Coder 6 jobs | Healthcare Careers

Full Time

C2Q Health Solutions Hybrid (NY)

JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...

FS

Coding Auditor

FlexStaff Careers New Hyde Park, NY

Revenue Cycle Audit 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. 9....

FS

Senior Coder

FlexStaff Careers New Hyde Park, NY

Job Title Health Information Management 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 to identify appropriate codes and reference code applicability, rules and guidelines. 4. Applies the Uniform Hospital Discharge Data Set definitions as well as any additional regulatory guidelines and/or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if...

TJ

HCC Coding Auditor

The Judge Group, LLC New York, NY

HCC Auditor (Humana Experience Required) – Contract (3–6 Months) We are seeking experienced HCC Auditors with Humana experience to support a HCC coding project. This contract assignment will run approximately 3–6 months with full‑time hours (minimum 40 hours per week). Role Overview The Auditor Specialist will perform quality assurance reviews on coded medical charts according to client‑specific guidelines. This role requires strong accuracy, adaptability, and the ability to work independently in a fast‑paced remote environment. Key Responsibilities Audit coded charts assigned by the Quality Supervisor following client‑specific guidelines Navigate multiple client guideline sets with minimal difficulty Maintain 95%+ accuracy at the diagnosis level Respond to rebuttals submitted by coders or auditors Participate in weekly project review meetings Complete additional tasks as assigned by the Quality Project Manager Required Qualifications Humana experience is required High school...

SS

Medical Biller

SOUTH SHORE SPEECH LANGUAGE Babylon, NY

Job Description Job Description South Shore Speech is looking for a competent, responsible and dedicated individual to join our busy/fast paced, award winning team Benefits and Perks: . Family/friendly work environment . Supportive management and staff . Employee appreciation events regularly . Teaching/training will be provided Qualifications: . Certified Professional Coder . Proficiency with Excel . Motivated and possess the ability to multitask . Past medical office experience necessary . Strong organization skills . Able to interact well and professionally with the public both in person and over the phone Responsibilities: 1. PreAuthorizations & Verifications Contact payers (e.g. Medicaid, private insurances, NICU-funded programs) to verify patient eligibility and coverage before treatment begins. Submit pre-authorization requests for services requiring prior approval (e.g. speech therapy visits under Early Intervention or CPSE). Track...

CV

Physician Services Coder II - Denials Coding Remote

Conifer Value New York, NY

Job Description The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties And Responsibilities Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in a one-on-one or...

MU

Compliance Auditor

Medical University of South Carolina Lima, NY

Job Summary The Compliance Auditor reports to the Internal Audit Coordinator and performs audits to evaluate adherence to laws, regulations and policies by reviewing records, analyzing data, and interviewing staff and stakeholders. These audits include high‑risk services identified via the annual risk assessment, OIG‑CMS‑PGBA workplan areas, ad hoc audit requests, and “for cause” coding and billing concerns. The audit scope covers regulatory and industry research for audit planning, pre‑and post‑audit meetings with stakeholders, a cohesive audit report communicating results with a corrective action plan if warranted, and education and training to stakeholders as needed. Education & Qualifications Bachelor’s degree in a related field and a minimum of 2 years of medical billing, coding, or audit experience; or a high school diploma or equivalent (GED) and 4 years of medical billing, coding, or audit experience. A college degree is preferred. The applicant must be credentialed...

Inpatient Coder

United Health Services New York, NY

Position Overview United Health Services (UHS) is seeking an experienced Inpatient Hospital Coder to join our Health Information Management team.In this role, you will be responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes for inpatient medical records, ensuring compliance with regulatory requirements and supporting timely reimbursement.At UHS, every connection matters--and your attention to detail plays a critical role in connecting quality care to accurate documentation and outcomes.Your expertise helps tell each patient's story clearly and completely, making a real difference in both clinical and operational performance.Join us and contribute to a team where precision, integrity, and collaboration are valued every day.This position is open to a hybrid schedule for experience Inpatient Coders.Primary Department, Division, or Unit:Facility Coding, UHS Revenue Cycle Operations Work Shift and Schedule:This is a per diem position, which means you will...

GT

Remote Medical Biller

GoToTelemed New York, NY

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers--with new clients and provider networks added every month as our organization scales.In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management.Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory.This position...

KH

Physician Anc Svcs Coder

Kaleida Health Buffalo, NY

Department: GCH Ambulatory Support Location: Golisano Children's Hospital, US:NY: Buffalo Work Type: Full-Time Scheduled Work Hours: 6:30a-2:30p, 7a-3p, 7:30a-3:30p, 8a-4p, 8:30a-4:30p, 9a-5p Shift 1 Job Description Position is responsible for validating/assigning CPT-4 codes for clinic based procedures and Evaluation & Management services. Also responsible for validating/assigning ICD-9-CM diagnostic codes for physician and ancillary services. Position is responsible for ensuring appropriateness and completeness of orders for ancillary tests from physician scripts or clinic records. Responsible for validation and posting of CDM based charges in the host system. Also verifies medical necessity requirements for clinic ordered laboratory and ancillary tests in comparison to acceptable LMRP lists. This position may be required to move from site to site per work requirements and/or cross coverage. Education and Credentials RHIA, RHIT, CCS, or CPC/CPC-H Certification in...

MH

Coder I - Billing & Audit - FT - Days - MSS - Hybrid Eligible

Memorial Healthcare System Florida, NY

Location Miramar, Florida Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. Submits daily productivity report to HIM manager by defined deadline....

NH

Senior Coder

Northwell Health Great Neck, NY

Req Number 185167 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 coding references to select the principal diagnosis, secondary diagnoses,...

NH

Associate Coder (Remote)

Northwell Health New York, NY

Job DescriptionTraining program to learn all coding and abstracting duties to assure accurate completion of coding for all assigned patient records.Job Responsibility1.Analyzes 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.Helps in selecting the principal diagnosis as documented in the medical record.Codes and reports diagnoses and procedures in accordance with the established guidelines.3.Reports a discharge disposition for all records as required and in accordance with the rules and regulations.4.Analyzes medical records for completeness of documentation and review the process on clarification for any incomplete / ambiguous or conflicting documentation.Understanding of the process for education of physicians and other clinicians by advocating proper documentation practices.5.Participates in required hospital education programs,...

KH

Physician Anc Svcs Coder

Kaleida Health Buffalo, NY

Physician Anc Svcs Coder Department: GCH Ambulatory Support Location: Golisano Children's Hospital Location of Job: US:NY:Buffalo Work Type: Full-Time Scheduled Work Hours: 6:30a-2:30p, 7a-3p, 7:30a-3:30p, 8a-4p, 8:30a-4:30p, 9a-5p Shift 1 Job Description Position is responsible for validating/assigning CPT-4 codes for clinic based procedures and Evaluation & Management services. Also responsible for validating/assigning ICD-9-CM diagnostic codes for physician and ancillary services. Position is responsible for ensuring appropriateness and completeness of orders for ancillary tests from physician scripts or clinic records. Responsible for validation and posting of CDM based charges in the host system. Also, verifies medical necessity requirements for clinic ordered laboratory and ancillary tests in comparison to acceptable LMRP lists. This position may be required to move from site to site per work requirements and/or cross coverage. Education And Credentials RHIA, RHIT,...

KH

Physician Anc Svcs Coder

Kaleida Health Buffalo, NY

Physician Anc Svcs Coder Department : GCH Ambulatory Support Location: Golisano Children's Hospital Location of Job : US:NY:Buffalo Work Type : Full-Time Scheduled Work Hours: 6:30a-2:30p, 7a-3p, 7:30a-3:30p, 8a-4p, 8:30a-4:30p, 9a-5p Shift 1 Job Description Position is responsible for validating/assigning CPT-4 codes for clinic based procedures and Evaluation & Management services. Also responsible for validating/assigning ICD-9-CM diagnostic codes for physician and ancillary services. Position is responsible for ensuring appropriateness and completeness of orders for ancillary tests from physician scripts or clinic records. Responsible for validation and posting of CDM based charges in the host system. Also, verifies medical necessity requirements for clinic ordered laboratory and ancillary tests in comparison to acceptable LMRP lists. This position may be required to move from site to site per work requirements and/or cross coverage. Education And...

MH

Coder I - MPG - FT - Days - MSS - Remote Eligible

Memorial Healthcare System New York, NY

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data. Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing). May assign and sequence basic CPT (Current Procedural...

IG

Remote Outpatient Surgical Coder | Denials & Reviews

Insight Global New York, NY

A healthcare staffing agency is seeking an experienced outpatient surgical coder for a remote, 6-month contract position based in the United States. The role involves reviewing coding denials and ensuring accurate coding for outpatient surgical procedures. Candidates should have 2-5 years of surgical coding experience, appropriate certifications like CCS, CPC, RHIA, or RHIT, and a strong understanding of medical terminology. The position offers a competitive pay range of $23.00/hr – $35.00/hr. #J-18808-Ljbffr

TP

Medical Coding Auditor and Educator

TalentPlug LLC New York, NY

6 days ago Be among the first 25 applicants This range is provided by TalentPlug LLC. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $55,100.00/yr - $99,000.00/yr Direct message the job poster from TalentPlug LLC Job Title Clinical Coding Auditor & Trainer Job Location Remote (Candidates must be residents of New York) Summary The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Position Purpose Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Applicants must be willing to travel to New York twice a year. Responsibilities Conducts auditing of work performed by staff and present findings and recommendation for areas...

CI

Medical Coder Coordinator

Careers Integrated Resources Inc New York, NY

Job Title: Medical Coder Coordinator Location: Remote (100%) Duration: 6-Month Contract to Hire Schedule: Monday – Friday | 9:00 AM – 5:30 PM EST Pay Rate: $21.42/Hour Position Overview: We are seeking a detail-oriented and highly motivated Medical Coder Coordinator to join our team in a fully remote capacity. This role focuses on retrospective payment reimbursement reviews and requires strong inpatient coding experience, extensive CPT coding knowledge, modifier expertise, and the ability to interpret complex reimbursement documentation. The ideal candidate will thrive in a fast-paced, deadline-driven environment while maintaining exceptional accuracy and compliance standards. Key Responsibilities: Perform retrospective payment reimbursement reviews and coding audits. Review and interpret Explanations of Benefits (EOBs), including: Recoupments Corrections Claim adjustments Apply CPT, ICD-10-CM, and HCPCS coding guidelines accurately. Analyze CPT modifiers and evaluate their impact...

VV

CPC Certified Compliance Auditor

Virtual Vocations Inc New York, NY

To support the Yale Medicine Administration, the full-time remote CPC Certified Compliance Auditor will coordinate and conduct medical billing audits, evaluate coding and documentation across clinical departments, and provide training to physicians and staff. Key responsibilities Complete audits of departmental compliance chart reviews and participate in audits requested by third-party payors Assess provider documentation for ICD-10 and CPT-4 coding accuracy and compliance with regulations Conduct training sessions on medical billing compliance and develop educational materials for clinical and billing staff Required qualifications CPC certification required, or expected to be obtained within 6 months to 1 year after hire Bachelor's degree in Health Care Management, Finance, Business, Nursing, or a related field Five years of experience in multi-specialty group practice, academic plan, or hospital Demonstrated knowledge of ICD-10 and CPT-4 coding and billing practices Ability to...

KH

Coder IV

Kaleida Health Olean, NY

Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (e.g., diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service, and behavioral health encounters) conditions and procedures as documented in the ICD‑9‑CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Location Olean General Hospital, US:NY:Olean. Work type: Full‑Time. Shift: 1. Education & Credentials Associate’s degree from an accredited institution or have obtained education through an accredited...

EM

Medical Coder I

Ellis Medicine Schenectady, NY

WHAT WILL I GET AT ELLIS MEDICINE? Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE ! Generous paid time off to support a work-life balance, including 6 paid holidays Tuition Reimbursement and professional development opportunities Retirement plan in the form of a 401(3b) with company match after longevity Flexible Spending Account and Dependent Care Account-allowing you to set aside pretax dollars to better care for your health and the health of your loved ones Free yearlong unlimited CDTA Navigator Pass, including Free CDTA bike share program Employee Wellness Program Employee Assistance Program Employer paid Life Insurance WHAT WILL I DO AS A MEDICAL CODER? Basic Function: The Medical Coder is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes, but is not limited to managing the charge entry and charge reconciliation process for the assigned...

BC

Coder - ER Level 1 (Certified), Department of HIM

BronxCare Health System NY

Overview Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the director of Health Information Management, accurately code outpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Responsibilities - Utilizing all required electronic applications interprets and abstracts pertinent patient health information from documentation in the medical record. Identifies the principle, secondary diagnosis and procedures including complications and co morbidities. All coders are required to continuously maintain the required standards of their level. Level...

No

Profee Coder

Norwood New York, NY

Requirements: Surgical Oncology coding experience required, including Surgery and E/M coding for oncology-related procedures Experience coding mastectomies, hysterectomies, breast reductions, and related surgical oncology procedures required Must hold an active AAPC or AHIMA credential (RHIT, CPC, CCS, or equivalent) Surgical Oncology credential preferred Experience with Optum CAC and Cerner EMR required; CAC experience preferred Strong knowledge of CPT, ICD-10-CM, and surgical coding guidelines required Ability to maintain high coding accuracy and meet productivity expectations required Strong attention to detail and communication skills required What can you expect from your Norwood experience? Personalized recruiter relationships Industry Subject Matter Experts A sales department with reliable client relationships nationwide Remote opportunities that allow for positive life/work balance Permanent opportunities are available Travel expenses are covered upfront (if travel is...

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