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager. Responsibilities: Audits records to ensure proper submission of services prior to billing on pre-determined selected charges. Receives hospital information to properly bill provider services for hospital patients. Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided. Supplies correct HCPCS code on all procedures and services performed. Supplies correct CPT code on all procedures and services performed. Contacts providers to train and update them with correct coding information. Attends seminars and in-services as required to remain current on coding issues. Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies. Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Maintains all mandatory in-services. Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. Quantitative analysis - Performs a comprehensive review of the record to ensure the presence of all component parts, such as patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports that appear to be indicated by the nature of the treatment rendered. Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary. Performs other related duties, which may be inclusive, but not listed in the job description.
$22k-28k yearly est. 34d ago
Experienced Inpatient Medical Record Coder
Stony Brook University 4.1
Medical coder job in Commack, NY
At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Coder may include the following, but are not limited to: * Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. * Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. * Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. * Follows all HIPAA regulations and upholds a higher standard around privacy requirements. * Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting. * Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance. * Maintains a working knowledge of various laws, regulations and industry guidance that impact compliant coding. * Must meet all coder productivity and quality goals. * Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures. Supports and promotes the HIM department by participating in special projects. * Assigns and sequences ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis, procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. * Other duties as assigned. Qualifications Required: * Associate's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics, or related field and at least 5 years of facility inpatient coding experience, OR in lieu of degree, at least 8 years of facility inpatient coding experience. * CCS certification. Preferred: * Bachelor's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics or related field. * 10 or more years facility inpatient coding experience. * Experience coding facility inpatient encounters for an academic medical center. Special Notes: Resume/CV should be included with the online application. Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date. ______________________________________________________________________________________________________________________________________ * Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. * All Hospital positions may be subject to changes in pass days and shifts as necessary. * This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair. * This function/position may be designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. Prior to start date, the selected candidate must meet the following requirements: * Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services* * Complete electronic reference check with a minimum of three (3) professional references. * Successfully complete a 4 panel drug screen* * Meet Regulatory Requirements for pre employment screenings. * Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. * The hiring department will be responsible for any fee incurred for examination. _____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws. If you need a disability-related accommodation, please call the University Office of Equity and Access at *************. In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here. Visit our WHY WORK HERE page to learn about the total rewards we offer. Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally. Anticipated Pay Range: The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year. The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. In addition, all full time UUP positions have a $4,000 location pay. Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line. '709608
$62.4k-75.9k yearly 13d ago
EMR Specialist
Connecticut Orthopaedic Specialists Pc 3.7
Medical coder job in Hamden, CT
Connecticut Orthopaedics has been named as the #1 Physician Practice in Orthopaedics in Connecticut, as well as ranking in the Top 3 for Surgical Care and the Top 5 for Overall Physician Practices across the state by Castle Connolly. The Electronic Medical Record (EMR) Specialist is responsible for application training, implementation support, and post-go-live optimization process for physicians, and clinical and non-clinical staff. This position will work closely with the Operations, IT, and Human Resources department to develop and maintain EMR training as it is an integral piece of all patient related positions. This role provides comprehensive support to users across the organization for all aspects of our EHR program-including implementation, maintenance, updates, and on-site assistance across all divisions as needed. Essential Functions Deliver effective training in a classroom setting for all staff roles, including clinical, clerical, and billing. Offer on-site support to ensure smooth transitions from training to real-time use. Troubleshoot issues in accordance with established protocols. Maintain a strong working knowledge of all program applications. Conduct system maintenance, perform research, run tests, generate reports, and document all changes and outcomes thoroughly. Investigate and resolve Help Desk tickets submitted by end users. Support implementation and rollout of new software modules and updates. Test new builds and features during both implementation and ongoing maintenance phases. Collaborate with departments and locations to improve workflows, enhance integration, and increase efficiency. Assist in the redesign of workflows and operational processes as needed. Ensure data integrity by strictly adhering to IT policies and procedures. Perform other duties as assigned by the Director. Skills and Qualifications Strong computer and technical skills. Proficient in EHR systems (Epic experience preferred). Excellent communication skills, especially in delivering training. Thorough and detail-oriented with strong follow-through. Clinical background (e.g., Medical Assistant or Nurse) is strongly preferred. Collaborative mindset with a team-oriented approach. Education and Experience Minimum of 3-5 years of experience working with the EPIC system. Previous experience in a medical office environment required EPIC certification preferred.
$28k-35k yearly est. Auto-Apply 10d ago
Outpatient Coder 2 Certified / PB Coding
Hartford Healthcare 4.6
Medical coder job in Farmington, CT
Primary Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566) Job: Coding and BillingOrganization: Hartford HealthCare Corp. Job Posting: Jan 15, 2026 Outpatient Coder 2 Certified / PB Coding - (26151614) Description Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. JOB SUMMARY:Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes complex diagnostic and procedural accounts, which includes but is not limited to the following:Professional Specialty ServicesEmergency ServicesObservationSame day surgery Pain ClinicInfusion Services ElectrophysiologyCardiac Catheterizations OrthopedicJOB RESPONSIBILITIES:CodingApplies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes. Analyzes medical records, interprets documentation and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICD‑10‑CM), Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS), modifiers, and Evaluation & Management codes utilizing designated software to include Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material as required. Enters charges for procedures that are not soft coded as instructed for certain patient types. Adheres to all department coding/charging procedures, policies, guidelines and quality standards. Completes on a daily basis cases that have been assigned to them utilizing the appropriate work lists. Codes complex diagnostic and procedural accounts, which includes but is not limited to the following:Emergency ServicesObservationSame day surgery SurgicalPain ClinicInfusion Services ElectrophysiologyCardiac Catheterizations OrthopedicAssists manager with special projects/other tasks as assigned Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines. Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards). Issue ResolutionReviews claim edits and revises coding/charging as appropriate for specific range of ICD-10-CM/CPT/HCPCS codes. Reviews accounts returned from various departments and processes corrections for clean claim submission or posts claim denial review for appeal. CommunicationSeeks clarification from physicians or other staff in cases where documentation is absent, ambiguous, or contradictory. Makes corrections based on collaboration with clinician or designee. TrainingAs assigned, assists in training new coders to become acclimated to the environment and in understanding internal coding policies and procedures, and documentation guidelines. Qualifications Qualifications:Education:Associate's Degree or equivalent experience required Experience:Two years of progressive on-the-job experience in an acute care hospital or physician's office required Two to four years of progressive on-the-job experience in an acute care hospital or physician's office preferred Licensure, Certification, Registration:CPC, CPCH, or CCS certification required and maintained thereafter required. Language Skills:Strong written and verbal communication skills required. Knowledge, Skills and Ability Requirements:Strong knowledge of:ICD‑10-CM diagnostic and CPT/HCPCS procedure codes Clinical information related to areas of responsibility Microsoft Office Products; Word, ExcelEncoder and/or CACSkills:Read, write and speak English proficiently. Strong analytical capabilities. Strong organizational skills. Proficiently read and interpret physician writing. Strong ability to:Function independently. Handle multiple priorities. Listen and acknowledge ideas and expressions of others attentively. Converse clearly using appropriate verbal and body language. Collaborate with others to achieve a common goal through mutual cooperation. Influence others for positive and productive outcomes. Use independent judgment to solve problems. Work across the Hartford HealthCare System. We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment. RegularStandard Hours Per Week: 40Schedule: Full-time (40 hours) Shift Details: first shift
$34k-47k yearly est. Auto-Apply 4d 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 “essential. ” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*Complete electronic reference check with a minimum of three (3) professional references. Successfully complete a 4 panel drug screen*Meet Regulatory Requirements for pre employment screenings. Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. *The hiring department will be responsible for any fee incurred for examination. _____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws. If you need a disability-related accommodation, please call the University Office of Equity and Access at *************. In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here. Visit our WHY WORK HERE page to learn about the total rewards we offer. Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally. Anticipated Pay Range:The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year. The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. In addition, all full time UUP positions have a $4,000 location pay. Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line. Job Number: 2502642Official Job Title: TH Medical Records SpecialistJob Field: Administrative & Professional (non-Clinical) Primary Location: US-NY-CommackDepartment/Hiring Area: Revenue IntegritySchedule: Full-time Shift :Day Shift Shift Hours: 8:00 AM - 4:00 PM EST Pass Days: Sat, SunPosting Start Date: Jan 5, 2026Posting End Date: Feb 5, 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 17h 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 “essential. ” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*Complete electronic reference check with a minimum of three (3) professional references. Successfully complete a 4 panel drug screen*Meet Regulatory Requirements for pre employment screenings. Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. *The hiring department will be responsible for any fee incurred for examination. _____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws. If you need a disability-related accommodation, please call the University Office of Equity and Access at *************. In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here. Visit our WHY WORK HERE page to learn about the total rewards we offer. Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally. Anticipated Pay Range:The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year. The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. In addition, all full time UUP positions have a $4,000 location pay. Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line. Job Number: 2502642Official Job Title: TH Medical Records SpecialistJob Field: Administrative & Professional (non-Clinical) Primary Location: US-NY-CommackDepartment/Hiring Area: Revenue IntegritySchedule: Full-time Shift :Day Shift Shift Hours: 8:00 AM - 4:00 PM EST Pass Days: Sat, SunPosting Start Date: Jan 5, 2026Posting End Date: Feb 5, 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 1d ago
Certified Coder
Medical Assistant In Patchogue, New York
Medical coder job in Setauket-East Setauket, NY
Certified Coder - Neurology Associates of Stony Brook, UFPC Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities SUMMARY: This incumbent is responsible for reviewing and analyzing physicians' documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions: Provide a variety of complex and technical assignments relating to medical coding. Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement. Resolve discrepancies on coding related issues. Review and correct rejected claims from various third party carriers. CPMP account notification/accounts receivable report (IDX), ICD-10 coding. Account maintenance - IDX pending report. Track all IDX record requests. Maintain PK files for validity, coding/billing errors. Monitor TES Open Encounter file. CLIA renewals for all sites. Perform all other duties as assigned by management. Qualifications Required Qualifications: Certified Professional Coder (CPC) Certification. Associate's Degree. In lieu of an Associate's degree, 5 years of experience is required. Working knowledge of coding requirements Must have excellent expressive and written communication skills. Must be highly organized. Must be proficient in Microsoft Office Word and Excel. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management. The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP. StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations. Given StaffCo's employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY. The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board. CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training. CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMP's employees to perform their job duties may result in discipline up to and including discharge.
$27.9-34.9 hourly Auto-Apply 60d+ ago

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How much does a medical coder earn in West Haven, CT?

The average medical coder in West Haven, CT earns between $34,000 and $79,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in West Haven, CT

$52,000

$34,00010%

$52,000Median

$79,00090%

What are the biggest employers of Medical Coders in West Haven, CT?

The biggest employers of Medical Coders in West Haven, CT are:

Yale New Haven Health
Default Gebbs Healthcare Solutions
Pact MSO, LLC

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Medical Coder West Haven, CT Jobs

Medical coder jobs in West Haven, CT - 141 jobs

Director of EMR Systems & Workflow Optimization

Hierarchical Condition Category (HCC) Coding Specialist

Coding Specialist (Revenue Integrity Operations)

Outpatient Coder (Temp)-FlexStaff

ED Coder

Coder/Abstractor -Inpatient & Ambulatory

Outpatient Coder I

Coder II (Clinic & E/M Coding)

Outpatient Coder II

Certified Medical Coder

Coder, PRN

Epic Medical Analyst

Medical Coder

Medical Coder

Experienced Inpatient Medical Record Coder

EMR Specialist

Outpatient Coder 2 Certified / PB Coding

Experienced Inpatient Medical Record Coder

Experienced Inpatient Medical Record Coder

Certified Coder

Learn more about medical coder jobs

How much does a medical coder earn in West Haven, CT?

What are the biggest employers of Medical Coders in West Haven, CT?