626 jobs found

Job Description Summary This role involves reviewing and analyzing physicians'documentation, as well as CPT, ICD-9, and ICD-10 diagnosis codes. The coding function ensures compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions Perform complex and technical assignments related to medical coding. Analyze, code, and abstract information to assign and enter consistent diagnoses and procedure codes for reimbursement. Resolve discrepancies related to coding issues. Review and correct rejected claims from various third-party carriers. Handle CPMP account notifications and accounts receivable reports (IDX), and ICD-09/10 coding. Maintain account records and track IDX record requests. Maintain PK files for validity errors. Monitor TES Open Encounter file. Manage CLIA renewals for all sites. Perform additional duties as assigned by management. Required Qualifications...

Base pay range $27.91/hr - $34.87/hr Certified Coder - Neurology Associates of Stony Brook, UFPC Location East Setauket, NY Schedule Full Time Days/Hours Monday - Friday; 8:30 AM - 5:00 PM The 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. SUMMARY This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with...

Job Title: Medical Biller Location: Finger Lakes Region, NY Employment Type: Full-Time Job Summary: The Medical Biller plays an essential role in supporting FLACRA’s billing and payment collection processes. This position is responsible for processing claims, managing accounts receivable, and ensuring timely and accurate payment collections in alignment with the organization’s mission, vision, and values. Minimum Qualifications: At least two years of experience in accounts receivable. One year medical billing experience preferred. Valid NYS Driver’s License. High school diploma / GED.

FlexStaff - Anesthesia Head Coding Manager & Compliance Auditor Are you a seasoned coding professional with a passion for accuracy, compliance, and team leadership? Do you thrive in a fast-paced healthcare environment and want to make a real impact? FlexStaff wants you to lead our client's anesthesia and procedural coding efforts! The Anesthesia Head Coding Manager & Compliance Auditor play a pivotal role in ensuring the organization's coding excellence, compliance, and revenue integrity. Ready to lead the charge in healthcare coding excellence? Don't miss this incredible opportunity to make a difference! Responsibilities: Lead and inspire a team of Coding Team Leads, fostering a culture of accuracy and continuous improvement Oversee all anesthesia and procedural coding, ensuring compliance with the latest regulations and payer guidelines Conduct meticulous audits, identify discrepancies, and provide targeted education to maintain top-tier coding...

Job Description 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....

JOB TITLE: Coder | DEPARTMENT: Health Information Management 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. Minimum 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 &...

Annual Salary: $65k-$85k (varies depending on years of experience) An established orthopedic and spine surgery practice is seeking an experienced Medical Biller with a strong background in out-of-network billing and spine-related claims. This role is responsible for managing the full revenue cycle with a focus on accurate claims submission, payment resolution, and reimbursement optimization. Key Responsibilities Manage end-to-end medical billing and accounts receivable for orthopedic and spine surgical cases. Submit and track out-of-network claims to commercial payers. Handle the Independent Dispute Resolution (IDR) process including documentation preparation, submissions, and follow-up. Review, correct, and resubmit denied or underpaid claims in a timely manner. Post payments, reconcile explanations of benefits (EOBs), and identify discrepancies. Follow up aggressively on unpaid or delayed claims to ensure maximum reimbursement. Communicate with insurance carriers regarding...

Certified Professional Coder / Bill Review Expert Responsibilities: Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience: 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC...

Job Description Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor- Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and eager to make a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the perfect blend of in-office collaboration and remote work, all while contributing to an organization committed to excellence in patient care and regulatory adherence. In this pivotal role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional-to audit and monitor clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding, and documentation will support our...

Job Description We are looking for a seasoned Senior Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading neurological medical center, located in Manhattan, NY. The company provides incredible benefits with health insurance premiums as low as $1 per paycheck and generous paid time off. In this role you will be ensuring timely and accurate claims processing, managing denials, and assisting with billing-related reporting and audits. This is a full-time, permanent job. Monday - Friday, 9:00am-5:00pm, working from the office. Requirements: • 5+ years of experience in medical billing and claims processing, and insurance follow-up. • Certification in medical billing and coding preferred (e.g., CPC, CPA, or equivalent). • In-depth knowledge of CPT, ICD-10, and HCPCS coding systems. Responsibilities: • Timely and accurately submit claims to...

Job Description Join Community Minds , a forward-thinking outpatient psychiatric facility located in Westbury, where our mission is to provide high-quality mental health care within a supportive, community-focused environment. As a startup, Community Minds seeks a dedicated Senior Medical Biller with a minimum of 10 years of experience, ideally in the mental health field, to lead our billing operations. In this pivotal role, you'll ensure accuracy, compliance, and efficiency across our billing processes, supporting the financial health and mission of our organization. Responsibilities: Manage all aspects of medical billing, including charge entry, claims submission, payment posting, and accounts receivable follow-up. Ensure accurate and timely submission of claims to insurance companies and government payers. Resolve billing discrepancies and denials, collaborating with insurance representatives and internal staff. Audit and monitor progress charts to maintain...

Job Description About Us: Community Minds is a veteran-owned mental health services company focused on providing accessible, insurance-covered care for veterans, first responders, and their families. Our mission is to bridge the gap in mental health care by offering quality, compassionate, and dedicated service to those who have served us. Join a team that values your expertise and supports your growth in a meaningful industry. Job Description: We are seeking a detail-oriented and experienced Certified Medical Biller to join our dynamic team. This is a full-time, on-site position where you will play a key role in managing our billing processes to ensure accurate and timely reimbursements. You will work closely with our healthcare providers, insurance companies, and patients to handle the financial aspects of the care we provide. Responsibilities: Process claims for insurance reimbursement accurately and in a timely manner Verify insurance coverage and...

Job Description FlexStaff - Head Surgical Coding Manager & Compliance Auditor Are you a seasoned coding professional with a passion for accuracy, compliance, and team leadership? Do you thrive in a fast-paced healthcare environment and want to make a real impact? FlexStaff wants you to lead our client's anesthesia and procedural coding efforts! The Head Surgical Coding Manager & Compliance Auditor play a pivotal role in ensuring the organization's coding excellence, compliance, and revenue integrity. Ready to lead the charge in healthcare coding excellence? Don't miss this incredible opportunity to make a difference! Responsibilities: Must have Leadership & Surgical Coding Experience. Lead and inspire a team of Coding Team Leads, fostering a culture of accuracy and continuous improvement Oversee all anesthesia and procedural coding, ensuring compliance with the latest regulations and payer guidelines Conduct meticulous audits, identify...

Job Description Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm 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...

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 and...

About us: New York Plastic Surgical Group (NYPS Group) is the largest and longest-running private and academic plastic surgery practice in the United States. With more than 20 board-certified plastic surgeons practicing across 10+ affiliated offices, ambulatory surgery centers, and over 20 hospitals, NYPS Group provides expert, comprehensive, and compassionate care. Founded in 1948, NYPS Group, a division of Long Island Plastic Surgical Group, is one of the nation’s most well-established plastic surgery practices, offering patients the collective expertise of specialty-trained surgeons dedicated to achieving exceptional outcomes. Required Experience: Minimum of 3 years of medical billing experience Strong working knowledge of ICD-10 and CPT coding In-depth understanding of medical coding guidelines and practices Proficient in reviewing and analyzing operative reports for accurate coding Excellent written and verbal communication skills Ability to prioritize...

FemmPro OB/GYN is seeking a full-time, sharp, highly motivated individual who can keep up in a high paced environment for our thriving OB/GYN and Midwifery Practice. Job Responsibilities include, but are not limited to : • Proactively research and resolve claims based on assignment. • Contacting payers via phone or website, writing appeals, and facilitating their direction for submission, and all other activities that lead to the successful adjudication of eligible claims • Handles Re-Credentialing whenever required by insurance companies • Manage and resolve unpostables, manage remittance and, all correspondence in each of the dashboards daily • Manage and resolve Zero-Pay Worklist, Unpaid claims, Fully Worked Receivables, Review and respond to adjustments / payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting • Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding,...

Req Number 176729 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. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 4.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI...

Job Type Full-time Description Come and join our growing organization as a Medical Coder - Certified ! Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment. Why Join Roswell Park Care Network? We offer an outstanding benefits package designed to support your professional growth and work-life balance: Work-Life Balance: Monday-Friday schedule - no nights or weekends Hybrid Schedule: One on-site day per week after on-site training is completed Comprehensive Benefits: Medical, dental, and vision coverage Retirement Savings: 401(k) with company match Paid Time Off: Generous vacation and sick time Insurance Coverage: Company-paid life insurance, with options for Long-Term Disability, Critical Illness,...

Job Title: Medical Billing Specialist Reports to: Billing Manager Pay : To determine our range, we consider as many of the following data points as are available to us: external market salary survey data, internal data in terms of comparable roles and our budget for the position. What we have posted is our good faith estimate of what we expect to pay: $17-$22 an hour . Summary : In this role you will be responsible for identifying, fixing and resubmitting denied claims, following up with insurance carriers regarding claims that have not been responded to, reviewing insurance carriers websites to gather patient deductible information and answering incoming patient phone calls. Based at: GLMI Billing Office - with remote capability Our Values: As a member of the team at GLMI it is expected that you embody the Great Lakes Way in your daily actions here. Personalize the Experience Greet with eye contact and share a smile. Create a tone of friendliness...

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...

Coder IV 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...

The Center for Technology Licensing at Cornell University seeks an Associate Director for Business Development and Licensing with a focus on biomedical technology. Well-qualified candidates will possess prior experience assessing inventions, developing business, and negotiating contracts in the technology transfer field. The Role As Associate Director for Business Development and Licensing, you will contribute your forward-thinking perspective to a leadership team driving a comprehensive technology commercialization and partnership program. You will manage a large biomedical technology portfolio and serve as the primary liaison with faculty and research staff in designated research areas. Key responsibilities will include: Helping faculty and researchers crystallize inventive ideas and disclose inventions, tangible and copyrightable materials to the University Continuously assessing business needs in target industries by establishing, maintaining, and growing...

Job Description Job Description Salary: $23+/hour Medical Biller/ Patient Specialist -NEEDED Location- Brand New Call Center in Melville Must have strong Medical Billing and customer Service experience. Having Call Center experience is strongly preferred. Comfortable working in a fast paced, high call volume environment. You will be receiving high incoming patient calls, helping them navigate their Medical Bill inquiries. Significant opportunity for growth and advancement. Desirable, newly renovated office! Efficiently manage and collect patient information on medical insurance claims. Utilize our software to track, document, and process claims activities. Communicate with patients and insurance companies via phone and email to resolve billing issues. Maintain accurate records of all collection and appeal activities. Previous experience in a large medical practice or medical office settings, particularly in a billing or accounts receivable Call Center Responsible and...