32 cic certified inpatient coder jobs found in New York, NY

JOB SUMMARY: The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding, UHDDS guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Assigns Present on Admission (POA) indicators according to AHA POA guidelines. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assigns appropriate ICD-10-CM/PCS codes to inpatient accounts as per designated workflow Abstracts and enters coded data for hospital statistical and reporting requirements Assigns present on admission indicators and discharge dispositions Queries physicians to clarify conflicting, imprecise, incomplete,...

CSI Companies is seeking an experienced Inpatient Acute Care Coder (Multi-specialty) to support coding operations across multi-specialty inpatient charts at a non-teaching acute care facility. This is a fully remote opportunity offering schedule flexibility and competitive compensation for coders who can maintain strong productivity and quality standards in a production-driven environment. The ideal candidate brings deep inpatient coding experience, strong knowledge of complex chart abstraction, and comfort working independently while meeting established benchmarks. Hours: 40 hours/week; Schedule Options: Sunday - Thursday Monday - Friday Tuesday - Saturday Location: Remote Pay: $79-83K based on relevant experience, education, and credentials Position Type: Direct Hire What you’ll do: Perform accurate inpatient facility coding for multi-specialty inpatient encounters Assign ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines and facility policies...

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...

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...

SUMMARY: We're looking for a Coder to join the Cost Outlier Review team. These coders are working with NY Medicaid to review high cost claims (people that have been in the hospital for a long time) and may be up to multimillion dollar claims. They are looking through the codes to ensure that everything is coded correctly before the nurses review to ensure care was delivered properly. It is a team of 3 coders. Must have a very strong understanding of Inpatient coding and NY Medicaid. It is a 6 month contract with the ability to extend further as needed. GENERAL RESPONSIBILITIES: This individual will utilize his/her knowledge and expertise of the review program and coding guidelines to ensure that the assignment of coding/DRG is appropriate and consistent with ICD-10-CM Official Guidelines for Coding and Reporting and AHA Coding Clinic regulations. DUTIES: Review (re-abstract and recode) hospital medical records to validate that data received is...

Medix - 300 Jericho Quadrangle [Medical Records Clerk] As an Inpatient Coder at Medix, you'll: Analyze medical records to assign accurate codes for inpatient services; Ensure compliance with coding guidelines and regulations; Collaborate with healthcare professionals to clarify documentation; Maintain confidentiality of patient information; Participate in coding audits and quality improvement initiatives; Stay updated with changes in coding standards and healthcare regulations...Hiring Immediately >>

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...

Job Description: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 reports on project...

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 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/...

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 coding references...

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...

CSI Companies is seeking an experienced Inpatient Facility Coder to join our client’s coding team at a non-teaching healthcare facility. This is a direct-hire, fully remote opportunity for a detail-oriented professional with strong inpatient coding expertise and trauma experience. The ideal candidate will demonstrate accuracy, productivity, and consistency while meeting established quality and performance benchmarks. Hours: 40 hours/week – Monday to Friday, standard business hours Location: Remote Pay: $72-79K based on relevant experience, education, and credentials Position Type: Direct Hire What you’ll do: Perform inpatient facility coding for a variety of complex cases, including Level II and/or Level III trauma encounters Assign accurate ICD-10-CM/PCS codes in compliance with official coding guidelines and facility policies Maintain productivity standards of 2 charts per hour (CPH) while ensuring high-quality, compliant coding Utilize Meditech for coding and documentation...

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...

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...

Coding Auditor & Provider Educator NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: Alabama Arizona Florida Georgia Idaho Indiana Kansas Michigan Missouri North Carolina Ohio Oklahoma Pennsylvania South Carolina Tennessee Texas Virginia The Coding Auditor & Provider Educator is a critical role responsible for ensuring the accuracy, completeness, and compliance of medical coding (CPT, HCPCS, ICD-10-CM) for professional services. This individual will conduct thorough coding audits, identify areas for improvement in documentation and coding practices, and develop and deliver targeted educational programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue integrity, mitigate compliance risks, and foster a culture of accurate and compliant documentation and...

Job Title 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 1...

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...

 Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Medical Office Supervisor provides coverage and support, under the direction of the practice administrator and physician(s) of the practice, coordinates and supervises clerical team members and the clinical team members when assigned by the Clinical Program Manager, practice operations, and business functions including but not limited to, scheduling, registration, billing, collection, patient and team member satisfaction, and purchasing. Serves as liaison...

Job Functions, Duties, Responsibilities and Position Qualifications: We're not just a workplace - we're a Great Place to Work certified employer! Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members! LOCATION: 250 Miller Place, Hicksville, NY 11801 **May become hybrid after 6 months; need to be in the office a minimum of three days per week. HOURS: 8:00am - 5:00pm; Monday to Friday FULL TIME: benefits eligible In this role you will: Be responsible for accurately reviewing and following up on denied or rejected claims, handling insurance reimbursements, and ensuring timely insurance and patient billing. Research and reconcile denied and unpaid medical claims, no fault, and workers' compensation claims Submit appeals and follow...