60 jobs found in Albany

Acute Inpatient Coding AuditorWe 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 compliant...

Medical Coder III 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: Remote Work - New York, Albany, New York, United States of America, 12224 Opening: 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 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 including, but not limited to, market data, education, experience,...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

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

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...

Job TitleQualificationsHigh School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health Information Management (Preferred)Work Experience2 - 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 CertificationsRequired Certifications/Licensures: Coding Certification (CPC or CCS) Preferred Certifications/Licensures: CPMAEssential FunctionsCODING 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 assist...

Coding SpecialistOptum 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 accountsAssigns CPT and ICD-10 codesMonitors assigned work queues to ensure all records are...

Optum, a part of UnitedHealth Group, is seeking a Professional CPC coder with orthopedic and podiatry experience to join our remote-friendly team in the United States. You will assign CPT/ICD-10 codes, handle denials in Epic, and stay current with Medicare guidelines while balancing a significant workload under deadlines. This role offers telecommuting within the U.S., a comprehensive benefits package, and opportunities for career growth. #J-18808-Ljbffr

Coding SpecialistOptum 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 accountsAssigns CPT and ICD-10 codesMonitors assigned work queues to ensure all records are...

Samaritan Health Services is seeking a leader to supervise the daily operations of the clinical staff at a medical clinic in Oregon. You will act as a liaison between the back office and other clinic departments and mediate issues among back office staff, physicians, and other departments. The role requires a Registered or Certified Medical Assistant with at least two years in healthcare and BLS certification, plus leadership experience. #J-18808-Ljbffr

DaMar Staffing is seeking a Clinical Operations Supervisor for Heartspring Wellness Center in Albany, Oregon. This role oversees the daily operations of the clinical staff and serves as a critical liaison between the back office and clinical departments. You will mediate issues among back office staff, physicians, and other departments to ensure seamless patient care and regulatory compliance. A Medical Assistant background and leadership experience are valued for success in this position. #J-18808-Ljbffr

HEALTH SERVICES MEDICAL BILLER/CODER Administration/Billing Program (Classification 757) SEIU Represented Full-Time (37.5 hours/week) position Position Reopened for Applications Linn County requires on-site work. Remote work is not available. We are seeking a detail-oriented and dependable Medical Biller/Coder to join Linn County Health Services. In this role, you will play an essential part in ensuring accurate medical coding, timely billing, and proper reimbursement while helping maintain compliance with healthcare regulations and insurance requirements. The ideal candidate will have strong attention to detail, excellent organizational and communication skills, and a solid understanding of medical terminology, coding systems, and billing procedures. If you are passionate about supporting quality, accurate and efficient administrative processes, we would love to hear from you. A person employed in this classification must possess the capability to perform the following duties to...

Linn County Health Services in Albany, Oregon seeks a detail-oriented Medical Biller/Coder to ensure accurate coding, timely billing and proper reimbursement while maintaining compliance with HIPAA and payer requirements. The ideal candidate has knowledge of CPT, ICD-10, HCPCS, and documentation guidelines, with experience in outpatient/physician billing, insurance follow-up, and auditing to maximize revenue. #J-18808-Ljbffr

HEALTH SERVICES MEDICAL BILLING SPECIALIST Administration/Billing Program (Classification 706) SEIU Represented Full-Time (37.5 hours/week) position This position is open until filled. First review of applications will be on September 18, 2026. Any applications received after September 18 will be reviewed and considered as needed, and this posting may close at any time after that date. Linn County requires on-site work. Remote work is not available. The duties listed are intended only as illustrative examples of the various types of work that may be performed by individuals in this classification. Any of the following duties may be performed. These examples are not necessarily performed by all incumbents and do not include all specific essential functions and responsibilities the incumbent may be expected to perform. Strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Input all charges related to services provided by the Health Department...

Workit Health is seeking a full-time RCM Specialist to manage rejections and denials, with prior billing for addiction medicine or telemedicine preferred. You will call insurance plans, maintain high customer service standards, and adapt to a fast-paced environment across Albany, Albuquerque, or Scottsdale locations. Hybrid work includes in-office and remote days. The role emphasizes accuracy, independence, and teamwork, with a focus on prompt resolution of claims and compliance with HIPAA #J-18808-Ljbffr

Medical Billing SpecialistThe Medical Billing Specialist is a higher-level billing role within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered predominantly around denials. The incumbent will be expected to understand and resolve the most complicated of denials and/or will research the denial to learn what is needed by the payer. The incumbent must be able to work independently but also serve as a resource to others in the department. This position will act as a learning partner or mentor to the team. They will exemplify the meaning of teamwork and support their co-workers in a positive environment. This position will also possess the ability to manage assigned projects and present findings with preferred resolutions to leadership. This role will become familiar with running reports out of Epic as assigned. The incumbent will be expected to work independently and meet production standards. Progressive communication with...

Albany Medical Center in Albany, NY, seeks a Revenue Integrity Auditor to support physicians and coding staff. Under the Revenue Integrity Audits Manager, you will assess documentation and billing for all providers across clinical specialties, ensuring regulatory compliance. Responsibilities include reviewing clinical documentation, resolving payer edits, generating appeal letters, and training staff on CPT/ICD-10-CM guidelines while staying current with Medicare rules. #J-18808-Ljbffr

The University of Rochester is hiring a Medical Coder for remote work in Albany, NY. You will review codes for accuracy, resolve insurance coding denials, and ensure compliant reimbursements. Responsibilities include editing, troubleshooting claims, and communicating with internal teams and vendors to obtain precise documentation. A HS diploma with 1 year coder experience is required; RHIA/RHIT or CPC/CSS certifications preferred. #J-18808-Ljbffr

Certified Professional Coder (CPC)We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.Activities...

Inpatient Hospital CoderThe Inpatient 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.Must have Inpatient Coding ExperienceThis position is fully remote.Additionally:100% Remote / Fully RemoteFlexible schedulingNo relocation required,Technology and support provided for remote employeesQualificationsInpatient Coding Experience 2+ years PreferredHigh School Diploma/G.E.D. - requiredPrior experience in hospital/inpatient medical coding - preferredPrior experience with 3M 360 and EPIC...

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

Henry Ford Health is seeking an Outpatient Professional Coder for a fully remote role. You will review patient records to code diagnoses and procedures, abstract data to support research and decisions, and ensure adherence to coding guidelines and reimbursement policies. Responsibilities include optimizing reimbursement, ensuring accuracy, and maintaining continuity of care through precise coding practices. A relevant coding certification is required, with RHIT or CPC-CDS credentials preferred. #J-18808-Ljbffr

Hybrid Rochester - NY Full time R273103 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 URG 106 H Compensation Range: $21.78 - $30.53 _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...

Albany Medical Center is seeking a Revenue Integrity position to audit and research documentation and billing for physicians and staff. The role ensures appropriate coding and charge capture across clinical specialties, with emphasis on Medicare and third‑party regulations. Strong attention to detail and collaboration with the revenue cycle team are essential. Under the direction of the Revenue Integrity Audits Manager, responsibilities include reviewing medical records, preparing appeal #J-18808-Ljbffr