1,073 jobs found in New York

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

SB CLINICAL PRACTICE MANAGEMENT PLAN INC is seeking a Certified Coder for Stony Brook Children's Service in St. James, NY. This full-time role requires analyzing and coding medical documentation to ensure compliance with guidelines and procedures. Candidates must have a CPC certification or equivalent experience. The successful candidate will perform essential duties such as coding for reimbursement, resolving discrepancies, and maintaining accounts. A working knowledge of coding requirements and proficiency in Microsoft Office are also needed. #J-18808-Ljbffr

SB Clinical Practice Management is hiring a Certified Coder based in Stony Brook Children’s Service, NY. This full-time role entails reviewing documentation and ensuring compliance with coding guidelines. Required qualifications include a CPC certification and strong knowledge of coding requirements. The position also offers a flexible schedule with potential for remote work after 90 days. Salary ranges from $27.91 to $34.87 per hour, depending on experience. #J-18808-Ljbffr

Stonybrookphysicians in Saint James, NY is hiring a Certified Coder for Stony Brook Children’s Service. This full-time role involves reviewing physician documentation and ensuring compliance with coding guidelines. The ideal candidate will hold a CPC certification, have an Associate’s Degree or equivalent experience, and possess excellent communication and organizational skills. The position offers a competitive salary range of $27.91 - $34.87 per hour, with the possibility of remote work after 90 days. #J-18808-Ljbffr

Brown University Health is seeking a follow-up claims specialist to review denied claims, correct entries, and submit appeals for a large physician multi-specialty practice in Providence, RI. Under supervision, you will identify denial reasons, communicate with payers and internal departments, and ensure HIPAA compliance while reducing revenue delays and denials. This role supports revenue cycle processes and quality assurance. #J-18808-Ljbffr

Intertek è una principale realtà internazionale di servizi ATIC (Assurance, Testing, Inspection and Certification). Responsabilità principali Condurre audit presso aziende clienti e/o presso i loro fornitori di conformità agli standard SA8000, SMETA, amfori BSCI o equivalenti. Redigere e inviare report completi e accurati, rispettando tempistiche e procedure. Gestire in autonomia la pianificazione e l'esecuzione degli audit, nel rispetto dei requisiti di riservatezza e imparzialità. Interfacciarsi in modo professionale con i referenti aziendali durante tutte le fasi dell’attività. Requisiti Qualifica CSCA in good standing. Esperienza pregressa in audit etico-sociali e conoscenza degli standard di riferimento. Ottime capacità comunicative, relazionali e di gestione autonoma del lavoro. Conoscenza fluente della lingua italiana e inglese (scritta e parlata). Disponibilità a trasferte sul territorio nazionale. Benefici Collaborazione come freelance (p.iva). Incarichi su...

Certified Medical Coder Medical 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 Responsibilities Review 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...

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...

Associate Director Inpatient Medical Services (RN) St. Joseph's Addiction Treatment and Recovery Centers Location: Inpatient Facility - Medical - Saranac Lake, NY 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 regulations and medical supervisory experience. Essential Duties: Supervising daily...

Nulton Diagnostic and Treatment Center is seeking a Billing Specialist to manage all medical billing activities. You will interact with insurance companies, verify eligibility, obtain authorizations, and handle daily data entry. Responsibilities include posting payments, managing denials, reading 835 files, generating 1500 forms, navigating insurer portals, and performing general billing duties. A high school diploma is required; Act 33/34 and FBI clearances may be needed. #J-18808-Ljbffr

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 Title Health Information Management Job Responsibility Analyzes 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 applicable), as documented in the medical record. Codes and reports diagnoses and their associated present on...

Job Title Conducting coding audits to optimize diagnosis related groupings. Developing and implementing coding instruction classes. Preparing coding guidelines; implementing coding changes. Job Responsibilities 1. 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...

Olean General Hospital in Limestone, NY is seeking a dedicated medical billing professional for a full-time onsite role. The position requires 3–5 years of medical billing experience, precise data entry, and the ability to bill promptly for all services. You will join the OGH Patient Accounts team and support accurate claims processing. The schedule is 8a–4p onsite, with bi-weekly pay, contributing to timely reimbursement and efficient billing workflows within a community hospital setting. #J-18808-Ljbffr

Kaleida Health in Olean, NY is seeking a Medical Coder to review clinical documentation and accurately code encounters for billing and compliance. Candidates should have an associate's degree or be enrolled in a medical coding course, along with one year of experience. The position offers a hybrid work arrangement, requiring excellent communication skills and knowledge in medical terminology. #J-18808-Ljbffr

Olean General Hospital, part of Kaleida Health, is seeking an experienced medical billing professional for the OGH Patient Accounts department. The role emphasizes accurate billing, efficient processing, and timely payment posting within a hybrid work setting. Ideal candidates will have 3–5 years of medical billing experience, strong typing speed, and accuracy with numbers, with a high school diploma or equivalent." #J-18808-Ljbffr

Job Title Health Information Management Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility Analyzes 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...

Excelsior Orthopaedics is seeking a Coder to review, interpret, and assign CPT, ICD-10, and HCPCS codes for orthopedic procedures. You will ensure compliance with payer policies and federal guidelines, reviewing operative reports for completeness and accuracy. The role requires an active coding certification (CPC/CCS) and 1+ years of coding experience. A strong EHR/EMR background and knowledge of orthopedic terminology are preferred. Remote work is possible after training. #J-18808-Ljbffr