34 certified professional coder jobs found in Albany

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...

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...

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 URCB 209 HCompensation 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, market data, education, experience,...

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

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

Eddy Visiting Nurse and Rehab Association is seeking a Registered Nurse (RN) coder/OASIS reviewer to join our interdisciplinary Home Care team. The role allows flexible remote work with opportunities for per diem, part-time, or full-time employment and focuses on coding and OASIS reviews for SOC, ROC, and recertifications. Ideal candidates have a NYS RN license, HCS-D, and ideally HCS-O or COS-C, with at least one year of healthcare experience. #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

The Eddy Visiting Nurse and Rehab Association is seeking a RN CODER/OASIS Reviewer to join our interdisciplinary Home Care team in a flexible remote-capable role. This position codes and reviews OASIS on SOC, ROC, and RECERTS, aligning with Coding and OASIS guidelines while supporting high-quality patient care. We value NYS RN licensure, HCS-D, and COS-C/HCS-O credentials, with at least one year of healthcare experience; home care experience is preferred. Flexible shifts available. #J-18808-Ljbffr

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Job Description This position is working in the Surgical Coding area which could include OR/Endoscopy/Deliveries Fully Remote Flexible Work Schedule once trained. Role Overview As a Medical Coder, you will play a vital role in ensuring accurate and...

Datavant is seeking experienced outpatient coders for a fully remote role. Candidates will review medical records, assign accurate diagnosis and procedure codes, and ensure proper APC assignment while maintaining high accuracy and productivity. Strong knowledge of medical terminology, AHIMA/AAPC credentials, and ability to work independently are essential. This position offers a flexible schedule and the opportunity to contribute to healthcare data solutions from a home workspace. #J-18808-Ljbffr

## Inpatient Hospital CoderApplylocations: 22 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 70795Department/Unit:Health Information ManagementWork Shift:Day (United States of America)Salary Range:$59,066.00 - $88,599.00The Inpatient Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnosis and procedural (PCS) codes, 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 position is remote.**Essential Duties and Responsibilities*** Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the...

Eddy Visiting Nurse and Rehab Association in Troy, NY, is seeking a full-time CODER/OASIS reviewer to join our HomeCare team. The role codes and reviews OASIS assessments for SOC, ROC, and RECERTS, collaborating closely with clinicians to maintain high-quality, compliant documentation. Candidates must have CODER certification or be in the process, with at least one year of healthcare experience and NYS RN licensure. #J-18808-Ljbffr

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...

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...

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 (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. 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...

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: 900370 Health Info Mgmt-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 factors including, but not limited to, market data, education, experience,...

Employment Type: Full time Shift: Day Shift Description: Come join the satisfied, long-term staff of this 5 out of 5 Star Agency. There’s not a local agency that compares to us! Eddy Visiting Nurse and Rehab Association has a rewardingopportunity for a per diem, part time, or full time Registered Nurse (RN) CODER/OASISReviewertojoin ourinterdisciplinaryHome Care team! Flexibility to work remote What you will do: The role of thecoding/OASIS position is to code and complete OASIS reviews on SOC, ROC, and RECERTS, meetingCodingand OASIS guidelines. We take pride in our job at EVNRA working closely with the clinical team to achieve a 5 Star - Top 6% in the country. Requirements: Valid NYS Registered Nurse license Must have current HCS-D Must have either current HCS-O or COS-C (preferred). COS-C Certification would have to be obtained within a year of hire if missing. Must have one yearofpreviousexperience in the health care field. Additionalexperience working with seniorsand/or in home...

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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Albany Medical Center is seeking an Inpatient Hospital Coder to join Health Information Management. This remote, full-time role requires strong ICD-10-CM/PCS coding knowledge, familiarity with 3M 360 and EPIC, and precise coding to ensure compliant reimbursements. Responsibilities include using encoding systems, clarifying documentation with providers, maintaining privacy, and contributing to data reporting. #J-18808-Ljbffr

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...

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...