67 outpatient complex coder jobs found in New York

GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience. One to two (1-2)...

Title: Medical Coding Specialist Lead Location: Midtown Org Unit: Administration Work Days: Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: $78,100.00 - $84,500.00 *As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summary Under supervision, assists in the development and evolution of the overall strategy for the departments coding operations This role is also responsible for reviewing medical records for compliance with coding and documentation requirements Job Responsibilities Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed. Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary. Attends workshops, seminars...

Brellium Mission Brellium's mission is to improve the standard of care across the US healthcare system. We've built AI-powered technology that helps healthcare providers deliver safer, higher-quality care - starting with the first real-time medical review platform built to fix clinical and compliance risks before they impact patients. Each year, 1 in 20 people in the U.S. experiences a medical diagnostic or compliance-related mistake. Most providers lack the time, staffing, and tools to mitigate these issues - so they go unnoticed, impacting care quality and increasing clinical and financial risk. Brellium is building the AI-powered platform that helps providers deliver safer, more consistent care by mitigating risk early and aligning patient visits with clinical best practices. Our goal is to give every provider in the U.S. the tools to deliver clinically excellent, data-driven care - at scale. Brellium was founded in 2021. Since then, we've grown to serve over 250,000 providers...

Beyond Blue Job Posting Title: PB Coder Associate Requisition Number: R-000002746 Department Name: Supervisor, PB Coding Work Location: Remote-KY Grade Level: 2 Type of Position: Regular Position Time Status: Full time Equivalency Link https://hr.uky.edu/employment/working-uk/equivalencies Shift: Days (United States of America) Job Description: Job Summary Responsible for learning and performing basic professional billing coding functions under close supervision. Applies knowledge of medical terminology, anatomy, and ICD-10, CPT, and HCPCS coding guidelines to assign codes for outpatient and physician services. Ensures accuracy and compliance with organizational policies, payer requirements, and regulatory standards. Develops foundational coding skills through training, mentoring, and supervised practice. Essential Functions • Assigns basic CPT, HCPCS, and ICD-10 to PB service with low-level of complexity. • Maintains consistent achievement of departmental productivity and...

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...

Overview At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines. This role supports the development and implementation of payment integrity initiatives by identifying coding and billing inaccuracies, trends, and potential cost savings opportunities across outpatient facility claims. The ideal candidate has advanced knowledge of outpatient coding, APC and EAPG payment methodologies, and clinical documentation requirements, with strong analytical and auditing skills. Salary Range: $100,000 - $102,500 Responsibilities Perform detailed coding audits on outpatient facility claims to validate appropriate CPT/HCPCS, revenue codes, modifiers, and ICD-10 coding...

Northwestern Medicine is seeking an Outpatient Coder II to join our coding team. You will assign ICD-10-CM and CPT-4 codes for outpatient encounters, review records, and query physicians when documentation needs clarification, ensuring high accuracy and adherence to guidelines. The role emphasizes detailed understanding of anatomy, pharmacology, and CPT/HCPCS modifiers, with focus on complex outpatient services and compliance with NCCI edits. #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...

Oxford Global Resources provided pay range This range is provided by Oxford Global Resources. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $30.00/hr - $40.00/hr Oxford is known for our unmatched ability to deliver Right Now.® We leverage over 30 years of recruiting experience and specialize in fields where superior resource solutions are most in demand. Apply today! Job Description Must have a minimum of 3 years of Inpatient or Outpatient Facility or Physician Based Coding Experience. Must have one or more of the following; (CCS, RHIT, RHIA, CPC, COC, CCS-P) At least one of the credentials (CCS, RHIT, RHIA, CPC, COC, CCS-P). Ability to code and maintain >95% quality standards and meet productivity standards as documented for each project. Advanced knowledge of medical terminology, anatomy and physiology, disease process, pharmacology, complex surgical procedures. Advanced knowledge of accepted...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Sign on bonuses available! Responsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician queries...

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...

CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix’s autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care. Overview Reporting to the Manager, Medical Coding & Audit, as a Medical Coder II or III, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers’ coding quality expectations. The Medical Coder II or III will be responsible for leveraging their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Advanced Inpatient Coding Specialist (PRN / Remote) The Advanced Inpatient Coding Specialist is a PRN (non-benefit eligible) remote position. Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: PRN (non-benefit eligible, as needed) Shift: Flexible Days: Sunday - Thursday OR Tuesday - Saturday Responsibilities The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses...

Inpatient Coding Auditor We are seeking an experienced Inpatient Coding Auditor to perform pre-bill and retrospective audits across multiple facilities. This role focuses on ensuring coding accuracy, compliance, and quality across complex inpatient cases in a large academic hospital setting. The ideal candidate will have strong inpatient auditing experience, knowledge of coding guidelines, and the ability to collaborate effectively with coding teams. Perform pre-bill reviews (100% audit of new inpatient coder charts) Conduct retrospective audits across inpatient cases Review PSI's, HAC's, diagnoses, DRGs, MCCs, and malnutrition documentation Ensure coders capture all appropriate diagnoses and procedures accurately Audit cases across multiple facilities within the system Provide feedback and support to coding teams to improve accuracy and compliance Track productivity and quality metrics using internal tools A minimum 5 years of Inpatient coding experience required A minimum of...

Overview The Coding Specialist is responsible for coordinating and participating in the coding of medical services from a variety of complex records and coding edits to include diagnosis, treatment of illness and procedures performed while ensuring accuracy of work and adherence to established coding procedures of ICD-10 and CPT-4 in the ambulatory practice setting. This role ensures compliance with all applicable regulations, ensures compliant and correct reimbursement, and supports clinical and administrative staff in understanding documentation and coding requirements. ResponsibilitiesReview and analyze medical records to ensure accurate and complete coding of diagnoses (ICD-10-CM) and procedures (CPT-4/HCPCS). Verify provider documentation supports assigned codes and meets payer-specific requirements. Ensure coding compliance with federal and state regulations, payer policies, and internal standards. Collaborate with providers, clinical staff, and billing teams to clarify...

Join to apply for the Coder III - Psych/Neurology - Remote role at UC San Diego Health 1 week ago Be among the first 25 applicants Join to apply for the Coder III - Psych/Neurology - Remote role at UC San Diego Health Get AI-powered advice on this job and more exclusive features. This range is provided by UC San Diego Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $35.30/hr - $43.88/hr Candidates hired into this position may have the ability to work remotely. UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative...

About Brellium Brellium's mission is a big one - to improve the standard of care across the US healthcare system. We've built AI-powered technology that helps healthcare providers deliver safer, higher-quality care - starting with the first real-time medical review platform built to fix clinical and compliance risks before they impact patients. Each year, 1 in 20 people in the U.S. experiences a medical diagnostic or compliance-related mistake. Most providers lack the time, staffing, and tools to mitigate these issues - so they go unnoticed, impacting care quality and increasing clinical and financial risk. Brellium is building the AI-powered platform that helps providers deliver safer, more consistent care by mitigating risk early and aligning patient visits with clinical best practices. Our goal is to give every provider in the U.S. the tools to deliver clinically excellent, data-driven care - at scale. Brellium was founded in 2021. Since then, we've grown to serve over 250,000...

Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington. *Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments. Occ Summary The Medical Records Coder II is a certified coder. Coordinate/review the work of subordinate employees and assist with the...

Job Type Part-time Description Part-Time, Remote GeBBS Healthcare Solutions is one of the nation's leading providers of medical coding services, recognized in KLAS and Black Book Market Research surveys for excellence. As we continue to experience impressive growth, we are seeking dedicated and skilled Full-Time, Remote Facility Outpatient Surgery Coding Specialists to join our team. This is a temporary, part-time (20 h/w), remote W-2 opportunity currently anticipated to run through September 2026, with the potential for extension or long-term placement based on business needs and performance. We are looking for experienced facility medical coders to code Same Day Surgery Outpatient services for hospitals across the United States. As a Facility Outpatient Surgery Coding Specialist, you will: Review documentation and accurately assign ICD-10-CM, CPT, and applicable modifiers to same-day surgery encounters. Collaborate with the coding manager to ensure accurate and timely...

Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Qualifications Work requires the level of knowledge normally acquired through completion of two to three years of occupational‑specific education beyond High School or an Associate’s Degree in Health Information Technology or a closely related field and two to three years of previous work related experience. Certified Coding Specialist (CCS) AHIMA's coding certification required or within 1 year of hire. Work requires the analytical ability to resolve problems that require the use of basic scientific knowledge and the ability to exchange information on factual matters. About Us St....

Medical Records Coder II-Ophthalmology At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee,...

Medical Coder Fully Remote • Houston, TX Overview Position Type: Full Time Education Level: High School Diploma/GED Category: Other Positions Description US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX. Position Summary The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits. Responsibilities Reviews encounter in a timely manner and resolves all coding-related edits....

Ambulatory Surgery Center Cardiology Coder Company MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker's Top 150 Places to Work in Healthcare company. We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. Position Summary The Ambulatory Surgery Center (ASC) Cardiology Coder is responsible for accurately reviewing, interpreting,...

SHIFT: Day (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview This role will be responsible for reviewing medical record documentation including procedure...