53 coder credentialed jobs found in New York

Job Description Job Description 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. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully...

Aptive seeks a Lead VHA Contract Coder for remote work. The role involves outpatient and inpatient coding as well as mentoring other coders. Candidates should have proficiency in coding standards and at least three years of VHA experience. This part-time position allows for flexible hours, ideal for a credentialed VHA coder wanting supplemental work. Following established guidelines, the lead coder will ensure compliance with all relevant regulations and standards while providing education to team members. #J-18808-Ljbffr

AI Content Validator For Healthcare Operations Assess and validate AI-generated content related to healthcare operations, ensuring responses are accurate, practical, and aligned with industry expectations. Analyze, score, and compare model outputs to support ongoing AI development and performance enhancement. Develop well-written, subject matter expert responses to operational healthcare scenarios for use in model training and benchmarking. Identify inaccuracies, inconsistencies, or unclear recommendations within model-generated content and provide actionable feedback for improvement. Create authentic healthcare operations use cases based on professional experience, including scenario design, supporting documentation, input datasets, and evaluation criteria. Test AI performance against custom-built scenarios and refine tasks based on quality reviews and stakeholder feedback. Adhere to project standards, documentation guidelines, and submission requirements with a high degree of...

Outpatient Payment Integrity Production Coder MedReview is looking for an Outpatient Payment Integrity Production Coder. The Outpatient Payment Integrity Production Coder is responsible for completing claim-level outpatient coding reviews to identify inaccurate coding, unsupported billing, documentation gaps, and potential overpayments. This role supports payment integrity operations by applying outpatient coding expertise, client payer policy, CMS guidance, CPT/HCPCS requirements, modifier rules, NCCI edits, and medical record documentation standards to ensure audit findings are accurate, defensible, and client savings consistently recovered. Key Responsibilities Perform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG logic, and supporting documentation. Validate whether billed outpatient services are supported by documentation and...

Athra Systems/Crosstown Mental Health is seeking a Remote Behavioral Health Medical Coder to join our remote coding team. You will review provider documentation and assign ICD-10-CM, CPT, HCPCS, and E/M codes for behavioral health services, ensuring compliance with official guidelines and accurate reimbursement. The ideal candidate holds a CCS credential, has 3+ years of professional medical coding experience (behavioral health preferred), and can work independently with strong attention to #J-18808-Ljbffr

Responsibilities Responsible for daily coding, auditing and diagnosis-related group (DRG) validation of assigned encounters is accurate and compliant with outpatient standards Conduct reviews and provide recommended corrections of billed services for medical records, ensuring accuracy and compliance with current coding guidelines and regulations Conduct DRG validation to ensure appropriate assignment based on clinical documentation and coding Review and audit billed services, providing recommended corrections related to clinical documentation to maintain coding integrity Assist in reviewing and responding to payer and governmental audits of billed services Stay current with and apply new coding guidelines and codes, maintaining expertise in CPT, HCPCS, and ICD-10 coding systems Meet established daily accuracy and production standards as per department policy Collaborate with healthcare team members to ensure continuity of services and clarity in clinical documentation...

Alteva RCM seeks a Professional Coder to review clinical documentation and assign diagnosis and CPT codes for professional services across specialties. You will apply coding guidelines and payer rules to ensure accurate submissions and timely reimbursement. Requirements include 3+ years of hands-on coding experience, active AHIMA or AAPC credential, and proficiency with CPT/ICD-10-CM. The role emphasizes accuracy, compliance, and continual learning in a fast-paced environment. #J-18808-Ljbffr

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

VP, Client ServicesSimpson Healthcare, an established scientific agency, has been a dedicated partner to clients in the life sciences industry for over 20 years. We are seeking a VP, Client Services to join our growing team within IQVIA in support of both new & ongoing client relationships.The VP, Client Services ("VP") is responsible for managing client relationships, delivering projects in alignment with operational excellence standards, and leading account team. VP is accountable and responsible for the assigned clients both in terms of growing and nurturing relationship and ensuring all deliverables meet or exceed client expectations. VP is also responsible for day-to-day success of their team and continued growth and development of individual team members.Client Relations and Brand ManagementEstablish meaningful, professional relationships with client stakeholders, including gaining understanding of their individual roles, communication preferences, personal motivators,...

Henry Ford Health is seeking an Outpatient Complex Coder to ensure accurate reimbursement and data integrity across patient records. The role emphasizes precise abstracting, coding, and data management for research and care quality initiatives. The ideal candidate holds RHIT, CPC, or CCS credentials, with two+ years of coding experience and familiarity with anatomy, physiology, pharmacology, and coding guidelines. This remote position supports reimbursement accuracy and regulatory compliance. #J-18808-Ljbffr

Job Description Day-to-Day Responsibilities Review and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines. Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement. Abstract key patient and encounter data for billing, regulatory, and reporting purposes. Audit medical records to ensure documentation supports services billed and identify documentation gaps. Communicate with physicians and providers to obtain coding and documentation clarifications. Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits. Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues. Maintain quality and productivity standards while meeting a 95% coding accuracy requirement. Work within EMR, hospital information systems, and encoder software in a fully remote environment. Stay current on coding regulations, payer requirements, and continuing education...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Reporting to the Supervisor of Outpatient Coding, The OP Senior Coder is a vital multifaceted role within the Outpatient Coding Department. This position provides support to the Outpatient Coding Department as a OP coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The OP Senior Coder is also required to mentor other team members and also prepare them for the role of OP Senior Coder. The OP Senior Coder possesses a strong level of OP clinical coding expertise, and has the ability to handle multiple priorities. This...

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Outpatient Coder Auditor reviews and analyzes documentation present in the medical record for Outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International...

Inpatient Hospital CoderThe 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 fully remote.Essential Duties and ResponsibilitiesUse 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 of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety...

AI Content Validator For Healthcare OperationsAssess and validate AI-generated content related to healthcare operations, ensuring responses are accurate, practical, and aligned with industry expectations. Analyze, score, and compare model outputs to support ongoing AI development and performance enhancement. Develop well-written, subject matter expert responses to operational healthcare scenarios for use in model training and benchmarking. Identify inaccuracies, inconsistencies, or unclear recommendations within model-generated content and provide actionable feedback for improvement. Create authentic healthcare operations use cases based on professional experience, including scenario design, supporting documentation, input datasets, and evaluation criteria. Test AI performance against custom-built scenarios and refine tasks based on quality reviews and stakeholder feedback. Adhere to project standards, documentation guidelines, and submission requirements with a high degree of...

Description Assess and validate AI-generated content related to healthcare operations, ensuring responses are accurate, practical, and aligned with industry expectations. Analyze, score, and compare model outputs to support ongoing AI development and performance enhancement. Develop well-written, subject matter expert responses to operational healthcare scenarios for use in model training and benchmarking. Identify inaccuracies, inconsistencies, or unclear recommendations within model-generated content and provide actionable feedback for improvement. Create authentic healthcare operations use cases based on professional experience, including scenario design, supporting documentation, input datasets, and evaluation criteria. Test AI performance against custom-built scenarios and refine tasks based on quality reviews and stakeholder feedback. Adhere to project standards, documentation guidelines, and submission requirements with a high degree of accuracy and attention to detail....

Managed Resources, Inc. is seeking a skilled HCC/E/M coder for a fully remote, full-time role serving healthcare clients nationwide. The position emphasizes accurate ICD-10-CM coding, risk adjustment, and client collaboration to ensure compliant documentation and optimal reimbursement. The ideal candidate brings 5–7 years of HCC coding experience, current credentials (CPC/COC/CCS-P or CRC preferred), and strong Excel/EMR proficiency. #J-18808-Ljbffr

A healthcare consulting firm seeks an experienced OP/Profee Coder to work fully remote from the United States. The ideal candidate will have expertise in ortho surgery, general surgery, and other specialties. Applicants must possess specific credentials including RHIA, RHIT, CCS, among others, and have recent experience with Epic and 3M. This is a full-time position offering flexibility and the chance to work from home. #J-18808-Ljbffr

Bronx-Lebanon Hospital Center is seeking a skilled Medical Records Coder to review clinical documentation and assign ICD-10-CM/PCS codes for inpatient records. You will ensure accurate DRG assignments and compliance with official guidelines under the direction of the Health Information Management leadership. The role requires 2–4 years of coding experience, CCS certification, and familiarity with Medical Records Information Systems; ongoing credential maintenance is expected. #J-18808-Ljbffr

Overview Aya Healthcare is looking for remote coders to fulfill upcoming needs at our partner facilities! Please note, this is an "evergreen" opening. You may not be contacted immediately. Job Details Job title: Medical Coder Contract duration: 13-52 weeks Shift: Day Reporting location: 100% remote Onboarding time: Expect 2-3 weeks from offer acceptance to start date. Responsibilities The position is primarily responsible for coding medical records and other documents at the conclusion of the patient’s visit. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, and sequencing diagnoses and procedures. This role includes research and planning aligned with department productivity standards and maintaining the approved work schedule. Qualifications Bachelor's Degree in Health Information Management or similar field preferred. 2+ years of relevant experience preferred. Familiarity or experience with Computer Assisted Coding and/or...

Houston Methodist is seeking an Inpatient Coder to assign accurate ICD-10-CM/PCS codes based on documentation within the medical record, while adhering to coding guidelines and regulatory requirements. The role requires at least one year of inpatient coding experience or completion of the Coding Apprentice/Transition Program, along with an AHIMA credential (RHIT/RHIA/CCS) and CAHIIM-accredited education. Strong communication and EMR proficiency are essential. #J-18808-Ljbffr

About the job Remote Inpatient Facility Coder Inpatient Facility Coder VA Northeast Ohio Healthcare System - Cleveland, Ohio This Position Is Contingent Upon Bid Award Work Location Department of Veterans Affairs VA Northeast Ohio Healthcare System / Cleveland VA Medical Center Wade Park Campus 10701 East Boulevard Cleveland, OH 44106 Citizenship / Access Requirements U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements. Security Requirements No classified clearance is specified. Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply. Estimated Compensation $35.21 per hour. Working Hours Work must be staffed within the Monday-through-Friday service window of 6:00 AM-6:00 PM local facility time. Individual schedules will be assigned based on operational needs; off-hours work requires prior...

A leading health information management services company seeks a Medical Coding Consultant specializing in outpatient coding. The role involves auditing diagnostic and procedural codes to ensure compliance with coding guidelines. Candidates should possess relevant credentials and have at least three years of auditing experience. The position offers a competitive salary range of $76,000 - $90,000 and benefits. Ideal for detail-oriented individuals with strong analytical skills and a background in medical documentation. #J-18808-Ljbffr

VA Northeast Ohio Healthcare System is seeking an Inpatient Facility Coder to review inpatient records and assign ICD-10-CM/PCS codes for the Cleveland, OH facility. The role requires VA-related experience and AHIMA/AAPC credentials. Remote work is authorized via approved VA VPN with standard business hours. Period of performance spans Nov 2026 to Oct 2028, with potential extension, at a competitive hourly rate. #J-18808-Ljbffr