1,060 jobs found in New York

Join The Indian Health ServiceMake a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Location: New York, United StatesCompany: HumanaPosted: 2026-08-11Humana Inc. is seeking a Senior Medical Coding Professional, Outpatient to lead coding-focused audit activities, identify billing anomalies, validate coding accuracy and ensure compliance with outpatient coding and reimbursement guidelines.You will review claims, apply CPT/HCPCS guidelines, analyze reimbursement impact, document findings, support defensible audit determinations, and partner with clinical and analytics teams on audit strategies.#J-18808-Ljbffr

Location: Albany, New York, United StatesCompany: HumanaPosted: 2026-08-11Humana Inc. is seeking a Medical Coding Coordinator for the Code Edit Disputes team. This remote role extracts clinical information from medical records and assigns ICD-10-CM and CPT codes to patient records, with independent judgment on administrative tasks.Ideal candidates have CPC certification and at least 3 years of Certified Medical Coder experience, plus familiarity with Medicare/Medicaid guidelines. Occasional travel for training may be required; standard business hours apply.#J-18808-Ljbffr

Location: Albany, New York, United StatesCompany: HumanaPosted: 2026-08-11Humana Inc. is seeking a Senior Medical Coding Professional (Inpatient) to support payment integrity by reviewing inpatient claims for coding accuracy and DRG assignment. You report to the Manager, Payment Integrity and collaborate with clinical reviewers and data analysts.The role requires RHIA/RHIT/CCS/CIC certification and 5+ years inpatient coding experience, with strong DRG knowledge and CDI/SOI concepts. Remote/hybrid work options are available within the Humana network.#J-18808-Ljbffr

Medical Coding SpecialistThis role involves reviewing and analyzing physicians' documentation, as well as CPT, ICD-9, and ICD-10 diagnosis codes. The coding function ensures compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines.Job Duties & Essential FunctionsPerform complex and technical assignments related to medical coding.Analyze, code, and abstract information to assign and enter consistent diagnoses and procedure codes for reimbursement.Resolve discrepancies related to coding issues.Review and correct rejected claims from various third-party carriers.Handle CPMP account notifications and accounts receivable reports (IDX), and ICD-09/10 coding.Maintain account records and track IDX record requests.Maintain PK files for validity errors.Monitor TES Open Encounter file.Manage CLIA renewals for all sites.Perform additional duties as assigned by management.Required QualificationsCertified Professional Coder (CPC)...

Certified Medical CoderMedical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This position is responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with coding regulations, and helping optimize reimbursement while maintaining the highest standards of accuracy and integrity.Essential ResponsibilitiesReview provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services.Ensure coding complies with payer guidelines, federal regulations, and organizational policies.Identify and resolve coding discrepancies by working collaboratively with providers and clinical staff.Review claims for coding accuracy prior to submission.Assist with denial management and coding-related appeals as needed.Stay current with coding updates, payer requirements, and regulatory changes.Maintain...

Let’s bring quality, safety, and sustainability to life together! Intertek è una principale realtà internazionale di servizi ATIC (Assurance, Testing, Inspection and Certification). La divisione Business Assurance eroga servizi di Certificazione di Sistemi di Gestione, servizi di Certificazione delle persone, servizi di Certificazione di Prodotto o di Servizio e servizi di Qualifica Fornitori. You at Intertek: Collabora con il nostro Team ed entra a far parte di un network globale impegnato per la qualità, la sicurezza e la sostenibilità! Siamo alla ricerca di Auditor Freelance qualificati CSCA (Certified Social Compliance Auditor) per condurre audit nel settore della conformità sociale, secondo gli standard riconosciuti a livello internazionale. Responsabilità principali: Condurre audit presso Aziende clienti e/o presso loro fornitori di conformità agli standard SA8000, SMETA, amfori BSCI o equivalenti Redigere e inviare report completi e accurati, rispettando...

Job Description Job Description St. Joseph's Addiction Treatment and Recovery Centers Location:  Inpatient Facility - Medical - Saranac Lake, NY Position:  Full-time Associate Director Inpatient Medical Services (RN) Shift/Schedule:  Monday-Friday, 8:00am-4:30pm Pay Range:  $77,931.00/year to $95,465.48/year Position Type/Expected Hours of Work:  Full Time/40+ hours per week. (Hours and schedules may vary depending on company need and workload. Employees will be given as much advance notice as possible when such changes occur. Position Summary: Under the direction of the Inpatient Services Director, the Associate Director of Inpatient Medical Services is responsible for medical services to residents and supervising all medical staff. Qualifications and Requirements:  NYS Registered Nurse Knowledge of modern principles and practices of alcohol and chemical dependency programs, knowledge of current NYS DOH nursing and medical operations...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Vision insurance Position Summary Integrated ENT Allergy & Immunology is seeking an experienced and detail-oriented Medical Biller to join our growing Revenue Cycle team. The Medical Biller is responsible for accurately preparing, submitting, and following up on medical claims to ensure timely reimbursement while maintaining compliance with payer guidelines and healthcare regulations. The ideal candidate possesses strong analytical skills, a thorough understanding of medical billing processes, and the ability to effectively communicate with insurance carriers, patients, and internal staff. Key Responsibilities Review patient accounts for billing accuracy, completeness, and required documentation prior to claim submission. Prepare, review, and submit electronic and paper insurance claims in a timely manner. Verify insurance eligibility and benefits when...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Vision insurance Position Summary Integrated ENT Allergy & Immunology is seeking an experienced and detail-oriented Medical Biller to join our growing Revenue Cycle team. The Medical Biller is responsible for accurately preparing, submitting, and following up on medical claims to ensure timely reimbursement while maintaining compliance with payer guidelines and healthcare regulations. The ideal candidate possesses strong analytical skills, a thorough understanding of medical billing processes, and the ability to effectively communicate with insurance carriers, patients, and internal staff. Key Responsibilities · Review patient accounts for billing accuracy, completeness, and required documentation prior to claim submission. · Prepare, review, and submit electronic and paper insurance claims in a timely manner. · Verify insurance eligibility...

Location: Melville, New York, United StatesCompany: Pyramid Consulting Inc.Posted: 2026-07-08Pyramid is a leading Information Technology Consulting services company headquartered in metropolitan Atlanta, GA with prime emphasis on the following service offerings:• Staff Augmentation• Lifecycle IT solutionso Application Development & Supporto Outsourced Testing• Mobile Development and Test AutomationThe company was incorporated in the State of Georgia in 1996 and has grown to over 2500 Information Technology consultants serving clients across the United States and around the globe. In addition to Atlanta, Pyramid has offices worldwide including Charlotte, NC; Chicago, IL; Dallas, TX; Richmond, VA; San Francisco, CA and Somerset, NJ in the United States, London in the United Kingdom, Singapore, and three offices in India (New Delhi, Hyderabad and Chandigargh).Pyramid has been ranked by Staffing Industry Analysts as one of the largest diversity staffing firms specializing in IT and...

Job TitleMelville,NY - USAPosition RequirementsUse coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system.Primary ResponsibilitiesReview medical record documentation to identify correct coding based on billing and payor guidelines.Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials.Retrieve missing patient documentation required for accurate billing.Work task queues within various systems.Support offshore vendor coding questions.Recommend vendor education based on tasks reviewed.Required QualificationsMinimum of 2 years' professional medical coding experience.CPC or CCS-P certification.Proficient computer skillsDesired/Preferred QualificationsInsurance billing knowledgeExcelKnowledge of CMS guidelinesTotal RewardsGenerous benefits package, including:Salary:...

Xtensys in Ithaca, NY seeks a seasoned Professional Lead Medical Coding Auditor to serve as the senior SME across specialties, performing complex audits, developing educational programs, and guiding provider education. The role centers on documentation integrity, compliance, and revenue-cycle improvements. You will mentor staff, monitor audit outcomes, and support quality initiatives while ensuring adherence to CMS, Medicare, HIPAA, and payer requirements. #J-18808-Ljbffr

Job TitleHealth Information ManagementJob DescriptionPerforms coding and abstracting duties to assure accurate completion of coding for all assigned patient records.Job ResponsibilityAnalyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes.Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and reference code applicability, rules and guidelines.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if...

Job TitleConducting coding audits to optimize diagnosis related groupings. Developing and implementing coding instruction classes. Preparing coding guidelines; implementing coding changes.Job Responsibilities1. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.2. Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.3. Able to communicate effectively with coders and CDI staff.4. Demonstrates knowledge of coding policy and procedures.5. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.6. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.7. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.8. Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.9. Operates...

Job TitleValidates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.Job ResponsibilitiesLeverages clinical expertise to identify and validate DRG code assignment.Full review of CDI suggested code changes.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.Applies coding rules and regulations to the validation review process.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.Communicates DRG changes and rationale to the coding and CDI staff.Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.Operates under general guidance and work assignments are varied and...

Job TitleValidates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York.Job Responsibility1. Leverages clinical expertise to identify and validate DRG code assignment.2. Full review of CDI suggested code changes.3. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.4. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.5. Applies coding rules and regulations to the validation review process.6. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.7. Communicates DRG changes and rationale to the coding and CDI staff.8. Identifies appropriate coding...

Inpatient CoderNesco Resource has partnered with a well-established healthcare organization in their pursuit to hire Inpatient Coders. Fully remote. Full-time with flexible scheduling options available. Competitive compensation—up to $65,000 plus excellent benefits.The Inpatient Coder is responsible for accurately coding and abstracting diagnoses, procedures, and clinical information from inpatient medical records. This individual ensures compliance with established coding guidelines while maintaining high standards of data quality, integrity, productivity, and accuracy.Essential ResponsibilitiesAssign ICD-10-CM/PCS diagnosis and procedure codes in accordance with Official Coding Guidelines, AHA Coding Clinic, CMS, and other regulatory requirements.Apply Uniform Hospital Discharge Data Set (UHDDS) definitions to determine principal diagnoses, secondary diagnoses, and procedures.Utilize MS-DRG and APR-DRG reimbursement methodologies to ensure accurate code assignment.Assign Present...