215 jobs found in New Hyde Park, NY

Job Description Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor- Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and eager to make a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the perfect blend of in-office collaboration and remote work, all while contributing to an organization committed to excellence in patient care and regulatory adherence. In this pivotal role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional-to audit and monitor clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding, and documentation will support our...

Job Description Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3.Able to communicate effectively with coders and CDI staff. 4.Demonstrates knowledge of coding policy and procedures. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 8.Implements coding changes; demonstrates ability to relate coding changes accurately and...

Job Description We are looking for a seasoned Senior Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading neurological medical center, located in Manhattan, NY. The company provides incredible benefits with health insurance premiums as low as $1 per paycheck and generous paid time off. In this role you will be ensuring timely and accurate claims processing, managing denials, and assisting with billing-related reporting and audits. This is a full-time, permanent job. Monday - Friday, 9:00am-5:00pm, working from the office. Requirements: • 5+ years of experience in medical billing and claims processing, and insurance follow-up. • Certification in medical billing and coding preferred (e.g., CPC, CPA, or equivalent). • In-depth knowledge of CPT, ICD-10, and HCPCS coding systems. Responsibilities: • Timely and accurately submit claims to...

Job Description Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or...

Job Description Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Are you a seasoned compliance professional with a passion for anesthesia and healthcare auditing? Do you thrive in fast-paced environments where your expertise can make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in safeguarding healthcare integrity and regulatory excellence! Position Summary: As a Lead Compliance Auditor, you will leverage your extensive anesthesia auditing experience to oversee comprehensive compliance reviews, develop training programs, and collaborate with senior leadership to enhance our compliance framework. Your expertise will ensure the organization remains at the forefront of regulatory adherence, risk mitigation, and quality improvement. Ready to make a difference in...

This position follows a hybrid model with 1-2 onsite days. Job Description Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity. Job Responsibility 1.Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines ( ICD-10-CM, CPT, HCPCS). 2.Applies advanced knowledge of pediatric anatomy, physiology, and medical...

Company: Schultheis & Panettieri, LLP Position: Travel Payroll Compliance Auditor Job Location: New York with travel to various areas of the USA Salary Range: $58,000-$65,000 CPA firm specializing in labor unions and related benefit fund audits seeks a traveling Payroll Compliance Auditor to ensure employers make contributions to benefit funds in compliance with applicable agreements. This position will require local and overnight travel, up to 30-40%. Employees who travel will be eligible for mile reimbursement and travel stipends . Background in Auditing not essential. We will train the right candidates. Payroll professionals, bookkeepers, data analysts and recent college graduates encouraged to apply ! Multiple positions available. Great atmosphere and excellent benefits. Job Responsibilities: Analyze payroll and related records to ensure completeness and compare to pension and health fund data Analyze general ledgers and cash disbursement...

Company: Schultheis & Panettieri, LLP Position: Payroll Compliance Auditor Job Location: Floral Park, NY Salary Range: $58,000-$65,000 Hauppauge CPA firm specializing in labor unions and related benefit fund audits seeks Payroll Compliance Auditors to ensure employers make contributions to benefit funds in compliance with applicable agreements. Background in Auditing not essential. We will train the right candidates. Payroll professionals, bookkeepers, data analysts and recent college graduates encouraged to apply ! Interest in overnight travel a plus but not required. We have offices in Hauppauge, NY, Floral Park, NY and Iselin, NJ. Multiple positions available at all office locations. Great atmosphere and excellent benefits. Job Responsibilities: • Analyze payroll and related records to ensure completeness and compare to pension and health fund data • Analyze general ledgers and cash disbursement records • Communicate with employers to ensure...

We are working with a client in the Lake Success area who is looking to bring on a medical biller who is experienced with medical claims denials and working with insurance companies. This position is temp to hire and our client is looking to bring on someone as soon as possible. Responsibilities: Review submitted claims for accuracy Conduct timely follow-up and research on all unpaid claims with insurance companies Work on insurance appeals and corrected claims correspondence Utilize all available portals for claim information Create and submit appeals and corrected claims packets, and other disputes, as necessary Assist with obtaining pre-authorizations when needed Skills: High school diploma Minimum of 5 years medical billing experience At least 1 year of Out-of-network billing experience Excellent communication and interpersonal skills Must be computer proficient Qualifications: Approximately 5+ years of full cycle medical billing...

Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3.Able to communicate effectively with coders and CDI staff. 4.Demonstrates knowledge of coding policy and procedures. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff....

Req Number 176729 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 4.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI...

Job Description Job Description Benefits: 401(k) Free uniforms Health insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller / Front dek manager to join our outpatient cardiology clinic in uptown manhattan! As a Medical Biller, you will be working closely with patient, staff and the doctor to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist with processing insurance claims through both private insurance and...

About us: New York Plastic Surgical Group (NYPS Group) is the largest and longest-running private and academic plastic surgery practice in the United States. With more than 20 board-certified plastic surgeons practicing across 10+ affiliated offices, ambulatory surgery centers, and over 20 hospitals, NYPS Group provides expert, comprehensive, and compassionate care. Founded in 1948, NYPS Group, a division of Long Island Plastic Surgical Group, is one of the nation’s most well-established plastic surgery practices, offering patients the collective expertise of specialty-trained surgeons dedicated to achieving exceptional outcomes. Required Experience: Minimum of 3 years of medical billing experience Strong working knowledge of ICD-10 and CPT coding In-depth understanding of medical coding guidelines and practices Proficient in reviewing and analyzing operative reports for accurate coding Excellent written and verbal communication skills Ability to prioritize...

FemmPro OB/GYN is seeking a full-time, sharp, highly motivated individual who can keep up in a high paced environment for our thriving OB/GYN and Midwifery Practice. Job Responsibilities include, but are not limited to : • Proactively research and resolve claims based on assignment. • Contacting payers via phone or website, writing appeals, and facilitating their direction for submission, and all other activities that lead to the successful adjudication of eligible claims • Handles Re-Credentialing whenever required by insurance companies • Manage and resolve unpostables, manage remittance and, all correspondence in each of the dashboards daily • Manage and resolve Zero-Pay Worklist, Unpaid claims, Fully Worked Receivables, Review and respond to adjustments / payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting • Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding,...

Job Description Job Description   Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Specialty Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone.  Responsibilities  Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the...

Req Number 176936 Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3.Able to communicate effectively with coders and CDI staff. 4.Demonstrates knowledge of coding policy and procedures. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 8.Implements coding changes; demonstrates ability to relate coding changes accurately...

Req Number 166842 We are looking for a seasoned Senior Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading neurological medical center, located in Manhattan, NY. The company provides incredible benefits with health insurance premiums as low as $1 per paycheck and generous paid time off. In this role you will be ensuring timely and accurate claims processing, managing denials, and assisting with billing-related reporting and audits. This is a full-time, permanent job. Monday - Friday, 9:00am-5:00pm, working from the office. Requirements: 5+ years of experience in medical billing and claims processing, and insurance follow-up. Certification in medical billing and coding preferred (e.g., CPC, CPA, or equivalent). In-depth knowledge of CPT, ICD-10, and HCPCS coding systems. Responsibilities: Timely and accurately submit...

Req Number 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Are you a seasoned compliance professional with a passion for anesthesia and healthcare auditing? Do you thrive in fast-paced environments where your expertise can make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in safeguarding healthcare integrity and regulatory excellence! Position Summary: As a Lead Compliance Auditor, you will leverage your extensive anesthesia auditing experience to oversee comprehensive compliance reviews, develop training programs, and collaborate with senior leadership to enhance our compliance framework. Your expertise will ensure the organization remains at the forefront of regulatory adherence, risk mitigation, and quality improvement. Ready to make a difference in...

Req Number 169415 Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/...

Req Number 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor- Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and eager to make a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the perfect blend of in-office collaboration and remote work, all while contributing to an organization committed to excellence in patient care and regulatory adherence. In this pivotal role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional-to audit and monitor clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding, and documentation will support our...

Job Description Join Community Minds , a forward-thinking outpatient psychiatric facility located in Westbury, where our mission is to provide high-quality mental health care within a supportive, community-focused environment. As a startup, Community Minds seeks a dedicated Senior Medical Biller with a minimum of 10 years of experience, ideally in the mental health field, to lead our billing operations. In this pivotal role, you'll ensure accuracy, compliance, and efficiency across our billing processes, supporting the financial health and mission of our organization. Responsibilities: Manage all aspects of medical billing, including charge entry, claims submission, payment posting, and accounts receivable follow-up. Ensure accurate and timely submission of claims to insurance companies and government payers. Resolve billing discrepancies and denials, collaborating with insurance representatives and internal staff. Audit and monitor progress charts to maintain...

Job Description About Us: Community Minds is a veteran-owned mental health services company focused on providing accessible, insurance-covered care for veterans, first responders, and their families. Our mission is to bridge the gap in mental health care by offering quality, compassionate, and dedicated service to those who have served us. Join a team that values your expertise and supports your growth in a meaningful industry. Job Description: We are seeking a detail-oriented and experienced Certified Medical Biller to join our dynamic team. This is a full-time, on-site position where you will play a key role in managing our billing processes to ensure accurate and timely reimbursements. You will work closely with our healthcare providers, insurance companies, and patients to handle the financial aspects of the care we provide. Responsibilities: Process claims for insurance reimbursement accurately and in a timely manner Verify insurance coverage and...

Job Description Job Description We are seeking a detail-oriented and compassionate Biller who has Medication Prior Authorization Experience to support our psychiatric practice. This dual role involves coordinating medication pre-authorizations, and supporting billing and administrative tasks. Ideal for someone experienced in behavioral health settings who thrives in a fast-paced, patient-focused environment. Key Responsibilities: Medication Prior Authorizations :  Coordinate prior authorization requests for psychiatric medications with insurance companies.  Follow up with insurance providers to track status and obtain approvals.  Collaborate with prescribers and pharmacies to ensure timely medication access.  Maintain accurate records of all authorization processes and outcomes. Billing Assistance/Biller:  Help resolve billing issues and enter charges to patient accounts as needed.  Provide support with patient billing questions and statements. Administrative...

Job Description Job Description Benefits: Competitive salary Flexible schedule Opportunity for advancement Training & development We are seeking a detail-oriented and compassionate Biller who has Medication Prior Authorization Experience to support our psychiatric practice. This dual role involves coordinating medication pre-authorizations, and supporting billing and administrative tasks. Ideal for someone experienced in behavioral health settings who thrives in a fast-paced, patient-focused environment. Key Responsibilities: Medication Prior Authorizations : Coordinate prior authorization requests for psychiatric medications with insurance companies. Follow up with insurance providers to track status and obtain approvals. Collaborate with prescribers and pharmacies to ensure timely medication access. Maintain accurate records of all authorization processes and outcomes. Billing Assistance/Biller: Help resolve billing issues and enter charges to patient...