Medical Coder jobs at Sutherland

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Certified Medical Coders - Inpatient Schedule: 8:00 AM-4:00 PM Duration: 3 Months with a strong possibility of ongoing extension Pay Range: $35 - $40/Hour. 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 be knowledgeable with 3M/HDS coding application. Inpatient and ED experience. Skills: Three years' experience Knowledge of ICD10 Required Experience: Experience with EPIC and 3M is required Candidate with both in/out-patient coding experience will be ideal. CCS Certification is required. Education: High School Diploma/GED AHIMA, RHIA or RHIT and/or CCP, CCS. “Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors”

Job Title: Certified Medical Coder - Outpatient & Emergency Department (ED) Schedule: Monday - Friday, 8:00 AM - 4:00 PM (40 hours per week) Pay Rate: $35 - $38 per hour Duration: 3 months (with possible extension) Position Overview: We are seeking an experienced and detail-oriented Certified Medical Coder to join our team in an acute care setting. The ideal candidate will possess strong outpatient and emergency department (ED) coding experience, advanced knowledge of ICD-9-CM, CPT-4, and HCPCS coding systems, and hands-on experience using EPIC and 3M/HDS applications. This position requires strict adherence to federal billing and coding guidelines to ensure accurate and compliant claim submission. Required Qualifications: Certification: Certified Coding Specialist (CCS) - Required Education: High School Diploma/GED required; AHIMA credentials (RHIA, RHIT, or CCS-P) preferred Experience: Minimum 2-3 years of coding experience in an acute care setting Strong background in Outpatient and ED coding Experience with both Inpatient and Outpatient coding highly preferred Proficiency with EPIC and 3M/HDS systems - Required Technical Skills: Proficient in MS Word, Excel, and Encoder software. Knowledge Base: Strong understanding of anatomy, physiology, disease processes, and medical terminology. Ability to research and resolve complex coding issues independently. Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors

Title: Certified Medical Coders - Outpatient & ED) Duration: 3-Month Contract with High Chances of Extension Pay Range: $30-$35/hr W2 Job Summary: Seeking an experienced Medical Coder to perform accurate coding of inpatient, outpatient, and emergency department records in an acute care setting. The ideal candidate will have strong knowledge of coding standards, billing regulations, and proficiency with EPIC and 3M systems. Key Responsibilities: • Assign accurate ICD-9-CM, CPT-4, and HCPCS codes for inpatient, outpatient, and ED encounters. • Ensure compliance with coding, payor, and federal billing guidelines. • Review clinical documentation to ensure coding accuracy and completeness. • Research and resolve coding-related queries and discrepancies. • Maintain up-to-date knowledge of anatomy, physiology, and disease processes. • Support coding audits, quality reviews, and staff training when needed. Education & Certification: • CCS (Certified Coding Specialist) certification required. • Minimum 2+ years of experience in medical coding within an acute care setting. • Experience with both inpatient and outpatient coding preferred.

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

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

Pride Health is hiring a Certified Coder for one of its clients in Texas. This is a 3-month contract with the possibility of expansion with competitive pay and benefits. Pay range - $28- $30 per hour on W2. (based on your experience) Length of assignment - 3-month contract (possibility to extend) Shift - Mon-Fr - 8 am to 5 pm. Job Summary Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM /CPT codes for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Submitting a candidate for this position is an acknowledgement that the candidate 1) will follow all MHHS policies and procedures, 2) will adhere to the terms of the MSA, and 3) has all the requirements and specialty experience that the position requires. Requirements Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential preferred. Strong knowledge of ICD-9-CM and CPT coding systems; familiarity with medical terminology, anatomy, and clinical workflows. Experience in coding for hospital, clinic, or specialty services (as required by the role). Ability to interpret clinical documentation and apply coding guidelines accurately. Benefits Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Equal Opportunity Employer As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

We are seeking a detail-oriented and experienced Certified Medical Coder specializing in Gastroenterology (GI) to join our team. The ideal candidate will ensure accurate coding of diagnoses, procedures, and services in compliance with ICD-10-CM, CPT, and HCPCS guidelines, supporting optimal reimbursement and regulatory compliance. Job Responsibilities for the Certified Medical Coder: Review and accurately assign codes for GI-related procedures, diagnoses, and services from clinical documentation. Ensure compliance with CMS, payer-specific guidelines, and HIPAA regulations. Collaborate with physicians and clinical staff to clarify documentation and resolve coding discrepancies. Conduct audits and provide feedback to improve documentation quality. Stay current with coding updates, payer policies, and industry best practices. Assist with denial management and revenue cycle optimization. Job Requirements for the Certified Medical Coder: Certification: CPC, COC, or CCS required (AAPC or AHIMA). Experience: Minimum 2 years of medical coding experience, with a focus on Gastroenterology preferred. Strong knowledge of ICD-10-CM, CPT, HCPCS, and GI-specific coding guidelines. Familiarity with E/M coding and modifier usage. Proficiency in medical terminology, anatomy, and physiology. Excellent attention to detail and organizational skills. Ability to work independently and meet deadlines. For more information, please APPLY today!

Job Details: Duration: 2 Months Contract with possible extension Job Description: The Records Specialist I processes subpoenas and legal requests for pharmacy records, retrieves and verifies patient information, prepares affidavits, and ensures HIPAA compliance. The role requires strong attention to detail, dependability, and proficiency in Microsoft Office. Responsibilities: Review incoming mail and/or faxes (subpoenas & other legal notices) for handling. Respond to subpoenas and requests for pharmacy records verifying criteria and adherence to HIPAA regulations. Retrieve patient health information (records) through the use of multiple databases. Complete legal affidavits attesting to the validity of the records/documents being provided. Bill and collect for pharmacy records services. Record non-routine disclosures of patient health information. Provide guidance to store teams regarding appropriate releases of protected health information. Experience/Qualification: 1 year experience in an office environment. Experience with Medical Records or Health Information Management is nice to have. As well as the understanding of HIPAA Laws. Proficient in Microsoft Office Suite (especially Outlook, Word, Mail Merge). Experience with Mircosoft Access & Adobe Pro is nice to have. Excellent communication and customer service skills. Ability to work independently and in a team environment. Strong attention to detail and organizational skills. Preferred Skills: Problem Solving skills Microsoft Access Adobe Pro Education: High school diploma or equivalent About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Name: Jayant Bhutda Email: ***************************** Internal Id: 25-53177

Serve You Rx is looking for someone to join our dynamic team as a Benefit Coding Specialist, where your attention to detail and problem-solving skills will directly impact the accuracy and success of our pharmacy benefit services. In this vital role, you'll translate client needs into smart, effective system configurations that ensure smooth and accurate claim processing. You'll play a key role in maintaining benefit plans, pricing structures, formularies, and clinical programs - all while collaborating across departments to resolve issues and improve processes. If you're looking for a role that combines analytical thinking, healthcare impact, and meaningful collaboration, this is your opportunity to grow with a company that values precision, innovation, and teamwork. This is a remote position. What You'll Do: As the Benefit Coding Specialist, you will: Analyze standard and customized coding requests and work with internal teams to obtain the accurate and complete plan documentation needed to code client intent into the pharmacy claim adjudication system. Implement new and maintain existing benefit plans, pricing, and networks in the pharmacy claim adjudication system, consistent with the direction and intent set forth by the client or Serve You Rx. Maintain the Serve You Rx formularies and clinical program offerings in the pharmacy claim adjudication system. Perform pre- and post-implementation claim testing and other configuration quality reviews to ensure accurate claim adjudication and adherence to standard and custom design requirements. Identify discrepancies, inaccuracies and unintended consequences, and take corrective action. Research and respond to claims processing and system configuration inquiries from internal departments. Proactively identify setup service issues and escalate to Benefit Coding Specialist II for immediate review and resolution. Accurately configure non-adjudicated services and fees across multiple systems. Complete department or corporate projects as assigned. Perform other duties as assigned. Qualifications: Associate's degree or equivalent combination of education and job-related experience. Two or more years of prior employee benefits or pharmacy/medical claims processing experience. Prior PBM experience in a benefit configuration role. (preferred) Certified Pharmacy Technician (CPhT) certification. (preferred) Prior PBM experience in a benefit configuration role. (preferred) Knowledge of RxClaim or other PBM adjudication systems. (preferred) Experience in testing and quality assurance. (preferred) Why Serve You Rx? Serve You Rx is a full-service pharmacy benefit manager (PBM) with unquestionable flexibility and an unwavering commitment to doing what's best for its clients. With a fervent focus on those it serves, including insurance brokers, consultants, third-party administrators, and their clients, Serve You Rx delivers exceptional service and tailored, cost-effective benefit solutions. Independent and privately held for nearly 40 years, Serve You Rx can implement new groups in 30 days or less and say "yes" to a wide variety of viable solutions. Known for its adaptability, quality, and client-centricity, Serve You Rx aims to be a benchmark for better client service. The company offers generous benefits to include: medical (HMO and PPO), dental, vision, 401k, HSA, identity theft and legal coverage, pet insurance, paid parental leave, and 18 days of paid time off in your first year.

Job DescriptionDescription: Responsible for reviewing all post-billed denials (including coding-related denials) for coding accuracy and appealing them based on coding expertise and judgment within Hospital and/or Medical Group partner revenue operations. Serves as part of the coding denials resolution team responsible for identifying and determining root causes of denials. Responsible for using coding knowledge and standard procedures to track appeals through all levels and ensure timely filing as required by payers. Also promotes departmental awareness of coding best practices. Duties and Responsibilities Knows, understands, incorporates, and demonstrates the Healthrise Core Values. Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims. Responsible for understanding and resolving Professional Billing HCFA1500 claims or other coding-related issues, and processing charge corrections based on medical record reviews, contracts, and regulations as directed by the supervisor. Interprets data, draws conclusions, and reviews findings with all levels for further review. Takes initiative to continuously learn all aspects of the role to support progressive responsibility. Maintains a working knowledge of applicable federal, state, and local laws and regulations. Additional Duties and Responsibilities - Coding Team Lead Serves as first-line support for coders, answering questions, troubleshooting issues, and escalating complex cases to the manager. Reviews team members' work for accuracy and compliance, providing coaching and real-time feedback. Tracks productivity and quality metrics at the individual and team level and communicates performance trends to leadership. Supports onboarding and training of new coders, ensuring consistency in process knowledge and documentation. Responsible for monitoring and maintaining assigned leader workqueues. Requirements: High school diploma or Associate degree in Accounting, Business Administration, or related field, and a minimum of four years of experience in a hospital, clinic environment, health insurance company, managed care organization, or healthcare financial service setting; or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Comprehensive knowledge of professional/physician diagnostic and procedural coding, typically obtained through a coding certificate program, and at least one year of professional and hospital outpatient coding experience, or a minimum of two years of hospital inpatient coding experience including DRG assignment. Must hold one of the following credentials: RHIA, RHIT, CCS, CPC. CPMA will also be considered. Experience with NCCI edits, NCDs, LCDs, and outpatient coding guidelines for official coding and reporting. Detailed understanding of compliant healthcare billing and collections principles. Expertise in medical terminology, disease processes, patient health record content, and the medical record coding process. Comfortable operating in a collaborative, shared leadership environment. Previous experience working with Global Partner vendors preferred. Physical Demands and Work Environment Remote work environment requiring a dedicated space that ensures confidentiality and privacy. Frequent communication via Microsoft Teams, email, and phone with colleagues across locations. Manual dexterity required to operate a keyboard; hearing required for phone and Teams communication. Ability to concentrate, meet deadlines, work on multiple projects, and adapt to interruptions. Must be able to set and manage work priorities independently, adjust to changing demands, and work under potentially stressful conditions with individuals possessing diverse personalities and work styles, including Global Partner vendors.

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years' experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. Qualifications 1 year of certified coding experience Additional Information All your information will be kept confidential according to EEO guidelines.

ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit ***************** or follow the company on Twitter at ************************* for more information. Job Description ProSidian Seeks a Medical Coder and Abstractor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on athe medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations and the spectrum of conflict, in support of combatant commanders". The Regional Health Command's Readiness Mission includes dental care of active duty Soldiers, public health services, veterinary services, and providing management and support to wounded, ill and injured Soldiers assigned to its seven warrior transition units. The ProSidian Engagement Team Members work to provide health coding services to a branch of the United States Armed Forces' Regional Health Command- Atlantic (RHC-A) military treatment facilities and provide services to MTFs located in the National Capital Region and the following RHC-A Medical Treatment Facility (MTFs) locations: AL | PR | FL | GA | KY | DC | MD | PA | VA | NY | NC | SC. Additionally, the vendor may be required to provide coding services to other military services (i.e. U.S. Navy, U.S. Air Force). The ProSidian Contract Service Providers (CSP) will work in conjunction with other health care providers, professionals, and non-contract personnel. MD - Medical Billing & Coding Candidates shall work to support requirements as a Medical Coder and Abstractor and review health record documentation for assignment of proper diagnosis and procedure codes utilizing system edits, Military Health System specific, and commercial coding guidance. This position will review and accurately code/abstract office and hospital procedures for reimbursement. Receive and review patient charts and documents for accuracy Ensure that all codes are current and active Report missing or incomplete documentation Meet daily coding production Review medical records and other source documents and collect clinical data according to specifications and guidelines provided by MHS Accurately enter data into abstraction software using a personal computer, keyboard and/or mouse Update and maintain document lists Performs accurate charge entries Ensure proper coding on provider documentation Serves as resource regarding insurance resolutions and coding questions Handles co-pays, balances, and charge posting Follow all DoD and DHA directives, guidance, instructions, policies, procedures, rules, and standards relating to protection of patient information and privacy practices. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations Maintain security and confidentiality of medical records and Protected Health Information (PHI) Performs additional duties assigned by Coding Manager as needed Qualifications The Medical Coder and Abstractor shall have consecutive employment in a position with comparable responsibilities within the past five (5) years, Must be able to use a computer to communicate via email; and proficient in Microsoft Office Products (Word/Excel/Power point) and related tools and technology required for the position. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medical coder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry. Must Have A Minimum Of 2 Yrs Certification Of One Of The Following: a) American Health Information Management Association (AHIMA) Credentials: RHIA - Risk Health Information Administration | RHIT - Registered Health Information Technician | CCA - Certified Coding Associate | CCS- Certified Coding Specialist and/or b) American Academy of Professional Coders (AAPC): CPC - Certified Professional Coder | COC - Certified Outpatient Coder | CIC - Certified Inpatient Coder | CRC - Certified Risk Coder Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy. High school degree or equivalent; Bachelor's degree in related field preferred Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements Maintain coding certification and attends in-service training as required Two (2) years of medical coding experience Understanding of medical terminology, anatomy and physiology Ability to work independently or as an active member of a team Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite Accurate and precise attention to detail Ability to multitask, prioritize, and manage time efficiently Excellent verbal and written communication skills Goal-oriented, organized team player Knowledge of medical terminology, anatomy, physiology, and pathophysiology is preferred. Outstanding oral and written communications skills Clinical background and previous chart abstraction experience is also preferred. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medical coder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry. Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy. TRAVEL: Travel as coordinated with the technical point of contact and approved in writing by the Contracting Officer in advance, is allowed, in accordance with Federal Travel Regulations. LOCATION: Work shall be conducted CONUS - Fort Stewart, GA Excellent oral and written communication skills Attention to detail Analytical and evaluation skills Proficient with Microsoft Office Products (Microsoft Word, Excel, PowerPoint, Publisher, & Adobe) U.S. Citizenship Required Additional Information As a condition of employment, all employees are required to fulfill all requirements of the roles for which they are employed; establish, manage, pursue, and fulfill annual goals and objectives with at least three (3) Goals for each of the firms Eight Prosidian Global Competencies [1 - Personal Effectiveness | 2 - Continuous Learning | 3 - Leadership | 4 - Client Service | 5 - Business Management | 6 - Business Development | 7 - Technical Expertise | 8 - Innovation & Knowledge Sharing (Thought Leadership)]; and to support all business development and other efforts on behalf of ProSidian Consulting. CORE COMPETENCIES Teamwork - ability to foster teamwork collaboratively as a participant, and effectively as a team leader Leadership - ability to guide and lead colleagues on projects and initiatives Business Acumen - understanding and insight into how organizations perform, including business processes, data, systems, and people Communication - ability to effectively communicate to stakeholders of all levels orally and in writing Motivation - persistent in pursuit of quality and optimal client and company solutions Agility - ability to quickly understand and transition between different projects, concepts, initiatives, or work streams Judgment - exercises prudence and insight in decision-making process while mindful of other stakeholders and long-term ramifications Organization - ability to manage projects and activity, and prioritize tasks ------------ ------------ ------------ OTHER REQUIREMENTS Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Commitment - to work with smart, interesting people with diverse backgrounds to solve the biggest challenges across private, public and social sectors Curiosity - the ideal candidate exhibits an inquisitive nature and the ability to question the status quo among a community of people they enjoy and teams that work well together Humility - exhibits grace in success and failure while doing meaningful work where skills have impact and make a difference Willingness - to constantly learn, share, and grow and to view the world as their classroom ------------ ------------ ------------ BENEFITS AND HIGHLIGHTS ProSidian Employee Benefits and Highlights: Your good health and well-being are important to ProSidian Consulting. At ProSidian, we invest in our employees to help them stay healthy and achieve work-life balance. That's why we are also pleased to offer the Employee Benefits Program, designed to promote your health and personal welfare. Our growing list of benefits currently include the following for Full Time Employees: Competitive Compensation: Pay range begins in the competitive ranges with Group Health Benefits, Pre-tax Employee Benefits, and Performance Incentives. For medical and dental benefits, the Company contributes a fixed dollar amount each month towards the plan you elect. Contributions are deducted on a Pre-tax basis. Group Medical Health Insurance Benefits: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. ||| Group Dental Health Insurance Benefits: ProSidian dental carriers - Delta, Aetna, Guardian, and MetLife. Group Vision Health Insurance Benefits: ProSidian offers high/low vision plans through 2 carriers: Aetna and VSP. 401(k) Retirement Savings Plan: 401(k) Retirement Savings Plans help you save for your retirement for eligible employees. A range of investment options are available with a personal financial planner to assist you. The Plan is a pre-tax Safe Harbor 401(k) Retirement Savings Plan with a company match. Vacation and Paid Time-Off (PTO) Benefits: Eligible employees use PTO for vacation, a doctor's appointment, or any number of events in your life. Currently these benefits include Vacation/Sick days - 2 weeks/3 days | Holidays - 10 ProSidian and Government Days are given. Pre-Tax Payment Programs: Pre-Tax Payment Programs currently exist in the form of a Premium Only Plan (POP). These Plans offer a full Flexible Spending Account (FSA) Plan and a tax benefit for eligible employees. Purchasing Discounts & Savings Plans: We want you to achieve financial success. We offer a Purchasing Discounts & Savings Plan through The Corporate Perks Benefit Program. This provides special discounts for eligible employees on products and services you buy on a daily basis. Security Clearance: Due to the nature of our consulting engagements there are Security Clearance requirements for Engagement Teams handling sensitive Engagements in the Federal Marketplace. A Security Clearance is a valued asset in your professional portfolio and adds to your credentials. ProSidian Employee & Contractor Referral Bonus Program: ProSidian Consulting will pay up to 5k for all referrals employed for 90 days for candidates submitted through our Referral Program. Performance Incentives: Due to the nature of our consulting engagements there are performance incentives associated with each new client that each employee works to pursue and support. Flexible Spending Account: FSAs help you pay for eligible out-of-pocket health care and dependent day care expenses on a pre-tax basis. You determine your projected expenses for the Plan Year and then elect to set aside a portion of each paycheck into your FSA. Supplemental Life/Accidental Death and Dismemberment Insurance: If you want extra protection for yourself and your eligible dependents, you have the option to elect supplemental life insurance. D&D covers death or dismemberment from an accident only. Short- and Long-Term Disability Insurance: Disability insurance plans are designed to provide income protection while you recover from a disability. ----------- ------------ ------------ ADDITIONAL INFORMATION - See Below Instructions On The Best Way To Apply ProSidian Consulting is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, or Vietnam era, or other eligible veteran status, or any other protected factor. All your information will be kept confidential according to EEO guidelines. ProSidian Consulting has made a pledge to the Hiring Our Heroes Program of the U.S. Chamber of Commerce Foundation and the “I Hire Military” Initiative of The North Carolina Military Business Center (NCMBC) for the State of North Carolina. All applicants are encouraged to apply regardless of Veteran Status. Furthermore, we believe in " HONOR ABOVE ALL " - be successful while doing things the right way. The pride comes out of the challenge; the reward is excellence in the work. FOR EASY APPLICATION USE OUR CAREER SITE LOCATED ON http://*****************/ OR SEND YOUR RESUME'S, BIOS, AND SALARY EXPECTATION / RATES TO ***********************. ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED . Be sure to place the job reference code in the subject line of your email. Be sure to include your name, address, telephone number, total compensation package, employment history, and educational credentials.

Building Code & Zoning Specialist New York, NY | Hybrid | Full-Time Build Your Career While We Build the Future About Us At Milrose Consultants, LLC, we build more than buildings-we build trust, expertise, and lasting partnerships. As leaders in building code and zoning consulting, we help shape the skylines of tomorrow through excellence in compliance and development strategy. Position Overview We're seeking a Building Code & Zoning Specialist to join our Code & Zoning team. In this role, you'll serve as a subject matter expert, guiding clients through complex building code and zoning requirements. You'll collaborate with design professionals, project teams, and regulatory agencies to ensure compliance and support successful project outcomes. What You'll Do Review design plans for compliance with NYC and regional zoning and building codes. Conduct due diligence for proposed developments and prepare technical documentation. Advise clients on achieving compliance and resolving code-related issues. Represent Milrose at project and agency meetings; liaise with city, state, and town officials. Prepare variance requests, determinations, and zoning/building code reports. Train staff on code updates and best practices. Support business development by identifying new opportunities and contributing to service growth. What You'll Bring Required: Bachelor's degree in Architecture, Engineering, Urban Planning, or related field. 10+ years of experience on complex, large-scale projects. Strong knowledge of NYC Zoning Resolution, Building Code, and regional codes. Excellent organizational, communication, and problem-solving skills. Proficiency in Microsoft Word and Excel. Preferred : RA, PE, or NYC Department of Buildings Class 2 Filing Representative License. Familiarity with construction methodologies and approval processes. Work Environment & Schedule This position is based in New York, NY, with a hybrid schedule. Standard working hours are Monday-Friday, 8:30am - 5:00pm. Minimal travel may be required. Compensation & Benefits Salary range: $115,000 - $125,000, based on knowledge, skills, and experience. Comprehensive health, dental, and vision, insurance, and 401K plan with a match. Paid time off: Holiday, vacation, sick time, personal and birthday. Career development and growth opportunities. Milrose Consultants, LLC is an Equal Opportunity Employer . We are committed to creating an inclusive environment for all employees and applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law. Milrose Consultants, LLC is committed to providing reasonable accommodation for qualified individuals with disabilities. If you need assistance or an accommodation due to a disability, please contact us at *******************. Notice to third party agencies: Please refrain from calling or emailing our team directly. Our in-house Talent Acquisition team manages all recruiting operations, including the selection and management of all external suppliers.