9 jobs found in Melville

About Us: At Agility Billing Services, we are dedicated to providing exceptional care and service in the orthopedic and pain management field. We are seeking a skilled and motivated Accounts Receivable Team Lead for commercial claims to join our team. The ideal candidate will have significant experience in collections, medical billing, and a strong understanding of commercial insurance carriers and Medicare. Position Overview: We are seeking a Medical Biller to join our team and support billing and collections for a busy surgical practice. The ideal candidate will have experience in medical claims follow-up, with a strong understanding of commercial and Medicare insurance plans and out-of-network billing. Prior experience in orthopedic, spine, or pain management services is highly preferred. Qualifications: • Working knowledge of commercial and Medicare insurance, including plan guidelines • Experience with out-of-network billing processes; understanding of the IDR...

Job TitleResponsible for the review of provider documentation and coding charge review errors as well as Evaluation and Management coding. Ensure that the coding is appropriate before releasing the claims to be billed. Identify trends and opportunities for improved documentation and billing and communicate those trends with the Coding Educators and providers. Must be fluent with the Evaluation and Management / CPT coding guidelines, ICD10 coding guidelines for outpatient, inpatient, observation coding including but not limited to all office-based services, procedural coding and hospital rounding.Job DescriptionReview documentation and coding for both inpatient and outpatient (hospital and office) professional services before the release of charges. Queries the provider of items in the chart that need to be reviewed or corrected as it relates to the coding selected. Responsible for monitoring regulatory changes as they apply to billing and coding in the inpatient and outpatient...

Requirements include a high school diploma and coding certifications (CPC, RHIT, CCS); familiarity with EHR systems and strong communication skills are essential. Competitive salary with robust benefits and growth opportunities. #J-18808-Ljbffr

Job TitleUse coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system.Primary ResponsibilitiesReview medical record documentation to identify correct coding based on billing and payor guidelines.Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials.Retrieve missing patient documentation required for accurate billing.Work task queues within various systems.Support offshore vendor coding questions.Recommend vendor education based on tasks reviewed.Required QualificationsMinimum of 2 years' professional medical coding experience.CPC or CCS-P certification.Proficient computer skillsDesired/Preferred QualificationsInsurance billing knowledgeExcelKnowledge of CMS guidelinesTotal RewardsGenerous benefits package, including:Salary: $27.35 - $37.61 HourlyPaid Time...

## Certified Coding Auditor (Remote)Apply: Melville Corporate: Full time: Posted 30+ Days Ago: JR11503Melville,NY - USA**Position Requirements**Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system.**PRIMARY RESPONSIBILITIES*** Review medical record documentation to identify correct coding based on billing and payor guidelines.* Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials.* Retrieve missing patient documentation required for accurate billing.* Work task queues within various systems.* Support offshore vendor coding questions.* Recommend vendor education based on tasks reviewed.**REQUIRED QUALIFICATIONS*** Minimum of 2 years’ professional medical coding experience.* CPC or CCS-P certification.* Proficient computer...

North American Partners in Anesthesia is seeking a Certified Coding Auditor (Remote) to review clinical documentation and code anesthesia services accurately. You will retrieve and verify documentation from hospital EMR systems, resolve coding inquiries, and support offshore vendors, in a fully remote capacity from Melville, NY area. The role requires CPC or CCS-P certification and at least 2 years of medical coding experience, with strong computer and Excel skills. #J-18808-Ljbffr

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...

Job Description Job Description Ready to take the next step in your career? We're a dynamic, fast-growing medical billing company and we're looking for a passionate Team Lead to join our Plastic Surgery division. This is more than just a billing role — it's a chance to make an impact, lead a team, and grow alongside a company that's investing in its people. If you love what you do and want to be somewhere that values your expertise, you'll feel right at home with us. What You'll Do • Lead day-to-day billing operations for our plastic surgery client accounts • Manage A/R follow-up and oversee accurate, timely charge posting • Be the go-to person for clients — answering questions, solving problems, and building strong, lasting relationships • Apply your knowledge of ICD-10 coding and Medicare/Medicaid guidelines to ensure clean claims and clear documentation • Mentor and support team members, identify workflow improvements, and help shape best practices as we grow What You...

Overview Ready to take the next step in your career? We're a dynamic, fast-growing medical billing company and we're looking for a passionate Team Lead to join our Plastic Surgery division. This is more than just a billing role — it's a chance to make an impact, lead a team, and grow alongside a company that's investing in its people. If you love what you do and want to be somewhere that values your expertise, you'll feel right at home with us. Responsibilities Lead day-to-day billing operations for our plastic surgery client accounts Manage A/R follow-up and oversee accurate, timely charge posting Be the go-to person for clients — answering questions, solving problems, and building strong, lasting relationships Apply your knowledge of ICD-10 coding and Medicare/Medicaid guidelines to ensure clean claims and clear documentation Mentor and support team members, identify workflow improvements, and help shape best practices as we grow Qualifications Minimum 2+ year of medical...