27 coder lead jobs found in New York

API Lead EngineerAs Lead Enterprise API & Platform Engineer, you will lead the design and delivery of enterprise technology platforms with a focus on API-first architecture, AI-native enablement, and modernization. You will develop and execute the key technology components of the API Hub Services and ensure alignment with Client's emerging API centric modernization strategy. You will work closely with other principals and senior strategic leaders to drive alignment with overall enterprise business and technology strategy and will guide engineering organizations to continually improve engineering practices and implementation outcomes. You are a results-oriented technical leader skilled at turning concepts into scalable solutions. Collaborates well across teams to ensure excellent delivery. Passionate about new technologies and improving developer experience. Self-driven, with strong technical leadership and a focus on process and quality.You WillLead API and Platform...

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

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...

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...

Start Date: 2/24/2025 Contract: 6 month CTH HARD Requirements: Facility outpatient complex coding experience (5+ years experience) with at least 1 year educator/lead/etc. Could be someone who has worked 50/50 with education and productivity as their main responsibilities. Additional related education and/or experience preferred. ED experience is a plus. Outgoing and able to speak publicly to large teams virtually. Certifications: CPC license required Preferred COC, CCS, CPT Equipment: Laptop issued from Client Location: Fully remote Working AZ time, but can be flexible Assessment: Health Stream assessment will be taken after interview Metrics: Dependent on the tasks coming their way 1 on 1's with coders biweekly Applications: EMR - Cerner Optum coding software Interview Process: Team Size: Work in tandem with 2 outpatient educators (3 educators in total) Take care of several teams - outpatient diagnostics, ED, Outpatient complex (observation/surgery (complex)) A total of 100-120...

Empower Healthcare and Compliance Partners (Empower HCP) (subsidiary of CareCloud) is a leading healthcare compliance and networking firm dedicated to equipping providers and systems with the necessary tools, resources, and expertise to navigate the ever-changing regulatory landscape. We understand that compliance is the foundation of providing safe, ethical, and high-quality care to patients. Our mission is to empower healthcare organizations to meet compliance standards effectively, fostering better outcomes and trustworthy services in the healthcare industry. Audit Defense Auditor/Coder This job is responsible for the successful delivery of detailed and complex medical record reviews for Audit Defense and Regulatory Audits. The incumbent is responsible for the interface with clients and staff. The incumbent is responsible for completion of coding audits review of medical records and coding for appropriate interpretation and designations including chart documentation review,...

The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Lif Averages 10 front-end holds per hou Maintains a minimum of 90% coding accuracy Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment Reviews medical records and all applicable documentation to determine appropriate codes for documented services...

Outpatient Payment Integrity Production CoderMedReview 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 ResponsibilitiesPerform 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 whether the...

Position Summary:  MedReview is looking for a 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...

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers--with new clients and provider networks added every month as our organization scales.In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management.Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory.This position...

Department / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.This position is remote but does require onsite education to providers as needed.This position has remote opportunityThis position requires a CPC Certification - Upon HireTwo years or more prior experience in professional fee coding - requiredEssential Duties and...

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 remote...

Job Description Job Description About Sunrise Group Sunrise Group is building the future of sleep health by combining breakthrough technology with expert care. We started in 2015 with a straightforward idea: sleep diagnosis should happen in the comfort of your own home, not in a hospital. To make that possible, we created a first-of-its-kind chin sensor, carefully validated through clinical research, reviewed by leading sleep experts, and cleared by the FDA. Since then, Sunrise Group has grown from a single innovation into a complete sleep health company. We now design advanced diagnostic and treatment solutions, and we deliver care directly to patients through Dreem Health, our digital sleep clinic. By serving patients in all 50 states with reimbursed care, we are making sleep treatment more accessible, more personal, and much simpler than it has ever been.   Your Opportunity We are seeking a detail-oriented and experienced Medical Billing Associate to join our remote...

OneOncology is seeking a Senior Medical Coding Specialist to lead daily charge reviews for visits, diagnoses, radiation oncology services, and procedures to ensure accurate coding and compliant entry. This role acts as a coding resource, answers questions, and supports advanced coding scenarios for the team. The Senior Medical Coding Specialist trains new coders while continuing to perform the core duties of entering charges into the EMR or practice management system and auditing documentation #J-18808-Ljbffr

Overview Responsible for the daily ICD-10 and CPT-4 coding of the department records. Responsible or billing, collection and related issues, such as edits, correspondence and accounts receivables. Other secretarial and clerical duties as required. Assist with the daily operations of the practice as needed. For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors. Responsibilities Verifies CPT-4 codes and identifies principal and secondary ICD-10 codes * Coding is 100% accurate Reviews all physician documentation in EPF for appropriate billing and coding * Coding is 100% accurate to maximize reimbursement Reviews all TES/Medicode coding edits * Coding is 100% accurate Reviews and resolves all coding denials * Unpaid claims are reduced in a timely manner to maximize reimbursement Gathers, clarifies and verifies necessary patient treatment...

Location: Las Vegas, Nevada, United StatesCompany: University Medical Center of Southern NevadaPosted: Location: Las Vegas, Nevada, United StatesCompany: University Medical Center of Southern NevadaPosted: Location: Las Vegas, Nevada, United StatesCompany: University Medical Center of Southern NevadaPosted: Location: Las Vegas, Nevada, United StatesCompany: University Medical Center of Southern NevadaPosted: Location: Las Vegas, Nevada, United StatesCompany: University Medical Center of Southern NevadaPosted: Location: Las Vegas, Nevada, United StatesCompany: University Medical Center of Southern NevadaPosted: Location: Las Vegas, Nevada, United StatesCompany: University Medical Center of Southern NevadaPosted: Location: Las Vegas, Nevada, United StatesCompany: University Medical Center of Southern NevadaPosted: Location: Las Vegas, Nevada, United StatesCompany: University Medical Center of Southern NevadaPosted: Location: Las Vegas, Nevada, United StatesCompany: University Medical...

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...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder Full TIme Avondale, LA, US GENERAL SUMMARY OF DUTIES: Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. SUPERVISION EXERCISED: None ESSENTIAL FUNCTIONS: Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes; must be able to...

Job Description Description The Certified Medical Coder is responsible for coordinating, verifying and coding appropriate ICD-10, CPT, and HCPCS codes for all surgical procedures within our orthopedic practice in a timely manner. Essential Job Responsibilities Codes surgical procedures performed and diagnosis on charge. Verifies and completes charge information in database and produces billing. Provides additional information and reports to physicians and staff on appropriate codes. Appends modifiers when appropriate. Performance Requirements Knowledge Knowledge of medical practices and surgical procedures - specifically in orthopedics Knowledge of computerized billing, EMR/EPM system. Athena Healthcare experience a plus! Knowledge of traditional insurance plans, HMO/PPO’s, Medicare, Medicaid, and Worker’s Comp. Knowledge medical terminology and anatomy of the body. Skills Proficient skills in computer programs including spreadsheets. Skill in written and verbal...

Sierra7 is seeking a Part-Time Outpatient Medical Coder to perform remote coding for VA Health Care System. You will access VistA/CPRS, read medical records, and apply CPT/HCPCS/ICD codes while adhering to HIPAA and privacy standards. We require at least 2 years of outpatient coding experience, preferably with VA/government contracting experience. The role offers a minimum of 20 hours per week with flexible scheduling from Monday through Sunday. #J-18808-Ljbffr

Job Summary A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if not, obtains them. Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met. Evaluates claims for conflict of interest and criteria appropriateness. Works within established timeframes set by program parameters. Provides strong customer service skills and works closely...

Sr. Embedded Coder At TE, you will unleash your potential working with people from diverse backgrounds and industries to create a safer, sustainable and more connected world. Job Description: Day-to-Day Job Overview Develop new and revise existing firmware Full Software Development Lifecycle according to DO-178 Gitlab pipelines for test automation Generate deliverables and documentation This is a fully remote position. Job Requirements SW Architecture Design, Planning and Documentation Programming Arm Cortex microcontrollers Programming 16-bit PIC microcontrollers Serial communications protocols (RS485, SPI, I2C, 1553, ARINC 429 & 825, CAN) Non-volatile Memory, EEPROM Emulation, ROM, storage of configuration constants Cybersecurity requirements including boot protection, image verification, NVM CI/CD using GitLab DO-178 development expertise MISRA-C linting Writing and utilizing bootloaders Excellent debugging methodology and tools (JTAG, SWD) Selection of MCUs for new...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health. Location: Hybrid (Local to Charlotte, NC; Denver, CO; or New York, NY area) Position Overview We are...