15 cpc certified professional coder jobs found in Utica, NY

Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements REQUIRED: AS in Health Information Management , a related degree or equivalent experience Knowledge of EMR, Coding Software, and...

Medical Group Coder - Remote - Full Time - Days Under the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality, and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based primary care, psychiatric, and other non-inpatient surgical providers. This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities: Assign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based, and office based guidelines. Assign applicable modifiers, review medical necessity, CCI, and other internal and external coding edits. Assign applicable ICD-10-CM diagnosis codes based...

Medical Records Coder II - Full Time - Days Department: CODING Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign the appropriate DRG based on an analysis of the patient file and medical necessity Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Resolve diagnosis/procedure inconsistencies, concerns, and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Abstract data elements and compile data for statistical reports Provide education based on recognized trends, including physician documentation Assist departments with diagnostic and...

Coding And Billing Specialist Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. Duties and responsibilities include: Reviewing and submitting charges from the coding workqueues (WQ). Manually entering off-premise charges in Charge Review. If applicable, manually entering in-house charges for certain specialty areas as designated. Ability to code for many different specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. If indicated, arriving the Surgery Schedule on a daily basis using the DAR function. Checking each patient in to create the visit number. Reviewing and processing re-submits....

Job Type Full-time Description JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. DUTIES & RESPONSIBILITIES: Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. If indicated, arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number....

Job Description Job Description Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health...

Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. • Current coding certification required • Three years of experience coding Observation and/or Ambulatory Surgery preferred • Experience with Clintegrity, Paragon, One Content helpful • Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate...

Health Information Management - HIM - Coder - Inpatient  The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations. •Understands importance coding plays in the revenue cycle process •Meets or exceeds coding productivity and quality standards •Assists with DRG appeals as necessary •Assists Coding Manager with identifying problems or trends that need immediate attention •Adheres to all department and hospital policies and procedures High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified...

JOB TITLE: Coder | DEPARTMENT: Health Information Management Under general supervision and according to established policies and procedures, assigns diagnostic, procedural, & E&M codes to patient medical record. Codes charts under the ICDCM, PCS and HCPCS Systems related to patient's visit in order provide statistical, payment and DRG assignments. Abstracts required data into hospital abstracting system and assigns codes and charges based on documentation. Responsible for accurate charge capture and coding to support timely billing and hospital reimbursement. Coder must work in a self-directed, team environment, to keep revenue cycle performance current. Minimum Education Equivalent to an associate's degree in medical information technology (with college level courses in anatomy, physiology, medical terminology, ICDCM coding, and prospective payment) required or equivalent combination of education and experience. College level course in Anatomy &...

Professional Fee Medical Coder (Cardiology / Ophthalmology) Location Requirement: Must reside in CT, NY, or NJ (Tri-State Area) Equipment Pickup Required: Manhattan, Westchester, or Long Island ** Important Location Requirement** This role requires candidates to live in Connecticut, New York, or New Jersey . Selected candidates must be able to pick up equipment onsite in one of the following locations: Manhattan Westchester County Long Island Remote work is permitted after equipment pickup, but local residency is mandatory . Position Overview We are seeking an experienced Professional Fee Medical Coder with strong expertise in Cardiology and/or Ophthalmology . This role requires deep knowledge of professional billing, strong chart review skills, and hands-on EPIC experience.Candidates must be comfortable working in a high-volume environment while maintaining strict quality and compliance standards. Key Responsibilities Review and accurately code professional fee encounters for...

Job Summary: Under the general guidance of the Ambulatory Billing Manager, the Ambulatory biller/coder is responsible for monitoring, auditing, and identifying negative trends in hospital billing. Provides support to staff in the respective areas as needed. Responsible to add, remove, and prioritize diagnosis codes received from clinical departments, physicians, and Financial Service staff to ensure claims are billed and/or resubmitted with appropriate coding. Responsible to assist ambulatory departments with coding issues and/or questions to ensure claims are billed compliantly and accurately based on medical record documentation. Minimum Qualifications: Associates degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and relevant experience. Strong communication skills, analytical, and interpersonal skills necessary. CBCS, CPC, CCA, or equivalent coding certification....

Certified Professional Coder / Bill Review Expert Responsibilities: Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience: 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC...

Position Overview Responsible for the accurate and compliant coding of inpatient, outpatient, and professional OB/GYN encounters. This position serves as a key liaison between coding, clinical, and compliance departments ensuring that all documentation and coding practices meet regulatory and payer requirements. The role also includes providing ongoing education to OB/GYN providers and clinical staff on documentation quality, coding updates, and best practices to optimize compliance and reimbursement. Tasks and Responsibilities Coding and Documentation Review: Assign accurate ICD-10-CM, CPT, and HCPCS codes for all OB/GYN-related inpatient and outpatient encounters, including deliveries, surgeries, procedures, and E/M services. Apply knowledge of global obstetric coding, cesarean and vaginal deliveries, postpartum care, and gynecologic surgeries (e.g., hysterectomy, laparoscopic procedures). Review provider documentation to ensure completeness and accuracy...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description Medical Coder and Auditor Family Care Practice Full-Time Monday - Friday Flexible Schedule (hybrid schedule after required onsite training period) $22.00 -$28.00 per hour (depending on experience) Medical Coder and Auditor Benefits: Generous paid time-off that increases with years of service 8 paid holidays per year Closed on major holidays Annual performance review, performance-based merit increase Health, dental and vision benefits available with coverage effective the first of the month following date of hire Full complement of voluntary benefits $1,000 annual employer HSA contribution for employees enrolled in CNYFC...

Job Description Job Description Description: We are seeking a highly skilled and experienced Medical Billing Specialist to oversee all aspects of billing operations at our Ambulatory Surgery Center. The ideal candidate will bring a strong background in coding, billing, collections, and dispute resolution, with the ability to manage a team and optimize financial performance. Requirements: Key Responsibilities Lead and manage the billing team, ensuring efficiency and compliance across all processes. Oversee end-to-end revenue cycle operations, including patient registration, coding, billing, collections, payment posting, and denial management. Ensure accurate coding and billing practices in compliance with federal, state, and payer-specific requirements. Manage surgical physician and facility billing, including implants and accessories. Oversee both in-network and out-of-network billing processes. Navigate and manage federal and state Independent Dispute Resolution...