Profee coding auditor 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...

NP

Certified Medical Coder - Inpatient - CMCDS

NavitasPartners NY

Job Description Job Description Job Title: Certified Medical Coder – Inpatient (ICD-10 / ED Coding) Location: Brooklyn, NY Setting: Acute Care Hospital (Inpatient & Emergency Department) Shift: Day Shift | 8:00 AM – 4:00 PM Schedule: Monday – Friday We are seeking an experienced Certified Medical Coder (Inpatient) to support acute care coding operations in a hospital setting in Brooklyn, New York. The ideal candidate will have strong inpatient and emergency department coding experience along with advanced knowledge of ICD-10 coding guidelines and hospital reimbursement standards. This role requires a detail-oriented professional who can accurately code complex inpatient medical records while ensuring compliance with federal, payer, and facility regulations. Responsibilities Perform accurate inpatient and ED coding using ICD-10-CM, CPT, and HCPCS guidelines Abstract and assign diagnoses and procedure codes from clinical documentation Ensure compliance...

MN

Medical Biller

Montgomery Nursing and Rehab Rome, NY

Resident Finance Coordinator 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 role in managing NYS Medicaid applications, insurance verifications, and...

6C

Biller/Coder

6AM City New York, NY

Job Description Bronx Community Health Network Position Title : Medical Biller/Coder Supervisor : Chief Medical Officer Job Type : Full-Time (37.5 hours weekly) Department : Clinical Administration Schedule Shift : Monday- Friday 9:00am-5:30pm and weekends as needed. FLSA : Non-Exempt Salary : $55,000 - $67,000 Come join our amazing team of dedicated healthcare workers! Bronx Community Health Network (BCHN) was founded in 1996 to ensure that the socio-economically depressed and medically underserved residents of the Bronx have access to high quality and comprehensive health care services, Bronx Community Health Network (BCHN) is a not-for-profit, community-based organization and Federally Qualified Health Center. The organization provides a wide range of comprehensive, coordinated primary medical, oral, mental health care and related diagnostic, pharmacy, social support and enabling services for medically underserved/uninsured residents. BCHN mission : To improve the...

2M

Remote | Revenue Cycle & Medical Billing Specialist -- $50-$75/hour

24-MAG New York, NY

Job Description Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in revenue cycle management, medical billing, medical coding, prior authorization, payer policy, denial review, and structured healthcare reimbursement workflows. This role supports current and upcoming remote consulting opportunities focused on structured revenue cycle review, billing workflow analysis, medical coding assessment, prior authorization documentation, payer correspondence, denial and appeal review, and high-quality project execution. Selected professionals will apply their revenue cycle expertise to review realistic healthcare reimbursement scenarios, evaluate documentation requirements, prepare structured written outputs, and support accurate, evidence-based revenue cycle workflow tasks. Key Responsibilities Professionals in this role may contribute to: Eligibility, Prior Authorization & Charge Review Review revenue cycle...

TO

Associate Director, Outpatient Medical Coding

The Ohio State University New York, NY

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these frequently asked questions. Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process. Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following: Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required. Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: Associate Director,...

SH

Clinical Documentation Coder

Summit Health Inc New York, NY

About Our Company We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com,...

MH

Hospital Based Outpatient Coder I - HIM - FT - Days - Remote Eligible

Memorial Healthcare System New York, NY

Job Title 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. Job Description 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. For physician billing, collaborates with billing department to ensure all bills are satisfied. For hospital, routes to billing charge...

NP

Certified Medical Coder - Inpatient - CMCDS

NavitasPartners Yonkers, NY

Job Description Job Description Job Title: Certified Medical Coder – Inpatient (ICD-10 / ED Coding) Location: Brooklyn, NY Setting: Acute Care Hospital (Inpatient & Emergency Department) Shift: Day Shift | 8:00 AM – 4:00 PM Schedule: Monday – Friday We are seeking an experienced Certified Medical Coder (Inpatient) to support acute care coding operations in a hospital setting in Brooklyn, New York. The ideal candidate will have strong inpatient and emergency department coding experience along with advanced knowledge of ICD-10 coding guidelines and hospital reimbursement standards. This role requires a detail-oriented professional who can accurately code complex inpatient medical records while ensuring compliance with federal, payer, and facility regulations. Responsibilities Perform accurate inpatient and ED coding using ICD-10-CM, CPT, and HCPCS guidelines Abstract and assign diagnoses and procedure codes from clinical documentation Ensure compliance...

PP

Multi Specialty Surgery Pro-Fee Coder

Phenom People New York, NY

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: 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:...

EO

Certified Medical Coder

EXCELSIOR ORTHOPAEDICS New York, NY

Certified Medical Coder EXC Remote Work - Amherst, NY 14226 Overview Salary Range $21.00 - $35.64 Hourly Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Description Join Our Growing Coding Team – Where Orthopaedics Meets Opportunity! Why Join Our Coding Team? We know Coders are looking for more than just a job - you want growth, support, and the tools to succeed. What Sets Us Apart: Company-issued laptop for streamlined documentation Collaborative environment Opportunity to work fully remote after training Opportunity to become a part of organization that is team-focused! Retirement Benefits: Guaranteed 3% company contribution to your 401(k) Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements) Job Summary The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer...

Ra

Profee/coder educator

Randstad New York, NY

We are currently seeking experienced Professional Fee (Pro Fee) Coding Educators to support large-scale chart reviews, coding accuracy validation, and physician education initiatives. These high-visibility roles require strong communication skills to engage directly with clinicians and support revenue cycle, audit, and education functions. Key responsibilities include: - Delivering individual and group training for physicians and coders, specifically within surgery and outpatient environments. - Performing focused coding audits and chart reviews to identify trends and CDI opportunities. - Partnering with leadership to develop education plans that improve documentation integrity and ensure compliance. Qualified candidates must hold a CPC, CCS, or CCS-P certification and possess a proven track record in Pro Fee coding and auditing. Show experience of Provider Education on resume. These positions are structured as 13-week temp-to-hire assignments with opportunities for...

MI

Operations Support Compliance Auditor

Monro, Inc. New York, NY

Company Description *Candidate should ideally be located in Columbus, OH or Cleveland, OH* Monro's family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company's regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color. Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry. Do you...

MV

Medical Records - Coder I - Full Time - Days

Mohawk Valley Health Systems Utica, NY

Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements REQUIRED: AS in Health Information Management , a related degree or equivalent experience Knowledge of EMR, Coding Software, and...

HI

Medical Coding Auditor Evaluation & Management

Humana Inc Albany, NY

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

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....

PP

Medical Coder Supervisor

PROMD PRACTICE MANAGEMENT INC Florida, NY

Benefits 401(k) matching Competitive salary Dental insurance Health insurance Paid time off About Us We are a fast-growing, innovative medical billing company committed to transforming the healthcare revenue cycle through technology, transparency, and top-tier customer service. Our team is passionate about simplifying the complexities of medical billing so healthcare providers can focus on what matters most—patient care. We're seeking a highly motivated and experienced Charge Posting (Coder) Supervisor to join our leadership team and help us continue delivering exceptional results to our clients across the country. Job Overview As the Medical Coder Supervisor , you will lead a group of certified coders to accurately review and approve encounters using industry coding guidelines, optimize workflow efficiency, and oversee a high-performing medical coding team. You\'ll be responsible for the training, on-going development, quality assurance audits, and covering for coder when...

Hm

Coding Auditor

Hmcks New York, NY

Health Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing experience) as a trusted expert to join our integrated care team in Newton, Kansas. This is a full-time, on-site position offering the opportunity to support patient care in a collaborative, mission-driven environment. At Health Ministries Clinic, we offer more than just primary care with a full spectrum of services including behavioral health, lab, diagnostic, pharmaceutical and dental. We are seeking an experienced Coding Auditor with a multi-speciality coding background. The Coding Quality Auditor is responsible to ensure Health Ministries Clinic's compliance with national coding guidelines, FQHC coding guidelines and regulations. The Coding Auditor plays a crucial role in minimizing coding errors and preventing fraudulent activities. The Coding Auditor is responsible to ensure accurate and consistent coding which results in appropriate reimbursement and data integrity. This role requires the...

DM

Sr. Coder

Dormont Manufacturing Co New York, NY

Job Details Sr. Coder Job Description Key Responsibilities: Coding Medical Records : Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications Certification: Must hold a certification from recognized organizations such as AAPC (CPC) Experience: Typically requires a minimum of 2-3 years of experience in...

NH

Certified Medical Coder - Inpatient - CMCDS

Navitas Healthcare LLC New York, NY

Job Title: Certified Medical Coder - Inpatient (ICD-10 / ED Coding) Location: Brooklyn, NY Setting: Acute Care Hospital (Inpatient & Emergency Department) Shift: Day Shift | 8:00 AM - 4:00 PM Schedule: Monday - Friday We are seeking an experienced Certified Medical Coder (Inpatient) to support acute care coding operations in a hospital setting in Brooklyn, New York. The ideal candidate will have strong inpatient and emergency department coding experience along with advanced knowledge of ICD-10 coding guidelines and hospital reimbursement standards. This role requires a detail-oriented professional who can accurately code complex inpatient medical records while ensuring compliance with federal, payer, and facility regulations. Responsibilities Perform accurate inpatient and ED coding using ICD-10-CM, CPT, and HCPCS guidelines Abstract and assign diagnoses and procedure codes from clinical documentation Ensure compliance with federal, state, and payer...

VC

Risk Adjustment Coder

VillageCare New York, NY

Position: Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - 87,195.23 annual salary **CPC, CCS, RHIT or RHIA and CRC are required** Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward-thinking organization dedicated to healthcare improvement. As a team member you'll be able to enjoy benefits such as PTO...

MJ

Certified Medical Coder

Metropolitan Jewish Health System New York, NY

Overview MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the...

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...

Hu

Inpatient Medical Coding Auditor

Humana Albany, NY

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

46 profee coding auditor jobs found