449 certified coder jobs found in New York, NY

Position Overview MetroPlusHealth seeks a Clinical Certified Coder to support the Special Investigations Unit in detecting, preventing, and investigating suspected fraud, waste, and abuse. The role reports to the Director of the Special Investigations Unit. Scope of Role & Responsibilities Review medical records and claims to determine accuracy and compliance with regulations. Conduct high‑risk claim audits to detect potential fraud, waste, and abuse. Collaborate with the SIU team to evaluate suspected fraudulent activities such as over‑utilization, upcoding, and non‑medically necessary services. Create detailed reports with findings, rationale, sources, and corrective action recommendations. Assist in provider calls to discuss findings and rationale. Present findings to leadership and stakeholders to facilitate FWA proceedings. Prepare documentation for audits, recoupments, compliance/legal reviews, and regulatory inquiries. Maintain thorough documentation of...

Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health has been committed to building strong relationships with its...

Lead Certified Coder, Acute Inpatient (Remote) United States Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including inpatient encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements: Education and...

ASC–CIRCC Certified Coder (Cardiovascular / Interventional Radiology) Department: Revenue Cycle / Business Office Reports To: Revenue Cycle Manager FLSA Status: Non-Exempt Location: Remote The ASC–CIRCC Certified Coder is responsible for accurately assigning CPT®, ICD-10-CM, and HCPCS codes for cardiovascular and interventional radiology procedures performed in an ambulatory surgery center (ASC) or hospital outpatient setting. This role ensures compliant coding, appropriate reimbursement, and adherence to federal, state, and payer regulations. The coder works closely with physicians, clinical staff, billing teams, and compliance personnel to support revenue integrity and audit readiness. Key Responsibilities Assign accurate CPT®, ICD-10-CM, and HCPCS Level II codes for cardiovascular and interventional radiology procedures Apply correct modifiers in accordance with payer and regulatory guidelines Review operative reports, procedure notes, and supporting documentation to...

Certified Coder - Obstetrics and Gynecology Apply locations Remote time type Full time posted on Posted 6 Days Ago job requisition id JR87601 Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. CERTIFIED CODER/ABSTRACTOR - HEALTH INFORMTION MGT - FT -REMOTE What You Should Know About the Certified Coder/Abstractor: Typical Hours: Monday- Friday from 8:00 a.m.- 4:30 p.m. This position is based within Jefferson Regional Health Information Management Job Summary: The Certified Coder/ Abstractor is responsible for analyzing patient records and assigning appropriate diagnosis and procedure codes, ensuring accuracy and compliance with coding guidelines and industry best practices. Certified Coder Abstractor Qualifications: High School diploma or equivalent required. Technical Diploma or Associate Degree in Healthcare, Healthcare Information Management or Administration, or other related field preferred. One or more of the following: Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified...

Join to apply for the Certified Coder Abstractor role at St. Joseph's Health 4 days ago Be among the first 25 applicants Join to apply for the Certified Coder Abstractor role at St. Joseph's Health Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and...

Sr. Certified Coder Clinical Document-Coding Mgmt The Sr. Certified Coder will: In accordance with established coding principals and guidelines assigns appropriate diagnosis and procedure codes to all applicable records - (concurrently/discharge) on patient units. Collaborates with coding supervisor for managing workflow and distribution of discharged records to non-senior coding staff. Responds to inquiries from fellow coders, regarding coding questions or concerns. Collaborates with clinical documentation nursing specialists to ensure quality documentation practices. Assists physicians, hospital personnel and others as needed with coding and billing inquiries. Reports discharged not final billed (DNFB) problems to coding supervisor. Requirements: Knowledge of coding systems, medical terminology, anatomy and physiology required. A minimum of five (5) years of inpatient coding experience required. Strong interpersonal and decision-making skills required....

Certified Coder – Stony Brook Children’s Service, UFPC Location: St. James, NY Schedule: Full Time Remote Work: 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. Salaries vary depending on experience, education and current market for the position. SUMMARY This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD‑10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third‑party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions Provide a variety of complex and technical assignments relating to medical coding. Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and...

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'...

Certified Coder – Stony Brook Children’s Service, UFPC Location: St. James, NY Schedule: Full Time Remote Work: 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. Salaries vary depending on experience, education and current market for the position. SUMMARY This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD‑10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third‑party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions Provide a variety of complex and technical assignments relating to medical coding. Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and...

Overview Certified Coder - University Associates in Obstetrics & Gynecology, UFPC Location: Stony Brook, NY At the manager's discretion, this role may be eligible for remote work; (2-3 days per week on a rotating schedule after the first 90 days) this position is only available to New York State residents. Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM 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...

Certified Coder - University Associates in Obstetrics & Gynecology, UFPC Location: Stony Brook, NY At the manager's discretion, this role may be eligible for remote work; (2-3 days per week on a rotating schedule after the first 90 days) this position is only available to New York State residents. Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM 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...

Job Position: Medical Certified Coder Location: Fairfield, CT 06824 Full in office position Job Position: CPC Medical Billing Coder Description: 60 Years in business. Our client is a healthcare organization committed to delivering top-quality services to their patients. CPC Billing Coder CPC-$23-27 DOE Must Have two years of experience Hours- 8:30AM-5:30PM Earlier or later would work too. They start at 8:00 AM They are seeking a detail-oriented billing specialist to join their billing department. Certificate must be Hema or APC (American Professional Coders) Responsibilities: Post charges, payments, and refunds accurately. Handle denial claim follow-up and accounts receivable/payable. Conduct credentialing, transmit claims, and manage prior authorizations. Communicate with patients, insurance companies, and clearinghouses. Assist with monthly closing, auditing notes, and daily deposits. Requirements: Prior experience in medical billing and...

Triwill Group is seeking a Value-Based Care Risk Adjustment Coder to review medical records and attribution data for accurate risk adjustment coding. You will audit coding, ensure documentation integrity, and collaborate with providers and billing to resolve discrepancies while supporting value-based care initiatives. The role requires expertise in ICD-10-CM, CPT, HCPCS, and Epic, with strong attention to detail and confidentiality. #J-18808-Ljbffr

Job Opportunity At Hospital For Special Surgery How you move is why we're here. Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise....

St. Joseph's Health in New Jersey is seeking a professional for coding inpatient medical records. Responsibilities include reviewing and abstracting clinical data, ensuring timely and accurate coding in compliance with established standards. The ideal candidate should possess an Associate’s Degree in Health Information Technology and be a Certified Coding Specialist (CCS) or obtain certification within a year of hiring. The position offers a comprehensive benefits package and work within a recognized healthcare institution. #J-18808-Ljbffr

Job Opportunity At Hospital For Special Surgery How you move is why we're here. Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the...

Certified Professional Coder (Cpc) The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. Key Responsibilities Serve as the liaison to ensure coding queries issued by the vendor are addressed by providers, resolved appropriately, and returned to the vendor in accordance with established timelines. Identify documentation deficiencies and initiate provider...

Jefferson Regional Health Information Management is seeking a detail-oriented Certified Coder/Abstractor to analyze patient records and assign diagnosis and procedure codes in compliance with coding guidelines. The role requires strong reading, communication, and independent work capabilities while adapting to payer changes. Qualified candidates will have a High School diploma and an applicable technical or associate degree. #J-18808-Ljbffr

Riverside Health System is seeking a full-time Remote Certified Coder to assign diagnostic and procedure codes to medical records, ensuring compliance with regulatory standards and reimbursement accuracy. Responsibilities include organizing workload to meet deadlines, applying ICD-10-CM and CPT coding, and mentoring other coders while maintaining strong provider relationships. Requirements: HS diploma/GED; 1 year ICD coding experience (preferred); CPC or COC required on hire. #J-18808-Ljbffr

A leading healthcare organization is seeking a Certified Coder to handle data abstraction and coding for obstetric services. The role involves applying guidelines to sequence diagnoses, analyze errors, and manage reports while working independently in a high-volume environment. Candidates should have certification and experience in billing procedures. This position offers remote flexibility and a strong commitment to women's healthcare, along with a range of benefits including health insurance and paid time off. #J-18808-Ljbffr

Western Missouri Medical Center seeks a Certified Coder to convert diagnoses and procedures into ICD-10, CPT and HCPCS codes. The coder reviews and codes office and hospital procedures for reimbursement, maintaining accuracy and confidentiality. Responsibilities include auditing documentation, resolving discrepancies, and providing expertise to coding staff while upholding hospital policies and privacy standards. #J-18808-Ljbffr