17 jobs found in Poughkeepsie, NY

h1Job Type/h1pFull-time/ph2Description/h2pstrongWhy youll want to work at nimble!/strong/ppInterested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!/ppstrongWho we are:/strong/ppnimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue...

divh2Remote Coding Professional/h2pThis is a remote position/ppWe are seeking a highly motivated and dedicated coding professional to join our team. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties, with a focus in orthopedic surgeries, as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will bring deep expertise in surgical and outpatient coding, strong knowledge of payer guidelines, and proven experience working with denials related to orthopedic and neurosurgical services./ph3Key Responsibilities:/h3ulliResolve Claim Edits and Denials by reviewing clinical documentation, identifying root causes, correcting coding or modifier issues, and submitting appeals or corrected claims as needed./liliReview and Assign Accurate CPT, ICD-10-CM, and HCPCS Codes for orthopedic and neurosurgical procedures, including inpatient and outpatient surgeries and...

Experienced Multi-Specialty Surgery Coder The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours: Monday - Friday, working 40 hours a week Location: Fully Remote - U.S You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide coding and abstraction of physician or professional records Provide communications to Coordinator, Supervisors and Managers Complete RAI's, denials, charge hold reports, and coding edits Assist on special coding projects as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear...

Possible $5000 Sign On Bonus for External Hires! Remote Coder positions are available in all states EXCEPT CA and HI Nuvance Health has a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations. Summary: Appropriately analyzes and codes complex inpatient records for facility. Position requires high-level expertise in coding and documentation guidelines, coding clinics, and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance....

A leading billing company is seeking an experienced Medical Biller to join their growing team. The ideal candidate will have a strong background in medical billing, claims processing, and revenue cycle management, ensuring compliance with industry regulations and maximizing reimbursements. This role is perfect for a detail-oriented professional who thrives in a fast-paced healthcare environment and is committed to maintaining accurate and timely billing operations. Responsibilities: Processing and submitting insurance claims, ensuring timely and accurate reimbursement from payers while resolving claim denials and discrepancies. Oversee patient billing and collections, verifying account balances, issuing statements, and working with patients to resolve outstanding payments. Manage insurance verification and prior authorizations, confirming coverage details and obtaining necessary approvals for services. Maintaining compliance with healthcare regulations, staying up to...

A Monroe-based medical billing company is seeking a Yiddish-speaking Medical Biller to join its all-female team. The ideal candidate will have experience in medical billing, homecare verification and authorization, or medical insurance. This position offers a beautiful benefits package and a supportive work environment. This is a all female team office environment. Responsibilities: Process and submit medical claims accurately and in a timely manner. Verify patient insurance eligibility and authorization for services. Follow up on denied or unpaid claims and resolve billing discrepancies. Communicate with insurance companies, patients, and healthcare providers to ensure correct billing procedures. Maintain up-to-date knowledge of insurance regulations and billing policies. Ensure compliance with HIPAA and industry standards. Qualifications: Yiddish Speaking is required. 6-8 hours daily in the office are needed. Feel free to apply if you have any of the...

Job Description Job Description REQUIREMENTS · A minimum of 2 years of medical billing experience, including filing claim appeals · Strong organizational skills and attention to detail · Proper phone etiquette and communications skills, both verbal and written · Appropriate computer hardware including secure Wi-Fi and double monitors, to temporarily work a hybrid schedule from home due to COVID   RESPONSIBILITIES · Reviews insurance payments for accuracy based on agreed upon fee schedules · Prepares and sends appeals for underpaid or incorrectly denied claims · Makes follow up calls to insurance carriers on outstanding balances · Answers patient telephone calls during business hours · Completes other daily tasks as assigned Company Description Our company provides anesthesia practice management services for approximately 500 anesthesiologists and certified registered nurse anesthetists in the Tri-state area. We are affiliated with Northwell Health, New York’s...

Job Description Job Description Job Title: Accounts Receivable Specialist Reports To: Director of Revenue Salary: $48,000 - $53,000 Position Summary: The Accounts Receivable (AR) Specialist manages the complete accounts receivable cycle with a specialized focus on program-based and client-specific billing. Reporting directly to the Director of Revenue, the specialist ensures accurate and timely processing of Medicaid claims, preschool tuition, and client rent contribution billing. Key Responsibilities & Duties Medicaid Billing, Claims, & Analytics: Review, prepare, and submit Medicaid claims accurately and timely via the eMedNY system. Monitor claim status, investigate denials or rejections, and prepare and submit appeals with supporting documentation as required. Track, manage, and analyze NYS Medicaid recoupments, voids, claim adjustments and rate adjustments, providing variance explanations to the Director of Revenue. Ensure all...

Experienced Medical Biller Monsey, NY / Brooklyn NY $65,000 - $75,000 Our client is currently seeking an experienced and detail-oriented Medical Biller to join our team in Monsey, NY . The ideal candidate will have a strong background in medical billing, insurance claim processing, and accounts receivable follow-up. This is a full-time role with competitive pay and the opportunity to work in a fast-paced, professional environment. Responsibilities: Prepare and submit insurance claims accurately and on time Review and audit patient bills for accuracy and completeness Follow up on unpaid, rejected, or denied claims Communicate with insurance companies, providers, and patients to resolve billing issues Post insurance and patient payments, and reconcile accounts Stay updated on industry regulations and payer-specific requirements Maintain patient confidentiality and comply with HIPAA standards Qualifications: E xperience in medical billing...

As an Associate Director, Publications, you will play a strategic role in the development, management and dissemination of our Global publication plans. This includes the execution of publications including but not limited to clinical, HEOR/RWE, PKPD, and disease state. Responsibilities will include leading cross-functional publication teams to develop, manage, and implement publication plans for our therapeutic areas. You will be expected to participate in cross functional meetings, monthly core publication team meetings, present at regular strategic meetings, workshops and relevant alliance meetings needed to build and refine publication plans ensuring partners are aligned and updated. This position is located at our Sleepy Hollow, NY office with a requirement to be on-site 4 + days/week. If eligible, we can offer relocation benefits. We cannot offer a hybrid or fully remote option. A typical day may include the following: • Partner in the development of scientific,...

Job Description Job Description Not remote in person position in Tarrytown, NY  Medical Biller – Tarrytown, NY – $21/hour Zing Recruiting is looking for a skilled Medical Biller to join a Healthcare Consultant Company in Tarrytown, NY. This role is ideal for professionals experienced in medical billing, NextGen, CPT/ICD-10 coding, insurance claims, EOBs, and revenue cycle management . Key Responsibilities: Run pre-bill reports and verify billing/coding accuracy Confirm doctor participation for insurances and active location billing Address errors and questions via NextGen tasking system Monitor automated billing and EDI file creation Submit EDI files to the clearinghouse and verify receipt Recreate and resubmit corrected claims as needed Update secondary claim files with primary EOB information Must Have / Requirements: Minimum 1 year of medical billing experience Proficiency with NextGen Knowledge of CPT/ICD-10, insurance...

Job Summary : The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities: Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy Identifies patterns and opportunities requiring provider education. Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific...

Network Practice Coder/Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC Health Union: No Position: Full Time Hours: mon - friday/8-4:30 Shift: Day Req #: 45355 Posted Date: Oct 31, 2025 Hiring Range: $39.66 - $49.87 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30982) Internal Applicant link Job Details: Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide...

ROLE SUMMARY The primary purpose is to serve as a Clinician within a Pfizer vaccine development program. This role may serve as a clinical lead for one or more studies within a clinical program and works closely with the global clinical program lead who is ultimately responsible for execution of the overall program. Importantly, this role will be set within a matrix team in executing studies, performing medical monitoring, supporting regulatory interaction, and taking on a leadership role in study teams for many of the clinical deliverables. The clinician is accountable for providing medical and scientific expertise and oversight for Clinical Trials and serves as a single point of accountability for design, execution, monitoring, delivery and reporting of one or more clinical studies and to ensure patient safety. ROLE RESPONSIBILITIES Accountable for safety across the study Provide study team with medical advice for all medical issues during risk assessment and...

Assign ICD-10-CM codes, CPT and HCPC codes for inpatient, ED, Ambulatory Surgery, and other outpatient records. Assign appropriate DRG or APC based on review of the admission diagnoses, principal diagnoses and other operations and procedures. Assign ICD-10-CM, CPT4 and HCPC codes as appropriate based on documentation from the report, order or medical record following coding rules and guidelines. Ensure that outpatient ICD-10 codes are entered onto the computer within the timeframe allotted to assure accurate billing. Requirements: High School diploma required. Minimum one year ICD-10-CM/CPT4 coding experience in hospital or related setting. Knowledge of CRT/PC and other technology as well as knowledge of APC categories required. Knowledge of medical terminology, anatomy and physiology.

Job Description Job Description §  Determine initial eligibility and benefits for applicant ·         Determine if any pre-authorization or pre-certification is required under their benefit plan for the SUD related services ·         Enter authorization tracking received from Chief Clinical & Health Officer in Insync. ·         For insured patients, Billing Specialist will perform a pre-service eligibility & benefits review including a determination of pre-authorization needs and/or admission notification requirements as applicable prior their 1st appointment. o    Will prepare a Financial Agreement for the patient and distribute the agreement to the front desk staff for signature at check-in for their 1st appt. o    Will notify the Chief Clinical & Health Officer of any required pre-auth or admission notice prior to the 1st appointment date and will facilitate informing and assisting the clinician with the pre-auth or admit notice process. ·         Meet in...

Job Description Job Description Busy private ophthalmology practice looking for friendly, experienced medical biller / receptionist to work full-time on weekdays.