12 payment integrity coder jobs found in New York

This is a remote-based position. Applicants can be located nationwide. About You Are you an experienced coder with a background in Profee Outpatient Coding? We are seeking a highly motivated individual responsible for the precise assignment of Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes from both paper and electronic medical records. Share your Profee Outpatient Coding experience with us. Are you a collaborative team player who excels as a self-starter? What sets you apart as a professional who enhances a company’s reputation? Bring your problem-solving skills to manage multiple projects effectively. We are looking for someone exceptional—what makes you unique? If you are dedicated, value teamwork, and uphold integrity and professionalism, we are excited to meet you! About The Position Thoroughly review medical documentation to assign principal and secondary diagnoses and procedures utilizing your understanding of...

Position Overview The Inpatient-Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines. Scope of Role & Responsibilities Identifies trends and inconsistencies in provider documentation and coding practices. Audits and reviews medical records to determine if the medical record is complete, accurate, and in support of individual patient risk adjustment score accuracy. Develops curriculum to improve provider coding practices. Educates providers and their practice staff in coding guidelines. Works in collaboration with other departments, develop plans...

Inpatient-Outpatient Coder Job Ref: TE0031 Category: Claims Department: CLAIMS Location: 50 Water Street, 7th Floor, New York, NY 10004 Job Type: Regular Employment Type: Full-Time Work Arrangement: Hybrid Salary Range: $76,000.00 - $86,661.00 Position Overview The Inpatient-Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines. Scope of Role & Responsibilities Identifies trends and inconsistencies in provider documentation and coding practices. Audits and reviews medical records to determine if...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

Billing Coordinator – Full-Time Contract | New York, NY | $19–$21.00/hour | Day Shift | Healthcare Administration Location: New York, NY Job Type: Full-Time Contract Shift: Monday – Friday, 9:00 AM – 5:00 PM Pay: $19–$21.00/hour (based on experience) Referral Bonus: $500 for qualified referrals (100+ hours worked) Overview: A leading healthcare organization in New York, NY is seeking an experienced Billing Coordinator for a full-time contract position. This role is ideal for a detail-oriented professional with hands-on coding experience who takes pride in accuracy and efficiency within medical billing operations. The Billing Coordinator will perform coding using ICD-10 and CPT , ensure compliance with insurance and billing regulations, and collaborate closely with clinical and administrative teams to maintain accurate financial records. Billing Coordinator Key Responsibilities: Accurately assign and review ICD-10 and CPT codes for medical procedures and diagnoses Process and...

Job Description:You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose:The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review.Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance.Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues.Provide regular reports on project...

Job Description destinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. We are proactively building a data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable roles when they arise. Location: Various locations across New York The Medical Billing Specialist is responsible for managing the billing process for a healthcare practice, ensuring accurate and timely submission of claims and payments. This role is critical in maintaining the financial health of the organization and ensuring compliance with insurance regulations. Key Responsibilities: Prepare and submit accurate claims to insurance companies and government programs. Verify patient insurance coverage and benefits before services are rendered. Review and post payments, adjusting accounts as necessary....

Job Description Job Description Salary: $20/hr. - $25/hr. Job Summary Midwood Ambulance is seeking a detail-oriented , experienced and organized Medical Biller to join our healthcare team. The ideal candidate will have extensive knowledge of Medicaid regulations, insurance verification, and ambulance billing procedures. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding, and maintaining medical records. This role is crucial in facilitating the financial operations of our Ambulance Billing Department while adhering to industry regulations and standards. This role is responsible for managing the end-to-end billing process, with a strong focus on New York State Medicaid claims. candidate will be required to work in office 5 days. Responsibilities Process patient billing and insurance claims accurately and efficiently. Review Patient Care Reports, assign ICD-10 and CPT codes accurately Submit claims in compliance with industry...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide regular...

Z. Wilson Talent Solutions is proud to partner with a premier healthcare organization to recruit experienced Inpatient Coding Auditors for a full-time, fully remote opportunity. This role is open to qualified candidates across the United States and offers a competitive salary, annual bonus, comprehensive benefits, and paid overtime. Whether you’re an experienced auditor or a highly skilled inpatient (facility) coder ready to take the next step, this role provides a meaningful path forward. Candidates with strong inpatient coding expertise and a solid understanding of DRG reimbursement will receive training and support to develop auditing capabilities. About the Role As an Inpatient Coding Auditor, you will play a critical role in ensuring accurate DRG assignment, compliant documentation, and appropriate reimbursement. Working closely with physicians and internal stakeholders, you’ll combine your clinical coding expertise with advanced technology and analytics to support quality,...

Job Summary Midwood Ambulance is seeking a detail-oriented , experienced and organized Medical Biller to join our healthcare team. The ideal candidate will have extensive knowledge of Medicaid regulations, insurance verification, and ambulance billing procedures. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding, and maintaining medical records. This role is crucial in facilitating the financial operations of our Ambulance Billing Department while adhering to industry regulations and standards. This role is responsible for managing the end-to-end billing process, with a strong focus on New York State Medicaid claims. Candidate must be able to work 5 days in office. Responsibilities Process patient billing and insurance claims accurately and efficiently. Review Patient Care Reports, assign ICD-10 and CPT codes accurately Submit claims in compliance with industry protocols Review medical records for completeness and...

Posting Details Position Information Position Title Certified Professional Coder Position Description The University Eye Center (UEC) of the State University of New York College of Optometry, an Article 28 Diagnostic and Treatment Center, is seeking a Certified Professional Coder. The successful candidate must be detailed oriented and be able to multitask with excellent time management, problem solving and investigative skills. Understanding of managed care, Medicare, Medicaid, commercial payers and self-pay guidelines is required. Reporting to the Director of Patient Financial Services, the Certified Professional Coder will be responsible for the review of pre and post charges in order to maximize reimbursement, minimize denials and comply with accepted coding practices. Responsibilities/Job Functions: Review provider documentation for charge accuracy and correction of diagnostic and procedural coding, coding integrity and revenue optimization prior to claims...