92 coder provider practice jobs found

Job Posting As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated Inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform...

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...

Job Summary The Podiatry Coder is responsible for reviewing, interpreting, and assigning accurate CPT, ICD-10-CM, and HCPCS codes specific to podiatric services, while ensuring compliance with federal regulations, payer policies, and organizational standards. This role reviews provider documentation and operative reports for podiatry-related procedures-including office visits, surgical procedures, wound care, and ancillary services-to abstract and code clinical data using standard classification systems. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures. Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company...

Job Title: Coder - Inpatient SUMMARY:As an Inpatient Coder, your strong attention to detail is crucial when reviewing and accurately coding medical records. RESPONSIBILITIES: Coding. Code a variety of records within established productivity guidelines with at least 95% accuracy on a consistent basis; group and assign DRGs and appropriate E/M levels with at least 95% accuracy on a consistent basis Abstraction. Abstract ER provider assignment into an abstracting system with at least 99% accuracy on a consistent basis; abstract other required information accurately including discharge dispositions, SPARCS data, physician names and procedure dates Quality Assurance. Accurately assign the facility charge for emergency room and observation records; identify errors and process accounts for corrections; correct errors identified through various auditing processes; manage problematic workflow edits and other technical issues to ensure timely resolution REQUIRED...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): 2619 W Henrietta Rd, Rochester, New York, United States of America, 14623 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $60,431.00 - $84,603.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not...

Overview Reviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists with non-clinical aspects of the claims review process and acts as a coding resource. Provides training and support to Medical Care at Home Clinicians and staff to provide best practices of claims coding. Applies coding skills to various initiatives to ensure compliance in claims submissions. Works under moderate supervision. What We Provide Per Diem team members are eligible for some benefits and can access our extensive Employee Assistance Program that includes financial, legal, and mental health counseling programs as well as participate in a 403b retirement savings program. What You Will Do Reviews medical claims, records and other requested information for billing, coding and other compliance or reimbursement related issues; makes coding and documentation recommendations for adherence to risk adjustment models. Reviews medical...

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...

Coder, Podiatry The Podiatry Coder is responsible for reviewing, interpreting, and assigning accurate CPT, ICD-10-CM, and HCPCS codes specific to podiatric services, while ensuring compliance with federal regulations, payer policies, and organizational standards. This role reviews provider documentation and operative reports for podiatry-related proceduresincluding office visits, surgical procedures, wound care, and ancillary servicesto abstract and code clinical data using standard classification systems. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures. Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company...

Hospital Coder II – Remote Join to apply for the Hospital Coder II role at Xtensys. About Us Xtensys, a recently established managed service provider, delivers cutting‑edge technology to health systems, starting in NY and expanding beyond. Owned by two industry leaders focused on innovation in rural and community health, we are rapidly growing with several major initiatives underway. We seek a skilled Remote Hospital Coder II to join our team of 500 and support our exciting journey. We value people and are building a culture to match. If you’re a collaborative, innovative, and strategic leader, we’d love to talk. Job Summary Responsible for the selection of applicable diagnoses and procedures, sequencing codes following the ICD‑10‑CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner) for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71Hospital Coder, Albany Health Information Management The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the...

Location: Olean General Hospital, US:NY:Olean Work Type: Full-Time Shift: 1 Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Accurately code inpatient and outpatient conditions and procedures as documented, following the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve billing error reports, identify error patterns, and assist in designing and implementing workflow changes to reduce billing errors. Education and Credentials Associate’s degree from an accredited institution or enrollment in a medical coding course through an accredited agency (e.g., AHIMA/AAPC). Experience One (1) year of progressive on-the-job experience. Must understand confidentiality and operate in a PC network environment. Knowledge of anatomy and physiology, basic medical terminology, disease states/processes, and...

Overview Unified Women’s Healthcare is a company dedicated to caring for Ob‑Gyn providers who care for others, be they physicians or their support staff. A team of like‑minded professionals with significant business and healthcare experience, we operate with a singular mindset — great care needs great care. We take great pride in not just speaking about this but executing on it. As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob‑Gyn medical affiliates – enabling them to focus solely on the practice of medicine while we focus on the business of medicine. We are action oriented. We strategize, implement and execute – on behalf of the practices we serve. The Compliance Auditor performs comprehensive audit of care center locations/divisions. Reviews patient chart documentation for accuracy of Evaluation and Management (E/M) service levels, modifier use, in‑office...

Overview Requisition ID: 2025-52091 Location: US--US: Remote Position Type: Full Time HR Rep / Recruiter: Marcia Harrison Responsibilities Coordinate and participate in coding of medical information from a variety of complex records and coding edits to include diagnosis, treatment of illness and procedures performed, ensuring accuracy and adherence to ICD-CM and CPT-4 coding procedures. Perform concurrent audits of provider-selected coding data during the coding and billing process; interpret medical records and update/verify all valid diagnoses, procedure codes, modifiers, providers, and place of service as determined by the coder. Participate in SOX control review (audit) processes. Review pertinent medical records for diagnosis and procedures performed, maintaining strict adherence to Pediatrix Compliance program guidelines. Analyze sources of errors to determine next steps (provider error, system or edit issue). Communicate to physicians by Electronic Mail all...

Overview Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura’s Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving...

Overview Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives....

Certified Medical Coder Location: Shirley, NY Why Join Our Team At New York Cancer & Blood Specialists (NYCBS) we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hematologists, and healthcare professionals work together to provide world-class cancer care close to home. By offering cutting‑edge treatments, innovative research, and a patient‑centered approach, we are redefining what’s possible in the fight against cancer and blood disorders. If you want to be part of a growing organization committed to healing, hope, and advanced care, join us and help make a meaningful impact! Responsibilities Running daily reports for incomplete physician charges and notes for review. Once appropriately reviewed throughout the day you will send correspondence to providers on items for completion and will follow up appropriately. Reminding healthcare providers on proper workflows to ensure...

Overview 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 detail 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 submission. Reviews and monitors statistics and key performance indicators to identify improvement opportunities....

Job Description Job Description Description: JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. DUTIES & RESPONSIBILITIES: Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. If indicated, arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number....

Medical Coder III As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.06 - $32.29 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

The Bedford-Stuyvesant Family Health Center (BSFHC) is a Federally Qualified Health Center (FQHC) that serves all of the primary health care needs of families in the heart of North and Central Brooklyn. Our mission is to provide the most professional, courteous and highest quality health care, with dignity, to those we serve, especially the undeserved population, without regard for ability to pay The Medical Biller is responsible for accurate and timely billing, claims submission, payment posting, and follow-up for services provided by a Federally Qualified Health Center (FQHC). This role requires strong knowledge of FQHC billing rules, Medicare, Medicaid, Managed Care Plans, and NYS specific regulations to ensure maximum reimbursement and compliance with federal, state, and payer requirements. Essential Duties and Responsibilities Prepare, review, and submit claims to Medicaid, Medicare, commercial insurance, and other third-party payers in accordance with FQHC billing...