6 senior healthcare coding billing compliance specialist jobs found in New York, NY

Senior Specialist, Coding Auditor Join to apply for the Senior Specialist, Coding Auditor role at Oscar Health. 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 ourselves—one 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 Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and 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,...

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 ourselves—one 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 mission. If you live...

About the role The Senior Specialist works to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to audit prepayment and/or post payment claims. The Senior Specialist runs and coordinates activities across Oscar to reduce the incidence and effect of fraud, waste, and abuse (“FWA”) on all our operations. You will report to the Manager, SIU Coding Audit Post-Pay. 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 mission. This is a remote position, open to candidates who reside in the following location(s): Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina,...

Medical Risk Adjustment Specialist (Coder) At Greenbrook Medical, we believe seniors deserve more from the healthcare systemmore time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volumeso we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven, values-oriented, and relentlessly committed to taking the best care of our patients. Greenbrook Medical...

Job Description Job Description About the Role: The Certified Medical Coder - Manager plays a pivotal role in overseeing the accuracy and efficiency of medical coding and billing operations within a healthcare organization. This position ensures that all medical records are coded correctly according to established guidelines, facilitating proper reimbursement from insurance providers and patients. The manager will lead a team of AR billing specialists, providing training, support, and quality control to maintain compliance with healthcare regulations and payer requirements. Minimum Qualifications: Certified Professional Coder (CPC) or equivalent certification in medical coding. Minimum of 3 years of experience in medical coding and billing, including experience with CPT coding and healthcare reimbursement. Proven experience managing a team or leading projects within a medical coding or billing environment. Strong knowledge of Medicare, commercial insurance billing,...

Responsibilities NOT A REMOTE POSITION. MUST BE ONSITE We are pleased to announce the following available position: PRN CERTIFIED CODER (CPC) Coder/HIM Specialist analyzes and abstracts clinical data by assigning codes from the patient records in accordance to coding classification systems. Reviews patient encounters, queries physicians when needed, and identifies and reports issues. Assigns ICD-10-CM codes, creates DRG group assignments. Ensures that codes are accurate and relevant to the patient encounter. Codes inpatient, partial hospitalization, and outpatient charts. Prepares and submits charts required for Precyse Medicare audits. HIM Specialist/ physician Liaison: is responsible for assembly and analysis of discharge medical records. Reviews records for completeness, accuracy and compliance with regulations. Compiles, processes, and maintains records in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care...