47 jobs found in Albany

Optum is seeking a Medical Coder specialized in Orthopedics and Podiatry to join our team. This role offers telecommuting from anywhere in the United States and focuses on accurate CPT/ICD-10 coding for outpatient hospital professional accounts. Candidates should have 5+ years of pro-fee coding experience in Orthopedics and podiatry, CPC certification, and working knowledge of Medicare guidelines and denials. Epic experience will help in handling denials and documentation efficiently. #J-18808-Ljbffr

Coding Specialist Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes Monitors assigned work queues to ensure all records...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: Time as Reported / Per Diem Scheduled Weekly Hours: As Scheduled Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.27 - $32.60 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Essential Duties And Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. Support the reporting...

Become a part of our caring community The Senior Medical Coding Professional, Inpatient supports payment integrity initiatives by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key Responsibilities Review inpatient records for coding accuracy and DRG validation Identify anomalies for audit targeting Apply ICD-10-CM/PCS coding guidelines and DRG logic Assess how coding impacts reimbursement and severity adjustment Conduct retrospective audits and document findings Recommend adjustments, recoveries, or provider education Collaborate with clinical reviewers and data analysts Use your skills to make an impact Required Qualifications Required: RHIA, RHIT, CCS, or CIC 5+ years inpatient coding experience Audit or validation experience Strong DRG knowledge (MS-DRG/APR-DRG) Understanding of CDI and severity of illness (SOI/ROM) concepts Preferred Qualifications 3M...

Datavant is seeking a Provider Practice Coding Consultant in Albany, New York. This role involves reviewing medical records, assigning codes, and consulting healthcare professionals on improved coding practices. The ideal candidate will have at least one year of coding experience, AHIMA or AAPC certifications, and strong communication skills. This position offers full benefits, 20–24 free CEUs yearly, and equipment support. Pay ranges from $20 to $28 per hour based on experience and role responsibilities. #J-18808-Ljbffr

Acute Inpatient Coding Auditor We are seeking an experienced Acute Inpatient Coding Auditor with recent acute care hospital experience. This role is responsible for auditing facility-based inpatient coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance. Candidates must have a strong background in acute inpatient hospital coding and auditing. This position focuses exclusively on facility (hospital) inpatient services and is not a professional fee/physician coding role. Job Summary: Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Educates physicians and clinical personnel to ensure complete documentation in the medical record and queries physicians to resolve incomplete or conflicting information to ensure...

Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health Information Management (Preferred) Work Experience 2-3 years Diagnosis and CPT coding in a clinic, business, or revenue cycle environment or any combination thereof. (Preferred) 2-3 years Broad knowledge of medical terminology and anatomy. (Preferred) Licenses and Certifications Required Certifications/Licensures: Coding Certification (CPC or CCS) Preferred Certifications/Licensures: CPMA Essential Functions CODING SKILLS Review medical records to assign ICD-10-CM, CPT, and HCPCS Level II codes and modifiers for accurate primary and multi-specialty billing. Provides analysis and education on coding trends and changes in payer policies to providers and staff. CODING REVENUE CYCLE SKILLS Review claim denials for coding issues, interpret payer guidelines, and assist insurance collectors with resolution for proper reimbursement. Prepare or...

Job Information Job Number: 32909 Location: Phoebe North Campus, 2000 Palmyra Rd, Albany, Georgia 31701 Department: PPG CBO; Shift: –; Job Type: Full time; Posted Date: 2025-10-30 Job Description Summary Classify medical data from patient records to assign ICD-10-CM and CPT codes for primary and multi-specialty physician billing. Reviews clinical billing for coding and billing accuracy. Review claim denials for coding-related issues and assist CBO collectors with resolution. Demonstrate knowledge of reimbursement guidelines and changes in payer policy. Provide guidance to clinical staff and providers where necessary. Serves as a resource for clinics on coding issues and questions as needed. May supervise an individual billing team of non-certified billers and collectors. Performs research on coding changes and payer policies on an ongoing basis. Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health...

Phoebe Physician Group, Inc. is seeking a qualified Medical Billing/Coding Specialist to classify medical data from patient records for ICD-10-CM and CPT coding across multiple specialties. You will review billing details for accuracy and assist in resolving denials while staying current with payer policies. Ideal candidates have 2–3 years of coding experience, knowledge of medical terminology, and a background in health information management. #J-18808-Ljbffr

Phoebe Putney Health System in Albany, GA is seeking a skilled Medical Claims Coder to assign ICD-10-CM, CPT, and HCPCS Level II codes for diverse clinical settings. The role requires attention to detail to ensure accurate billing and compliant documentation. Candidates should have CPC or CCS certification and 2–3 years of coding experience in clinics or revenue cycle environments, plus strong medical terminology knowledge. #J-18808-Ljbffr

UnitedHealth Group seeks a skilled medical coder to assign CPT and ICD-10 codes for orthopedic and podiatry services. You’ll monitor queues, generate queries, and stay updated on coding changes. A CPC credential and 5+ years of pro-fee coding exp. in orthopedics/podiatry are required, with Epic experience and Medicare modifier know-how. Telecommuting from anywhere in the U.S. is offered. Competitive benefits are provided, with pay based on factors like experience and credentials. #J-18808-Ljbffr

UnitedHealth Group, via Optum, seeks a seasoned medical coder to assign CPT and ICD-10 codes for outpatient hospital professional accounts in orthopedics and podiatry. The role is telecommute within the U.S. and requires 5+ years of pro-fee coding with CPC certification. You will manage queues, handle denials in Epic, and stay current with Medicare guidelines while contributing to a comprehensive benefits package and flexible telecommuting options. #J-18808-Ljbffr

Optum is seeking a CPC coder with orthopedic and podiatry experience for remote work across the U.S. You will assign CPT/ICD-10 codes for outpatient hospital accounts and monitor queues to ensure timely, accurate charges. The role requires ongoing knowledge of Medicare guidelines, modifiers, and denials management, with Epic experience. Strong organizational skills and ability to work under pressure are essential. #J-18808-Ljbffr

JOB SUMMARY/PURPOSE Responsible for supervising the daily operations of the clinical staff of a medical clinic. Acts as a liaison between the back office and other clinic departments. Mediates issues between back office staff and physicians as well as other departments in the clinic. DEPARTMENT DESCRIPTION The Heartspring Wellness Center offers services to help clients achieve their best health in mind, body and spirit. Services include integrative primary care, integrative medicine consultations, naturopathic medicine, osteopathic manipulative medicine (OMT), acupuncture, nutrition counseling and classes, chronic disease management, integrative cancer support services, massage therapy, movement therapy, mind-body medicine, stress and symptom reduction, biofeedback and imagery for pain reduction and better living. EXPERIENCE/EDUCATION/QUALIFICATIONS Registered or Certified Medical Assistant required. Previous medical back office experience/medical...

Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must be CPC and CRC certified with strong risk adjustment coding expertise and proficiency in Microsoft Office Suite. Required Skills: 8+ years of Risk Adjustment coding and auditing experience Experience supporting CMS RADV first- and second-pass audits Active CPC (Certified Professional Coder) certification Active CRC (Certified Risk Adjustment Coder) certification Proficiency in Microsoft Office Suite (Excel, Word, Outlook) This is a remote position.

• Medical Billing Associate handles billing and follow up of medical claims • Focus on pre-billing edits and introductory payer denials • Initiate appeals or rebill claims to address denials • Work independently to meet production standards • Communicate with peers, trainers, and leaders • Resolve billing edits and respond to denials on accounts as assigned • Collaborate with internal/external departments as needed • Recognize payer trends and communicate them to leaders Requirements High School Diploma ATS Optimization Keywords Below are skills and terms extracted directly from this job posting to improve Applicant Tracking System (ATS) visibility. This unique feature helps candidates tailor their applications more effectively — a feature exclusive to JobTailor job listings. Soft Skills independent work communication collaboration problem-solving #J-18808-Ljbffr

Albany Med Health System seeks a Medical Billing Associate to support the Hospital or Physician Billing Offices at 1275 Broadway, Albany. The role emphasizes timely billing, pre-billing edits, and initial payer denial resolution within the AMHS network. Responsibilities include handling denials, re-billing, and appeals, while maintaining clear notes and meeting daily production standards. Collaboration with peers and leaders is essential in improving claim quality. #J-18808-Ljbffr

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under...

Humana Inc. is seeking a Medical Coding Coordinator for the Code Edit Disputes team. This remote role extracts clinical information from medical records and assigns ICD-10-CM and CPT codes to patient records, with independent judgment on administrative tasks. Ideal candidates have CPC certification and at least 3 years of Certified Medical Coder experience, plus familiarity with Medicare/Medicaid guidelines. Occasional travel for training may be required; standard business hours apply. #J-18808-Ljbffr

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URCB 209 H Compensation Range: $25.79 - $36.11 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to,...

A healthcare organization in Albany is seeking a Hospital Coder to work remotely, applying skills in inpatient coding. Key responsibilities include accurate coding using ICD-10 systems and handling healthcare data elements. The ideal candidate should have a high school diploma, coding certification, and experience in medical coding. Strong communication skills and independence are essential. This role offers competitive salary and flexibility in a remote setup. #J-18808-Ljbffr

Humana Inc. is seeking a Senior Medical Coding Professional (Inpatient) to support payment integrity by reviewing inpatient claims for coding accuracy and DRG assignment. You report to the Manager, Payment Integrity and collaborate with clinical reviewers and data analysts. The role requires RHIA/RHIT/CCS/CIC certification and 5+ years inpatient coding experience, with strong DRG knowledge and CDI/SOI concepts. Remote/hybrid work options are available within the Humana network. #J-18808-Ljbffr

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71Hospital Coder, Albany Health Information Management The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the...