21 cpc certified professional coder jobs found in New Scotland, NY

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Hospital 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...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed 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. Essential Duties and...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Looking for an Inpatient Coding Specialist. Must have a coding credential through AHIMA or AAPC. Responsible for the selection of applicable Diagnoses and Procedures, sequence codes following the ICD-10-CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Strong understanding of MS-DRG and NY-APR methodologies. This position is fully remote, and equipment is...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Under direction of the Coding Manager, the primary responsibility of the Medical Coder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Looking for an Inpatient Coding Specialist. Must have a coding credential through AHIMA or AAPC. Responsible for the selection of applicable Diagnoses and Procedures, sequence codes following the ICD-10-CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Strong understanding of MS-DRG and NY-APR methodologies. This position is fully remote, and equipment is...

The Impact You Can Make Codes, abstracts and validates inpatient and / or ambulatory records. Determines appropriate DRG assignment and code sequencing using ICD- 9-CM and CPT-4 coding guidelines ** The Glens Falls Hospital Impact Mission * * Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting. * * ** How You Will Fulfill Your Potential * * Responsibilities * Reviews the documentation in the hybrid medical record (electronic and paper medical record) of inpatient and / or ambulatory visits to determine the diagnoses that identify the condition(s) for the patient’s admission. * Assigns codes for all diseases and conditions documented within the current visit to reflect the Acuity of Illness, POA (present on admission) of our patients. Assigns all codes to reflect Medical Necessity for ambulatory visits. * Identifies procedures performed for treatment and assigns...

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 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...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed 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. Essential Duties and...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a medical coder on our team, you'll play a vital role ensuring our claims process runs smoothly and efficiently for our customers. Attention to detail is invaluable as you review and enter medical billing information, ensure billing codes correspond with and support medical records, and apply applicable fee schedules and coding rules while making appropriate adjustments. The ideal candidate will have strong customer service and interpersonal skills - which you'll rely on while assisting medical representatives with coding questions and answering calls from customers, providers, billing offices and attorneys. This is a hybrid role. You'll be expected to report to an office about four days per month for important meetings, training, and collaboration and will have the benefit of continued...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Hospital 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...

Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS and Fire, and billing/accounts receivable (AR) teams to deliver more-from better patient outcomes to operational efficiencies and greater revenue capture. Our business exists to help save more lives through data-driven innovation and interoperability, opening new pathways for our customers to achieve the highest levels of care, collaboration, and reimbursement. Job Summary: This position is geared toward verification of transport and patient data as well as compliant coding and billing with...

Risk Adjustment Coder Headquarters Office, 625 State Street, Schenectady, New York, United States of America ● Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America ● Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America Req #2636 Friday, June 6, 2025 At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for a Risk Adjustment Coder to join #TeamMVP. This is the opportunity for you if you are accountable, a team player ready to jump in, flexible and agile. What’s in it for you: Growth opportunities to uplevel your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team Competitive compensation and comprehensive benefits focused on well-being An opportunity to shape the future of health care by joining a team recognized as a...

This position can be local or remote!! 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, healthcare...

Job Summary The BFS Professional Coder will be primarily responsible for all financial related functions including, but not limited to, patient registration, CPT, ICD10 coding and charge entry for the physician practices. The goal of the Professional Coder is to monitor and review medical records in order to ensure the accuracy of medical coding, including appropriate completion and documentation of physician signatures and proper coding of all diagnoses and procedures upon completion of a certified coder course. Acts as a physician resource on E&M and coding guidelines. Provides review of medical records for providers with feedback. Thorough understanding of CMS/Medicare regulations as well as technical knowledge of ICD-9 and CPT classification systems. Assumes responsibility to maintain awareness of current rules and regulations of payers and general knowledge of billing compliance. Experience One year of physician office experience preferred. Understanding of both...

Job Summary The Coder/ Abstractor codes outpatient records using commonly accepted classification systems and abstracts the information into the coding software or EMR abstracting. Experience One year of experience in coding with ICD-10-CM, CPT-4, and HCPCS required. Education High School Graduate, advance education in medical terminology, anatomy and physiology, and pathophysiology are all required. Completion of a medical coding program required. License & Certifications RHIT, CCS, RHIA, CCS-A, CPC, or CPC-H preferred. Additional Requirements Understanding of frequently ordered tests, required. Experience using coding software and EMR required. Understanding of billing and reimbursement systems, i.e. APC's , required. Previous coding in a teaching facility, preferred. Demonstrated ability to interact with physicians and other health professionals; ability to demonstrate effective interpersonal skills at all times. Demonstrated ability to deal appropriately...

This position can be remote once training is complete. The Clinical Coder is responsible for coding inpatient and outpatient services as required to ensure timely and accurate coding of unbilled records. The Clinical Coder assesses the adequacy of medical record documentation to ensure that documentation supports the diagnosis, procedure, complications, and co-morbid conditions assigned codes. There is a possibility of a hybrid/remote schedule once trained. Certified Professional Coder (CPC) certification and ICD 10 required. Experience in bariatric office E/M and surgical coding preferred but not required. Area of Interest: Clerical/Administrative; Work Status: 8:00 AM to 4:30 PM; Employment Type: Full Time; Job ID: 5689 Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin,...

Responsible for accurate coding of outpatient records. Codes referred outpatient, ERs and ASU records using ICD 10 diagnosis codes and CPT procedure codes. Assists with abstracting when needed. RESPONSIBILITIES Demonstrates knowledge and accurately assigns proper ICD 10 diagnosis codes to all referred outpatient records. (i.e. Radiology, Cardiology, Clinics) Demonstrates knowledge and accurately assigns proper ICD 10 diagnosis and procedure codes and CPT codes to Emergency Department Records. Demonstrates knowledge and accurately assigns proper ICD-10 diagnosis and procedure codes and CPT codes to outpatient procedure records. ( ASU, Outpatient Medical) Reviews and/or completes Emergency Department charge sheet. Assigns appropriate Evaluation and Management level based on documentation and identifies chargeable items. Abstracts data from coded records into various computer programs as needed. Demonstrate the ability to utilize computer systems for maximum efficiency....

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience. CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC. Strategic Solutions Management Consultants (SSMC) is a full-service medical billing and practice management firm offering a...