36 jobs found in Syracuse, NY

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

Health Information Management (HIM) Section Position This position is located in the Health Information Management (HIM) section at the Syracuse VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, alpha-numeric codes for each diagnosis and procedure.

Scheduled Hours 40 Position Summary Reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Assists coders and IBC staff with medical terminology and policy interpretation as required Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions...

Job Summary: Under the direction of the Director of Medical Staff Services, the Associate Director provides strategic and operational oversight of the Medical Staff onboarding process and assists in supporting the activities of the organized medical staff, including its committees. This role encompasses administrative and medico-legal responsibilities related to medical staff governance and serves as a liaison between senior hospital leadership and the medical staff to foster effective communication and collaboration. The Associate Director assists in ensuring medical staff compliance with all applicable accreditation and regulatory standards, including those set forth by DNV NIAHO, NCQA, CMS, the New York State Department of Health, and internal hospital and departmental policies. Responsibilities include administrative support for clinical competency evaluations, regulatory documentation, and medical staff functions. The Associate Director attends medical staff meetings as...

divh2US Healthcare Medical Biller for Athena - WFH/Remote Job/h2pLocation: Remote (Philippines-based) Employment Type: Full-time, Mid-level/ppAre you an experienced Medical Biller with a strong command of the Athena platform? Do you thrive in a remote work environment and are looking for a role where your expertise directly impacts healthcare revenue cycles? Neolytix is looking for a dedicated Athena Medical Biller to join our growing team!/ppAt Neolytix, we specialize in comprehensive revenue cycle management, helping healthcare providers maximize reimbursements and maintain compliance. We pride ourselves on our commitment to efficiency, accuracy, and client satisfaction. If youre passionate about medical billing and ready to contribute to a dynamic, diverse team, we want to hear from you!/ppWhat Youll Do:/ppAs an Athena Medical Biller, you will be a crucial part of our operations, ensuring seamless financial processes for our US healthcare clients. Your responsibilities will...

Coder Quality Auditor The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess coders'...

Job Description Job Description INTRODUCTION Company Overview: This position is available with Upstate HomeCare, a BioMatrix company. BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing...

Certified Medical Coder (Professional Review Specialist I) Job Category : Bill Review Requisition Number : CERTI010662 Posted : December 10, 2025 Full-Time Locations Showing 1 location Description The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical...

Overview Job Summary: Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to appropriate stakeholders (internal and external) to ensure payment for services. Travel : Limited travel may be required. Travel to healthcare providers and to various business and management conferences required. Travel to facilities for periodic training and review. Responsibilities Manages the existing process of medical billing in the specialty pharmacy space to ensure prompt submission and reconciliation of claims from specialty facilities. Collaborate with leadership to enhance and grow the medical billing process for all facilities. Provide timely reporting, feedback, and information to support the business operation and medical billing functions as necessary. Provide insights regarding trends in medical billing to operations team. Follow, create and improve the...

Medical Billing Specialist Overview Job Summary: Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to appropriate stakeholders (internal and external) to ensure payment for services. Travel: Limited travel may be required. Travel to healthcare providers and to various business and management conferences required. Travel to Facilities for periodic training and review. Scope of Responsibilities: Works under minimal supervision. Follows standard procedures to accomplish assigned tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. Responsibilities Manages the existing process of medical billing in the specialty pharmacy space to ensure prompt submission and reconciliation of claims from specialty facilities. Collaborate with leadership to enhance and grow the medical billing process for all...

Medical Coder $3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one way...

Medical Coding Auditor UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a remote, full-time, day shift opening located in Albuquerque, New Mexico. This position requires extensive knowledge and experience with E/M coding. $2,000 Sign-on Bonus Minimum $56,173 - Midpoint $70,217* Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate medical billing conforms with legal and regulatory requirements. Trains, instructs and provides technical support...

A healthcare provider in Syracuse is seeking an Ambulatory Biller / Coder to oversee hospital billing processes. The role requires monitoring and auditing billing trends, as well as ensuring claims are compliant and accurately coded based on medical documentation. Candidates must possess an Associates degree, relevant experience, and certifications such as CBCS or CPC. This position operates Monday to Friday, 8am - 4:30pm. #J-18808-Ljbffr

Ambulatory Biller / Coder Syracuse Administrative, Secretarial & Clerical Management & Professional Full-time Opening on: Jul 17 2025 Financial Services-Patient State of New York TH Staff Assistant 2, NSSL1 85989 UUP (State University Professional Services Unit) Job Summary: Under the general guidance of the Ambulatory Billing Manager, the Ambulatory biller/coder is responsible for monitoring, auditing, and identifying negative trends in hospital billing. Provides support to staff in the respective areas as needed. Responsible to add, remove, and prioritize diagnosis codes received from clinical departments, physicians, and Financial Service staff to ensure claims are billed and/or resubmitted with appropriate coding. Responsible to assist ambulatory departments with coding issues and/or questions to ensure claims are billed compliantly and accurately based on medical record documentation. Minimum Qualifications: Associates degree and two (2) years relevant...

A leading national risk management provider is seeking a Certified Medical Coder (Professional Review Specialist I) who can analyze medical billing for accuracy and necessity. This remote role requires an Associate’s degree and certifications, assessing various claim types and utilizing technical skills to ensure compliance with medical billing standards. Join a stable organization with an excellent benefits package and a culture based on values like Accountability and Integrity. #J-18808-Ljbffr

A medical management firm located in Syracuse seeks a Billing Specialist. The role includes charge posting, submission of insurance forms, maintaining records, and answering patient inquiries. Candidates should have a high school diploma and 2 years of clerical experience in medical billing. Strong interpersonal skills and competency with related software are essential. This position operates Monday to Friday, 8 AM to 4:30 PM, and is entry-level. Competitive full-time employment opportunities available. #J-18808-Ljbffr

A risk management solutions provider is seeking a Professional Review Specialist to analyze medical services and ensure billing accuracy. This remote role requires strong knowledge of medical billing, excellent analytical skills, and the ability to work independently. Candidates should possess an Associate's degree and CPC or CPC-A certification. The pay range is $18.80 – $30.34 per hour, with a comprehensive benefits package for full-time employees. #J-18808-Ljbffr

A regional healthcare provider in Syracuse is seeking an experienced administrative coordinator to support the OB GYN, Infectious Disease, and Urogynecology departments. Responsibilities include managing staff schedules, improving patient workflows, and ensuring adherence to HIPAA regulations. The ideal candidate will have at least 2 years of experience in a medical setting, strong communication skills, and an Associate’s Degree or higher. This role emphasizes teamwork and commitment to patient care. #J-18808-Ljbffr

Join to apply for the Compliance Auditor Analyst role at Upstate Medical University 5 months ago Be among the first 25 applicants Join to apply for the Compliance Auditor Analyst role at Upstate Medical University Get AI-powered advice on this job and more exclusive features. Job Summary Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits. Duties/Responsibilities Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. Interpretation of coding, billing, and regulatory standards. Preparation and completion of audit reports including recommendations, education and corrective action. Knowledge, Skills and Abilities: Strong...

Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits. Duties/Responsibilities: Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. Interpretation of coding, billing, and regulatory standards. Preparation and completion of audit reports including recommendations, education and corrective action. Knowledge, Skills and Abilities: Strong computer skills specifically Microsoft word and Microsoft excel applications. Strong analytical, problem-solving and time management skills. Expertise in report writing and oral communications. Ability to interpret regulations, payment and reimbursement systems, billing and...

A healthcare service provider is seeking a Medical Billing Associate in Syracuse, NY. This role involves ensuring accurate billing, handling account reconciliations, and providing customer service. The ideal candidate will have a High School Diploma or GED, with an Associate's Degree preferred. The position offers $20-22 hourly for a typical 40-hour workweek, requiring some month-end closing work. Strong attention to detail is crucial in rectifying billing errors and maintaining account records. #J-18808-Ljbffr

A local government agency is seeking a Coding and Billing Specialist to perform specialized clerical work in their Community Mental Health Department. The ideal candidate will have a strong background in medical coding and billing procedures, with responsibilities that include handling patient accounts and ensuring compliance with medical regulations. Full-time position based in Auburn, New York offers a competitive salary range of $45,006 - $48,874 per year. Experience in a medical setting is essential. #J-18808-Ljbffr

Job Description Job Description Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health...

Job Description Job Description Description: * EXCELLENT BENEFITS * AMAZING TEAM * APPLY TODAY * A Great Place to Work. A Great Place to Receive Care! Our Nursing Home Facility located in Rome, NY is seeking an experienced full-time Resident Finance Coordinator. Betsy Ross Nursing & Rehab Center is a 120-bed facility offering excellence in rehabilitation and skilled nursing care in a lovely homelike environment undergoing AN EXCITING LARGE-SCALE RENOVATION UNDER NEW MANAGEMENT AND ADMINISTRATION! With a focus on rehabilitation and recovery, our skilled team of therapists and healthcare professionals assist residents in achieving optimal health and well-being. Our mission is to provide high quality care to all with respect and compassion through a team approach that focuses on personalized goals. We offer EXCELLENT Aetna Health benefits 1st of the month after hire date, along with other key benefits to those who qualify! Medical Biller Job Summary: You play a key...