55 cpc certified professional 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: 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...

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...

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...

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 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

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...

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 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...

Job Title Eddy Visiting Nurse and Rehab Association has a rewarding opportunity for a fulltime CODER/OASIS reviewer to join our interdisciplinary HomeCare team! Job Description Candidates must have completed or be within the process of completing CODER certification for homecare (HCS D, HCS - 0). The role of the coding/OASIS position is to code and complete OASIS reviews on SOC, ROC, and RECERTS, meeting Coding and OASIS guidelines. We take pride in our job at EVNRA working closely with the clinical team to achieve a 5 Star - Top 6% in the country. Fulltime hours required. Must have one year of previous experience in the health care field. Additional experience working with seniors and/or in home care field preferred. Valid Registered nurse in NYS and Certified in OASIS and Coding. Valid NYS driver's license Offering flexible shift and shift length options! Apply now for more information! Pay Range:$36.00 - $47.52 Pay is based on experience, skills, and education....

22 New Scotland Avenue Albany, NY 12208 Full time 69025 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...

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

Hospital CoderThe 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.Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.Support the reporting of healthcare data elements (e.g. diagnoses and procedure...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 – $83,843.71 The 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 (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. This is a remote position. Essential Duties And Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform Hospital Discharge...

Senior Professional CoderThe Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed.Essential Duties and ResponsibilitiesReview, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring...

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

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under...

Inpatient Hospital CoderThe 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.Must have Inpatient Coding ExperienceQualificationsInpatient Coding Experience 2+ years PreferredHigh School Diploma/G.E.D. - requiredPrior experience in hospital/inpatient medical coding - preferredPrior experience with 3M 360 and EPIC system - preferredApplicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High...