42 jobs found in Albany

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. Provide 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...

A healthcare organization seeks a Surgical Profee Medical Coder to ensure accurate coding and compliance for surgical services. Responsibilities include charge capture, denial management, and provider education. The role offers flexible telecommuting within the U.S., requiring strong coding certification and a minimum of three years' experience in surgery coding. This position is integral to billing accuracy and healthcare outcomes. #J-18808-Ljbffr

A prestigious university in New York is seeking a Medical Records Coder II to ensure the accuracy of healthcare data and professional payments. This hybrid position requires a High School diploma and knowledge of coding systems, along with the ability to troubleshoot billing issues. The ideal candidate should have less than 1 year of relevant experience. This role offers an opportunity to contribute to effective healthcare management. #J-18808-Ljbffr

A leading research university is seeking an experienced Medical Coder to ensure the accuracy of medical coding and resolve claims issues. This full-time position, based in New York, requires at least a high school diploma and one year of medical coding experience. Ideal candidates will be knowledgeable in coding systems and possess skills in medical terminology and anatomy. A supportive work environment encourages professional development and adherence to ethical standards in healthcare coding. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by...

Salary: $23-25/hr Job Title: Medical Coder/Billing Specialist Job #: 5666 Location: Albany, NY Category: Billing, Medical Position Type: Full-time, Permanent Description: Our client is currently seeking a Medical Coder/Billing Specialist to join their team. The specialist will be responsible for reviewing and importing payments for accuracy. This is a full-time, permanent position. Job Responsibilities: Research all information necessary to complete procedure and diagnosis (CPT, ASA, and ICD 10) coding process for all services rendered including obtaining necessary information from physicians/facilities. Serve as a resource to billing staff with coding concerns or associated problems. Monitor outstanding documentation requests to ensure proper follow-up with clinical staff for accurate documentation. Perform insurance follow-up including contacting insurance companies and patients, appealing underpaid, denied, or overpaid claims with insurance companies. Qualifications:...

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:RegularTime Type:Full timeScheduled Weekly Hours:40Department:910503 United Business Office CodingWork Shift:UR - Day (United States of America)Range:UR URG 106 HCompensation Range:$21.36 - $29.90*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,...

An established industry player in healthcare is seeking a dedicated Medical Billing Specialist to join their team. This full-time role involves managing patient accounts, resolving insurance claims, and ensuring compliance with billing regulations. The ideal candidate will have prior experience in medical billing, familiarity with ICD and CPT coding, and proficiency in Microsoft Office Suite. You will work in a supportive environment that values accuracy and confidentiality. Enjoy a stable schedule with benefits like health insurance and a 401(k) plan while making a meaningful impact in the healthcare sector. #J-18808-Ljbffr

A healthcare organization is seeking a Surgical Profee Medical Coder to ensure coding accuracy and compliance with regulations. This role involves telecommuting and requires 3+ years of experience in surgery coding and a professional coding certification. Candidates should have strong knowledge of ICD-10, CPT, and HCPCS codes. Join a team committed to advancing health equity and improving health outcomes. #J-18808-Ljbffr

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...

Medical Record Coder At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. Submits daily productivity report to HIM manager by defined deadline. Meets and maintains HIM coding quality and...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and...

Albany Med Health System is looking for a skilled Hospital Coder to join their Health Information Services team. In this role, you will utilize your expertise to ensure accurate coding and compliance with healthcare regulations, contributing to high-quality patient care. Candidates should have a high school diploma and relevant coding certifications. Excellent communication skills and the ability to work independently in a remote setting are essential. The position offers competitive hourly rates along with comprehensive benefits. #J-18808-Ljbffr

A leading research university is seeking a Medical Records Coder IV, Complex role in Albany, NY. This full-time position involves advanced coding for medical documentation across specialties, ensuring compliance with various coding guidelines. Candidates should have a high school diploma, preferably an associate's degree, and at least three years of coding experience. The aim is to support a culture of inclusivity while providing expertise in health information management. #J-18808-Ljbffr

Salary: $22-25/hour Job Title: Medical Billing Specialist Job #: 5371 Location: Albany, NY Category: Healthcare/Billing Position Type: Full-time, Direct Hire Description: Our client is currently seeking a Medical Billing Specialist to join their team. This is a full-time permanent position. Job Responsibilities: Identifies delinquent patient accounts and resolves within 90 days; works to follow up on accounts until a payment plan is set up, the account is zero balance, or turned over for collection. Resolve outstanding insurance claims within 90 days: contact insurance companies and patients, appeal underpaid, denied, or overpaid claims. Submit electronic claims as assigned. Mail insurance paper claims daily. Respond to written correspondence and phone inquiries from patients and insurance companies. Process insurance and patient refunds within 10 business days. Review and follow-up on lockbox items. Delete files once complete. Maintains strict confidentiality of all patients and...

** Coding Auditor & Education Advisor***Share by Email* Location: Phoebe Main Campus 4 year / Bachelor's Degree in Health Information Management or related medical degree (Required) ;In lieu of a Bachelor's Degree; an Associate Degree and a Minimum of 4 years additional relevant experience is acceptable. **EXPERIENCE REQUIREMENTS** 4 - 5 years Experience with ICD-9, ICD-10, and HCPCS coding including hospital inpatient medical records (Required) 4 - 5 years Extensive knowledge of medical terminology, pathophysiology, and pharmacology (Required) 4 - 5 years Experience calculating and analyzing MS-DRG, DRG, APC, and other payer reimbursement methodologies (Required) Preferred Certifications/Licensures: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), AHIMA Approved ICD-10 Trainer **GENERAL SKILLS** Organizational Skills Communication Skills Interpersonal Skills Customer Relations...

Workforce Classification: Telecommuter Join Our Team: Do Meaningful Work and Improve People’s Lives Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers list. Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Inclusion, and America's Greatest Workplaces For Mental Well-Being, Forbes ranked Premera among America’s Best Midsize Employers for the fourth time. Learn how Premera supports our members,...

Medical Records Coder II page is loaded## Medical Records Coder IIremote type: Hybridlocations: Rochester - NY: Rochester Technology Parktime type: Full timeposted on: Posted Todayjob requisition id: R266682As 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:RegularTime Type:Full timeScheduled Weekly Hours:40Department:910503 United Business Office CodingWork Shift:UR - Day (United States of America)Range:UR URG 105 HCompensation Range:$19.96 - $27.94*The referenced pay range represents the minimum and maximum compensation for...

A leading healthcare provider in Albany, NY is seeking a skilled Coder 2 to perform outpatient coding. The role requires proficiency in ICD-10 coding methodologies and at least two years of experience. Candidates must hold a relevant coding certification. Key responsibilities include reviewing documentation for accuracy, communicating with healthcare providers, and collaborating with revenue cycle departments to ensure timely billing. This position offers a competitive pay range from $26.66 to $40.00 based on experience. #J-18808-Ljbffr

A leading health services company is seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications such as RHIA, RHIT, or CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft Office. Strong communication and detail orientation are essential for success in our supportive, flexible work environment, where candidates will also enjoy competitive benefits and potential bonuses. #J-18808-Ljbffr

A leading health data exchange company is seeking an Inpatient Auditing Specialist to conduct coding audits and ensure compliance with quality standards. This fully remote position requires significant coding experience, especially in MS-DRG and APR-DRG coding. Candidates will also engage in coder education and client interaction, contributing meaningfully to healthcare decisions. Join a high-performing team committed to innovative healthcare solutions. #J-18808-Ljbffr

A healthcare institution in Albany, NY, is seeking a Senior Hospital Coder to perform detailed coding audits, provide education and feedback to staff, and ensure compliance with coding practices. The ideal candidate will possess strong knowledge in ICD-10-CM and CPT coding alongside leadership skills. The role demands commitment to ethical practices and involves educating clinical staff. The salary for this full-time position ranges from $60,367.47 to $90,551.20 depending on experience. #J-18808-Ljbffr

A healthcare provider is looking for a Coder II to perform outpatient coding with proficiency in ICD-10 and CPT systems. This fully remote role requires at least two years of coding experience and relevant certifications. Responsibilities include reviewing medical records, accurate charge coding, and collaborating with billing teams. Competitive salary ranging from $26.66 to $40.00 per hour, based on experience. #J-18808-Ljbffr