50 cpc certified coder jobs found in Galway, NY

SUMMARY: Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Review all denied claims, correct them in the system and send correctedppealed claims as / written correspondence, fax or via electronic submission. Identify and analyze denials and enact corrective measures as needed to effectively / communicate and...

SUMMARY SUMMARY:Under general supervision of the Follow-up Supervisor, performs all duties necessaryto follow up on outstanding claims and correct all denied claims for a largephysician multi-specialty practice.Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:Instill Trust and Value DifferencesPatient and Community Focus and Collaborate RESPONSIBILITIES Review all denied claims, correct them in the system and send correctedppealed claims asbr / written correspondence, fax or via electronic submission. Identify and analyze denials and enact corrective measures as needed to effectivelybr / communicate and...

SUMMARY: Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Review all denied claims, correct them in the system and send correctedppealed claims as / written correspondence, fax or via electronic submission. Identify and analyze denials and enact corrective measures as needed to effectively / communicate and...

Overview University Health is seeking a Full-Stack AI Developer to join a government-funded research team at the intersection of artificial intelligence, digital health, and public health interventions. The role focuses on developing and optimizing multimodal AI models, AI-based chatbots, and agent-based modeling frameworks to support research on HIV prevention, STI prevention, nutrition counseling, overdose prevention, and opioid use disorder (OUD) treatment. Brown University Health emphasizes Compassion, Accountability, Respect, and Excellence in daily actions with patients, customers, and colleagues, along with core Success Factors such as trust, collaboration, and patient/community focus. Responsibilities AI/ML & Software Development: Design, develop, and optimize multimodal AI models, AI-based chatbots, and update agent-based modeling frameworks. Full-Stack Engineering: Develop and maintain front-end and back-end components of AI-driven applications to ensure seamless...

Albany Medical Center is seeking a Professional Coder to review, analyze, and validate CPT and ICD-10 codes and charges to ensure compliance with federal and state regulations and insurance carrier guidelines. This remote position reports to Health Information Management and requires strong coding proficiency. The role emphasizes accurate coding of CPT and ICD-10 codes, understanding NCCI edits, maintaining productivity and quality, and collaborating with providers to improve documentation and #J-18808-Ljbffr

Professional CoderThe Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote.Essential Duties and ResponsibilitiesEffectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines.Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes.Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.Ensure established productivity and quality standards are met.Review denials, research and respond appropriately and timely.Perform audits as determined by management.Assist with all levels of application testing for identified coding...

Albany Medical Center is seeking a Professional Coder in Health Information Management to review, analyze, and validate CPT and ICD-10 codes and charges, ensuring compliance with federal and state regulations and payer guidelines. This remote role requires attention to accuracy and timeliness. The coder will understand NCCI edits, RVUs, and maintain productivity and quality standards while assisting with denials, audits, and coding workflow testing. #J-18808-Ljbffr

Professional Coder The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote. Essential Duties and Responsibilities Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes. Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Ensure established productivity and quality standards are met. Review denials, research and respond appropriately and timely. Perform audits as determined by management. Assist with all levels of application testing...

Ellis Medicine is seeking a Medical Coder II to support revenue cycle activities across physician practices. Responsibilities include charge entry, charge reconciliation, code review, and ensuring documentation supports CPT/HCPCS and ICD-10 guidelines. The role requires CPC/CCS/RHIT/RHIA credentials and 2–5 years of outpatient coding experience, with proficiency in Windows, Excel, and Word. Soarian and Cerner PowerChart experience preferred. #J-18808-Ljbffr

Schedule - Shift - Hours Part Time (20 Less than 36 Hours) - Days The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to (1) managing the charge entry and charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims, (3) facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts; and (5) ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. This position requires interacting with EMG leadership,...

ELLIS HOSPITAL POSITION DESCRIPTION TITLE: Accounts Receivable Representative/ Coder II DEPARTMENT: Physician Revenue Cycle REPORTS TO: Manager Patient Financial Services SECTION I BASIC FUNCTION: The Accounts Receivable Representative/ Coder will be responsible for achieving accurate and timely accounting for professional accounts receivable as set by policies and procedures. Responsible for reviewing and posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. In addition to AR responsibilities this position will be responsible for coding review, resolving coding edits and denials with the focus on ensuring that the account is resolved in a timely and appropriate manner. SECTION II EDUCATION AND EXPERIENCE REQUIREMENTS: Education: High School Diploma or Equivalent required. Associate’s degree...

Certified Coder Our Central Billing Office is growing! We are looking for a Certified Coder to join our team! Position is a full-time remote position, Monday - Friday. Our certified coders provide coding support to multiple departments as well as practitioners and staff. Responsibilities: Timely input of charges in accordance with department needs. Maintain strict established charge batch turnaround times set by the department. Utilize web-based tools, coding books and other available resources to facilitate accurate charge entry. Assist in reducing denials by maintaining required accuracy levels and following outline protocols. Process any discrepancy reconciliation and closing of charge batches across all systems. Respond to inquiries from provider offices and various internal departments in a timely and professional manner. Responsible for Claim Edit Reports and Unassigned Money Reports. Comply with and enforce all policies and procedures related...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

3065 Route 50 Saratoga Springs, NY 12866 Full time 70741 Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $59,066.00 - $88,599.00 The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote. Essential Duties and Responsibilities Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes. Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Ensure established...

A leading healthcare provider in Albany, NY, seeks a Hospital Coder to apply coding and classification skills to ensure accurate reimbursement for services provided. This fully remote position demands a High School Diploma, coding certification, and proficiency with ICD-10 systems. Ideal candidates possess prior hospital coding experience and exhibit exemplary communication and computer skills while maintaining confidentiality. Join a dedicated team committed to ethical practices in healthcare coding. #J-18808-Ljbffr

Senior Hospital CoderThe Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. This is a remote inpatient position.Essential Duties and ResponsibilitiesOptimize hospital reimbursement by auditing and monitoring...

Albany Medical Center is seeking an Inpatient Hospital Coder to join Health Information Management. This remote, full-time role requires strong ICD-10-CM/PCS coding knowledge, familiarity with 3M 360 and EPIC, and precise coding to ensure compliant reimbursements. Responsibilities include using encoding systems, clarifying documentation with providers, maintaining privacy, and contributing to data reporting. #J-18808-Ljbffr

The University of Rochester is hiring a Medical Coder for remote work in Albany, NY. You will review codes for accuracy, resolve insurance coding denials, and ensure compliant reimbursements. Responsibilities include editing, troubleshooting claims, and communicating with internal teams and vendors to obtain precise documentation. A HS diploma with 1 year coder experience is required; RHIA/RHIT or CPC/CSS certifications preferred. #J-18808-Ljbffr

University of Rochester offers a remote Med Records Coder III position focused on accurate coding and denials resolution. The role emphasizes ICD-10-CM, CPT, and HCPCS knowledge within Health Information Management-Coding. It requires a high school diploma and 1 year coding experience, with an Associate's degree preferred. The position is full-time with daytime hours, offering competitive pay and remote work flexibility. #J-18808-Ljbffr

Remote Remote Work - New York Full time R273859 As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.78 - $30.53 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering...

A healthcare organization in Albany is seeking a Hospital Coder to work remotely, applying skills in inpatient coding. Key responsibilities include accurate coding using ICD-10 systems and handling healthcare data elements. The ideal candidate should have a high school diploma, coding certification, and experience in medical coding. Strong communication skills and independence are essential. This role offers competitive salary and flexibility in a remote setup. #J-18808-Ljbffr

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71Hospital Coder, Albany Health Information Management The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the...

Albany Med Health System is looking for a skilled Hospital Coder to join their Health Information Services team. In this role, you will utilize your expertise to ensure accurate coding and compliance with healthcare regulations, contributing to high-quality patient care. Candidates should have a high school diploma and relevant coding certifications. Excellent communication skills and the ability to work independently in a remote setting are essential. The position offers competitive hourly rates along with comprehensive benefits. #J-18808-Ljbffr

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $59,066.00 - $88,599.00 The Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Qualifications Inpatient Coding Experience 2+ years Preferred High School Diploma/G.E.D. - required Prior experience in hospital/inpatient medical coding - preferred Prior experience with 3M 360 and EPIC system - preferred Applicants must receive a score of 80% or...