2335 jobs found

Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Leverages clinical expertise to identify and validate DRG code assignment. Full review of CDI suggested code changes Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. Operates under general...

Stony Brook CPMP is hiring a Billing Representative for the Patient Accounts team in East Setauket, NY. The role requires accurate processing of reimbursements, payer communications, and detailed billing tasks in a mostly office-based setting with potential remote work at the manager’s discretion for NY residents. The position demands strong medical billing knowledge, attention to detail, and proficiency in Word and Excel. Schedule is full-time, with standard business hours. #J-18808-Ljbffr

Certified Coder - Stony Brook Children's Service, UFPC Location: St. James, NY Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM; At the Manager's discretion, this role may be eligible for remote work (after 90 days) Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities Summary: This incumbent is responsible for reviewing and analyzing physicians'...

Experienced Inpatient Medical Record Coder At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Coder may include the following, but are not limited to: Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. Follows all HIPAA regulations and upholds a higher standard around privacy requirements. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting. Demonstrates...

Inpatient Coder (CCS Certified) Remote Location: Remote (work from home office) Experience: 3+ years of facility-based inpatient coding Job Summary The Inpatient Coder is a key role supporting one or more Cognizant clients, responsible for reviewing medical documentation and accurately assigning ICD-10-CM diagnosis and ICD-10-PCS procedure codes. This role works independently and as part of a team, queries physicians to clarify documentation, and supports coding quality through peer review, while meeting accuracy and productivity standards in a fast-paced remote environment. Key Responsibilities Review documentation to code diagnoses (ICD-10-CM) and procedures (ICD-10-PCS). Communicate with physicians to obtain or clarify diagnoses and/or procedures through the query process. Assign accurate codes using an electronic encoder application in accordance with practice policy and regulatory guidelines. Perform peer reviews of company Health Information Management coding...

Coder I Location: Olean General Hospital Location of Job : US:NY:Olean Work Type : Full-Time Shift 1 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 (for example, 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. Education And Credentials Associate's degree from an accredited institution or...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Description Job Purpose: Under general supervision and according to established policies and procedures, assigns diagnostic, procedural, & E&M codes to patient medical record. Codes charts under the ICDCM, PCS and HCPCS Systems related to patient's visit in order provide statistical, payment and DRG assignments. Abstracts required data into hospital abstracting system and assigns codes and charges based on documentation. Responsible for accurate charge capture and coding to support timely billing and hospital reimbursement. Coder must work in a self-directed, team environment, to keep revenue cycle performance current. Education: Equivalent to an Associate's degree in Medical Information Technology (with college level courses in anatomy, physiology, medical terminology, ICDCM coding, and prospective payment) required or equivalent combination of education and experience. College level course in Anatomy & Physiology required. Evidence of successful complete of...

Coder II (Inpatient) Show All Jobs Apply Show Map Location 99 E STATE ST, Gloversville, NY, 12078-1203, United States Base Pay $25.36 - $28.36 / Hour Employee Type FT Non-Exempt Description Job Purpose: Under general supervision and according to established policies and procedures, assigns diagnostic, procedural, & E&M codes to patient medical record. Codes charts under the ICDCM, PCS and HCPCS Systems related to patient’s visit in order provide statistical, payment and DRG assignments. Abstracts required data into hospital abstracting system and assigns codes and charges based on documentation. Responsible for accurate charge capture and coding to support timely billing and hospital reimbursement. Coder must work in a self-directed, team environment, to keep revenue cycle performance current. Education: Equivalent to an Associate’s degree in Medical Information Technology (with college level courses in anatomy, physiology, medical...

Job Description Job Description Ready to take the next step in your career? We're a dynamic, fast-growing medical billing company and we're looking for a passionate Team Lead to join our Plastic Surgery division. This is more than just a billing role — it's a chance to make an impact, lead a team, and grow alongside a company that's investing in its people. If you love what you do and want to be somewhere that values your expertise, you'll feel right at home with us. What You'll Do • Lead day-to-day billing operations for our plastic surgery client accounts • Manage A/R follow-up and oversee accurate, timely charge posting • Be the go-to person for clients — answering questions, solving problems, and building strong, lasting relationships • Apply your knowledge of ICD-10 coding and Medicare/Medicaid guidelines to ensure clean claims and clear documentation • Mentor and support team members, identify workflow improvements, and help shape best practices as we grow What You...

Job Description Job Description Benefits: 401(k) Free uniforms Health insurance   Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller  / Front dek manager to join our outpatient cardiology clinic in uptown manhattan! As a Medical Biller, you will be working closely with patient, staff and the doctor to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone.  Responsibilities  Assist  with processing insurance claims through both private insurance...

Job Description Job Description Purpose: The Medical Biller position is primarily responsible for ensuring that all billing functions are completed with accuracy, timeliness and confidentiality. This includes overseeing the input of patient data and maintaining the Patient Management system. Including all other assigned duties by the Chief Financial Officer. Job Duties: · Carries out the mission of the organization · Assures all patients experience a welcoming greeting and helpful conclusion to each encounter · Adhere to all guidelines set forth in the finance policies · Adheres to standard procedures at The Chautauqua Center · Maintain good working relationship with staff and medical personnel · Attend meetings as directed · Availability to work variable hours including evening or Saturdays as needed Medical Biller/Coder · Reviewing medical procedures as documented and entering Charges as directed · Obtain proper documentation for insurance verification/billing ·...

Melville,NY - USA Position Requirements Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system. PRIMARY RESPONSIBILITIES Review medical record documentation to identify correct coding based on billing and payor guidelines. Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials. Retrieve missing patient documentation required for accurate billing. Work task queues within various systems. Support offshore vendor coding questions. Recommend vendor education based on tasks reviewed. REQUIRED QUALIFICATIONS Minimum of 2 years’ professional medical coding experience. CPC or CCS-P certification. Proficient computer skills DESIRED/PREFERRED QUALIFICATIONS Insurance billing knowledge Excel Knowledge of CMS guidelines Total Rewards Generous benefits package,...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Health Information Coding Specialist Must be accredited as CCS - Certified Coding Specialist, RHIT # Registered Health Information Technician or RHIA # Registered Health Information Administrator. Must maintain continued education credits and AHIMA membership. Preferably 3-5 years Inpatient Coding experience. Salary - $23.36 - $31.64 per hour Job Type: Full-time | In-person

Professional Coder- Patient Accounts, Oswego Health Medical Practice The Certified Professional Coder (CPC) will provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing. High school diploma or GED, and Certified Professional Coder (CPC) is required. At least one year of coding experience in ICD-10, CPT, and E&M coding in a hospital or healthcare setting. Coding experience in operative reports is preferred. Knowledge of all confidentially requirements...

Coding Specialist Responsible for the complete, accurate and timely assignment of diagnostic and operative procedure codes and the assignment of the appropriate and optimal DRG/NY APR DRG#s for all patient medical records both concurrently and at the time of discharge. Must be accredited as CCS - Certified Coding Specialist, RHIT # Registered Health Information Technician or RHIA # Registered Health Information Administrator. Must maintain continued education credits and AHIMA membership. Preferably 3-5 years Inpatient Coding experience. Salary - $22.90 - $31.02 per hour

Westchester Medical Center is seeking a Medical Records/HIM professional to code inpatient and outpatient records, review for ICD-10-CM/PCS and CPT-4 codes, and ensure accurate DRG capture. The role requires collaboration with physicians and participation in coding audits to uphold data quality. Qualifications include 1+ year of experience in a Medical Records/HIM setting, an associate degree or better, and familiarity with Paragon and U.D.S. systems; ongoing certifications are preferred. #J-18808-Ljbffr

Health Information Management Coder 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...

Clinical Documentation Improvement (CDI) Specialist – CDI Coder United Health Services (UHS) is seeking a Clinical Documentation Improvement (CDI) Specialist – CDI Coder to support accurate, complete, and compliant clinical documentation across the inpatient setting. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder collaborates with physicians, coders, and interdisciplinary care teams to ensure medical records accurately reflect patient acuity, severity of illness, risk of mortality, and services provided. Through concurrent and retrospective chart reviews, this role helps optimize coding accuracy, reimbursement integrity, quality reporting, and regulatory compliance. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder serves as a key resource for documentation excellence by identifying opportunities for clarification, educating providers on documentation best practices, and facilitating compliant clinical queries. This position plays a critical...

Binghamton, NY Full time R0000014593 Position OverviewThe Clinical Documentation Improvement (CDI) Specialist – CDI-coder is responsible for performing concurrent and retrospective reviews of inpatient medical records to ensure complete, accurate, and compliant clinical documentation. This role focuses on supporting accurate ICD 10 CM/PCS coding, MS DRG assignment, severity of illness (SOI), risk of mortality (ROM), quality reporting, and reimbursement integrity. This role works closely with providers, coders, and quality teams to clarify documentation and support accurate data capture for clinical, financial, and regulatory reporting. Primary Department, Division, or Unit: Clinical Documentation Improvement, UHS Revenue Cycle Operations Primary Work Shift: Day Regular Scheduled Weekly Hours: 40 Compensation Range: $30.58 - $45.86 per hour, depending on experience Job Responsibilities Essential Functions: Review inpatient medical records concurrently...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Medical Group Coder II Department: MEDICAL GRP ADMIN Job Summary Under the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based surgical specialty providers. This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities Assign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines. Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits. Assign applicable ICD-10-CM diagnosis codes based on...