27 cic certified inpatient coder jobs found in Florida, NY

Coding Specialist Location Detail: 9 Farm Springs Rd Farmington (10566) Shift Detail: 100% Remote Position Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric...

Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC Health Union: No Position: Full Time Hours: 80 Shift: Day Req #: 45761 Posted Date: Jan 29, 2026 Hiring Range: $39.66 - $49.86 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/31805) Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. Technical guidance and acting in a lead role is expected. Does related work as required. Responsibilities: Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. Interprets and applies American...

Job Summary : The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. Technical guidance and acting in a lead role is expected. Does related work as required. Responsibilities: Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. Interprets and applies American Hospital Association Official Coding guidelines to articulate and support principle and secondary diagnoses and selected procedures. Identifies and analyzes patterns in possible coding errors or other trends and reports to the the coding leadership team. Participates in mandated medical record review processes. Using current ICD10 CM/PCS coding systems, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by...

Overview About the Role The primary purpose of the Apprentice Inpatient Coder position is to review hospital inpatient medical records and assign ICD-10 diagnosis codes and procedure codes that accurately reflect the reason for admission and patient severity. Follows established hospital inpatient coding guidelines and utilizes Coding Clinic and other resources to ensure compliance with national coding guidelines. Responsibilities What You'll Do Reviews inpatient hospital medical records to assign accurate ICD-10 diagnosis and procedure codes. Ensures coding reflects the patient's reason for admission and overall severity. Applies established inpatient coding guidelines consistently. Uses Coding Clinic and other approved coding resources to maintain compliance with national coding standards. Qualifications What You'll Bring High School Diploma or GED equivalent required. Successful completion of ICD-10 training and skill assessment as designated by...

Inpatient Coder Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and all types of multifaceted accounts which includes, but is not limited to, interventional radiology, interventional cardiology, cardiovascular surgeries, major transplants, neurovascular surgeries, spinal fusions and coding level 1 trauma (multi significant). Position Responsibilities Key Areas of Responsibility Coding 1. Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts. 2. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS),...

Inpatient Coder Job No: 495968 Department: MEDICAL RECORDS Local Title: Inpatient Coder Budget Title: Teaching Hospital Medical Records Specialist Work Type: Full Time Location: Brooklyn, NY Categories: Administrative, Information Technology Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. Bargaining Unit: UUP Job Summary: The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Inpatient Coder. Reporting to the Coding Manager and to the Director of the Health Information...

Summary Our award-winning client is seeking a skilled and experienced Inpatient Coder to join their health information management team. The primary goal of this position is to ensure the integrity and accuracy of inpatient medical record coding and subsequent billing claims. As an Inpatient Coder, you will perform comprehensive chart reviews to assign accurate ICD-10-CM/PCS codes, ensure compliance with official coding guidelines, and ultimately secure appropriate reimbursement through precise DRG assignment. This role requires expert knowledge in complex coding principles, clinical documentation requirements, and regulatory standards. Responsibilities Accurate Code Assignment: Conduct comprehensive analysis and review of complex inpatient medical records to accurately assign the principal diagnosis, secondary diagnoses, and all procedures utilizing ICD-10-CM and ICD-10-PCS classification systems. DRG Validation & Compliance: Ensure strict adherence to the Official Coding...

Possible $5000 Sign On Bonus for External Hires! Remote Coder positions are available in all states EXCEPT CA and HI Nuvance Health has a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations. Summary: Appropriately analyzes and codes complex inpatient records for facility. Position requires high-level expertise in coding and documentation guidelines, coding clinics, and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance....

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide regular...

Position : Inpatient Rehabilitation Facility (IRF) Coder Location: Remote but must be in one of the following states: FL, GA, NC, SC, KY, AR, AL, AZ, MD, VA Hours: M-F 8-5 EST but flexible with working nights or weekends Must Haves: IRF (Inpatient Rehab Facility Coding) experience Familiarity with IRF compliance and tiering comorbidities impacting reimbursement Must have a recognizable coding certification such as CPC or CCS or RHIT or CIC or CCA, etc. Strong IDC-10-CM & PCS Codes Principal diagnosis for the UB04 and all applicable comorbidities, complications, and procedure coders Ability to provide guidance to other departmental staff in identifying and resolving coding issues or errors Ability to analyze and resolve claim denials that are rejected by edits from the revenue cycle Ability to maintain the national standards and our client’s standards for coding accuracy and internal standards for productivity Plus: Experience with coding for both the IRF-PAI and UB04 Ability...

Job TypePart-timeDescriptionRequired :3-5 years of experience in acute care facility (hospital) medical coding auditing or complianceLocation :RemoteJob Summary :The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements.This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies.Occasional travel may be required for audits or meetings.Key Responsibilities :Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance.Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines.Identify and address coding discrepancies and recommend corrective actions.Prepare detailed audit reports with findings and provide feedback on documentation and coding practices.Collaborate with relevant departments to resolve audit findings and...

Job DescriptionTraining program to learn all coding and abstracting duties to assure accurate completion of coding for all assigned patient records.Job Responsibility1.Analyzes 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.Helps in selecting the principal diagnosis as documented in the medical record.Codes and reports diagnoses and procedures in accordance with the established guidelines.3.Reports a discharge disposition for all records as required and in accordance with the rules and regulations.4.Analyzes medical records for completeness of documentation and review the process on clarification for any incomplete / ambiguous or conflicting documentation.Understanding of the process for education of physicians and other clinicians by advocating proper documentation practices.5.Participates in required hospital education programs,...

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...

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...

Req Number 169415 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/...

Connecticut Institute for Communities, Inc. Description: Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent Medical Billing Specialist. High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: 1. Responsible for working with colleagues (ie: providers, front desk) to resolve...

Connecticut Institute for Communities, Inc. Description: Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent Medical Billing Specialist. High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: 1. Responsible for working with colleagues (ie: providers, front desk) to resolve...

Connecticut Institute for Communities, Inc. Description: Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent Medical Billing Specialist. High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: 1. Responsible for working with colleagues (ie: providers, front desk) to resolve...

Connecticut Institute for Communities, Inc. Description: Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent Medical Billing Specialist. High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: 1. Responsible for working with colleagues (ie: providers, front desk) to resolve...

Overview 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 standards of their level. Level...

Connecticut Institute for Communities, Inc. Description: Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent Medical Billing Specialist. High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: 1. Responsible for working with colleagues (ie: providers, front desk) to resolve...

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers. Researching...