430 coder certified jobs found in New York

Unio Health Partners is seeking a Remote RCM Revenue Integrity Specialist - Coder Certified. You will ensure accurate billing, coding, and reimbursement, reviewing claims, detecting discrepancies, and implementing solutions to optimize revenue while remaining compliant. This is a PST-hours role within authorized US states. The position emphasizes cross-team communication with payors and staff to meet departmental needs effectively and efficiently. #J-18808-Ljbffr

Position: RCM Revenue Integrity Specialist - Coder Certified Location: Remote Remote Status: Remote Job Id: 900 # of Openings: 3 Company Description Unio Health Partners (UHP) is a highly differentiated physician practice management platform with the goal of transforming care delivery across the Western United States. UHP partners with leading physician practices, creating a cohesive, quality-oriented clinical culture and facilitating best practice sharing across the platform. Our affiliated practices gain access to a broader suite of services, providing a meaningful benefit to both physicians and patients. UHP's best-in-class clinical program covers three sub-specialties (urology, gastroenterology, and radiation oncology) and offers numerous ancillary services, including pathology lab, in-office dispensing, and chronic care management. We are led by a highly accomplished management team and provide a full suite of management services to its affiliated practices. UHP is...

Solaris Health Holdings in the United States is seeking a Radiation Oncology Coder Certified to code all cases with high accuracy, ensuring maximum reimbursement and adherence to coding guidelines. The role works with the Coding Supervisor to resolve denials, communicates with claims staff, and stays current on CPT, ICD, HCPCS, and regulatory requirements. Candidates should bring proven experience in radiation oncology coding, strong analytical skills, and the ability to work both independently #J-18808-Ljbffr

Responsibilities Review and code patient records for both inpatients and outpatients Assign appropriate ICD-10-CM and ICD-10-PCS codes Verify CPT-4 codes, DRGs, and APCs Requirements 1-3 years acute care coding experience Knowledge of anatomy and physiology Medical terminology proficiency Pathology of disease understanding Experience with ICD-10-CM coding Experience with ICD-10-PCS coding Experience with CPT-4 coding Associate degree in Health Information Technology Certifications: RHIA, RHIT, CCS, or CCA Core Competencies Demonstrates expertise in coding patient records with a strong understanding of ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems. Proficient in medical terminology, anatomy, and physiology, with a focus on acute care coding. #J-18808-Ljbffr

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and...

Job Type Full-time Description NO WEEKENDS, NO EVENINGS, NO HOLIDAYSWe offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package!Benefits: • Health insurance • Dental insurance • Vision insurance • Life Insurance • Pet Insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan GENERAL SUMMARY The Radiation Oncology Coder Certified is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder Certified will ensure quality and productivity standards are met. The Coder Certified will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials. Requirements ESSENTIAL JOB...

How you move is why we’re here. ® Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let’s talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise. Emp Status Contractor Part time Work...

To ensure the accuracy and compliance of diagnosis coding in risk adjustment programs, the contract-to-hire Certified Risk Coder Auditor will conduct medical record audits, validate diagnosis codes, and provide coding guidance while working remotely. Key Responsibilities Perform prospective and retrospective medical record reviews and audits Validate diagnosis code accuracy, completeness, specificity, and appropriateness based on provider documentation Identify coding and documentation deficiencies and provide written and verbal feedback Required Qualifications 7+ years of relevant professional experience 5+ years of HCC/Risk Adjustment coding experience utilizing inpatient and outpatient coding guidelines 5+ years of Risk Adjustment auditing experience CRC (Certified Risk Coder) certification in good standing Strong knowledge of Medicare, ACA Commercial, and Medicaid risk adjustment models

Brellium is hiring a certified medical coder to code and audit outpatient encounters, focusing on CPT, E/M levels, and ICD-10-CM diagnoses. You will validate coding decisions with documentation and collaborate with Customer Success, Product, and Engineering to improve automated coding at scale. You will work with senior coders and clinicians to ensure accuracy, defensibility, and payer alignment, contributing to QA, training, and evolving coding playbooks within a modern, technology-driven team. #J-18808-Ljbffr

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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a RCM Specialist / Certified Professional Coder (CPC) based in United States. This role provides an opportunity to support accessible, patient-centered healthcare by ensuring accurate and efficient revenue cycle operations. The RCM Specialist will manage claims, resolve billing challenges, and help maintain smooth financial processes that support high-quality care delivery. Working in a fast-paced remote environment, this position requires strong attention to detail, problem-solving skills, and excellent communication abilities. The role combines medical billing expertise with compassionate interactions across patients, providers, payers, and internal teams. You will contribute to improving operational efficiency by identifying trends, reducing claim issues, and supporting compliance standards. This is an ideal opportunity for a certified coding...

Saint Francis Hospital, Inc. is seeking a Pro Fee Coding Specialist to review documentation and apply or correct diagnosis and procedure codes based on established coding resources. The role requires knowledge of medical records, encoder basics, and familiarity with billing standards. Certification within one year is expected if not already held, with two years related experience preferred. #J-18808-Ljbffr

Job Opportunity At Hospital For Special Surgery How you move is why we're here. Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise....

Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. Skills At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and...

Coding Specialist Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. Position Summary: Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Position Responsibilities: Key Areas of Responsibility Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets...

RCM Specialist / Certified Professional Coder (CPC) Remote - United States Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU) to ensure coding accuracy and compliant documentation across medical, behavioral, transportation, and other healthcare providers. You will audit records, articulate findings to investigators and leadership, stay current with CPT/HCPCS/ICD-10 guidelines, and contribute to fraud detection and cost savings while working full-time with a 40-hour week. #J-18808-Ljbffr

Lead Certified Coder, Acute Inpatient (Remote) United States Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including inpatient encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements: Education and...

Community Memorial Hamilton, NY 13346, USA Pay and Shift Range $23 USD to $26 USD. The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. Description Performs timely and accurate coding of the visit; ensuring diagnosis to the highest specificity, accurate E/M level and capture of all procedures/modifiers. Reviews the medical record to ensure consistency and accuracy as well as compliance with established third-party reimbursement agencies. Participates in regular education with all Physicians, APPs and other team members. Maintains current status, in good standing, with coding certificate. Remains updated and fluent with AAPC and other coding bulletins, newsletters and guidelines. Be prepared coding new and upcoming procedures. Assists patients in implementing solutions to reduce back-end billing errors. Maintains patient confidentiality...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). You will ensure coding compliance, review medical records, and verify adherence to state, federal, and company policies. Strong communication with investigators and regulators is essential. Responsibilities include auditing records for CPT/HCPCS alignment, researching guidelines, and identifying potential billing issues or fraud. #J-18808-Ljbffr

Performs timely and accurate coding of the visit; ensuring diagnosis to the highest specificity, accurate E/M level and capture of all procedures/modifiers. Reviews the medical record to ensure consistency and accuracy as well as compliance with established third-party reimbursement agencies. Participates in regular education with all Physicians, APPs and other team members. Maintains current status, in good standing, with coding certificate. Remain updated and fluent with AAPC and other coding bulletins, newsletters and guidelines. Be prepared coding new and upcoming procedures. Assists patients in implementing solutions to reduce back-end billing errors. Maintains patient confidentiality at all times. Complies with all HIPAA and privacy standards. Complies with organizational policies regarding ethical business practices. Performs other duties as assigned or requested. #J-18808-Ljbffr

ASC–CIRCC Certified Coder (Cardiovascular / Interventional Radiology) Department: Revenue Cycle / Business Office Reports To: Revenue Cycle Manager FLSA Status: Non-Exempt Location: Remote The ASC–CIRCC Certified Coder is responsible for accurately assigning CPT®, ICD-10-CM, and HCPCS codes for cardiovascular and interventional radiology procedures performed in an ambulatory surgery center (ASC) or hospital outpatient setting. This role ensures compliant coding, appropriate reimbursement, and adherence to federal, state, and payer regulations. The coder works closely with physicians, clinical staff, billing teams, and compliance personnel to support revenue integrity and audit readiness. Key Responsibilities Assign accurate CPT®, ICD-10-CM, and HCPCS Level II codes for cardiovascular and interventional radiology procedures Apply correct modifiers in accordance with payer and regulatory guidelines Review operative reports, procedure notes, and supporting documentation to...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The role focuses on ensuring coding accuracy and compliant documentation across medical records, with emphasis on CPT/HCPCS, ICD-10, and CMS guidelines. Responsibilities include audits, detailed reporting, and presenting findings to investigators and leadership while staying current with coding changes. #J-18808-Ljbffr

Certified Coder - Obstetrics and Gynecology Apply locations Remote time type Full time posted on Posted 6 Days Ago job requisition id JR87601 Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation...