Coding DRG and Quality Auditor SUNY Upstate Medical UniversityCoding DRG and Quality AuditorSyracuse, NYMinimum Qualifications: Associate Degree in Health Information Technology with five (5) years experience in Health Information Management OR Bachelors Degree in Health Information Technology with three (3) years experience in Health Information Management required. Job Summary: The Coding Quality Auditor ensures the accuracy, completeness, and compliance of coded clinical data through comprehensive review of inpatient medical records.
Medical Coding And Billing Analyst Centerlight Management ServicesMedical Coding And Billing AnalystNew YorkAudio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc., and intake information through audio processing with accuracy. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies.
NewRemote | Medical Coding Quality & Health Information Management Consultant — Up to $60/hour 24-MagRemote | Medical Coding Quality & Health Information Management Consultant — Up to $60/hourNew YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare coding professionals experienced in medical coding operations, health information management, professional fee coding, facility inpatient coding, coding audits, ICD-10-CM/PCS, CPT/HCPCS, DRG assignment, coding compliance, and coding quality improvement. Selected professionals will apply coding leadership expertise to evaluate AI-generated coding outputs, identify coding inaccuracies, assess compliance risks, and provide structured feedback based on detailed project criteria.
NewClinical Coding Auditor & Trainer Fox Point RecruitmentClinical Coding Auditor & TrainerNew YorkPosition Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Preferred License/Certification: Valid/Current CPC or CIC Certification, through APPC desired or CCS through AHIMA; RHIA/RHIT Credentials desired.
Hybrid Coding Educator HF Management ServicesHybrid Coding EducatorNew YorkPosition Summary: The Coding Educator is responsible for overseeing and educating providers on the proper use of diagnosis coding to ensure CMS and ICD10 CM guidelines are followed to substantiate the Risk Adjustment HCCs that are reported by providers. Develops and coordinates educational and training programs regarding elements of the coding compliance program, such as appropriate documentation, accurate coding, data compatibility, consistency and monitoring for compliance to improve the quality of clinical data supported.
NewSenior Clinical Coding Auditor & Trainer-Remote Fox Point RecruitmentSenior Clinical Coding Auditor & Trainer-RemoteNew YorkRemoteThe Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fiscal care and assist in development of training and audit tools. Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials.
Summer Day Camp Coding Counselor (Manhattan, Brooklyn) NORYSummer Day Camp Coding Counselor (Manhattan, Brooklyn)New YorkYou'll primarily lead our morning coding program, introducing campers to programming languages similar to Scratch while guiding exciting engineering projects using Arduino circuit boards, sensors, proprietary robots, and other innovative technologies. If you're passionate about making a difference and ready to contribute to a team that values motivation, unity, empathy, and innovative problem-solving, we'd love to see how you align with our core values at https://www.nory.co/value/ .
NewData Analytics with expert SQL coding + some Python/ ML Rapinno TechData Analytics with expert SQL coding + some Python/ MLNew YorkHands-on Development experience in Hadoop technology stack Hive, Impala, Spark, CDSW. § Experience in designing and implementing ETL process (defining, gathering, transforming) data.
Medical Billing Specialist Noble Health ServicesMedical Billing SpecialistSyracuse, New YorkFull timeCustomer Service: Must provide superior customer service (for Noble customers, fellow employees and business partners), listen attentively to their needs and respond appropriately. Flexibility: Must be willing to work variable work schedules, nights and weekends, assist others as requested and available, and be willing to perform all assigned work.
Medical Billing Specialist KPH Healthcare ServicesMedical Billing SpecialistSyracuse, New YorkFull timeCustomer Service: Must provide superior customer service (for Noble customers, fellow employees and business partners), listen attentively to their needs and respond appropriately. Flexibility: Must be willing to work variable work schedules, nights and weekends, assist others as requested and available, and be willing to perform all assigned work.
NewEpic Professional Billing Analyst Fortis HayesEpic Professional Billing AnalystNew YorkSystem Configuration & Build: Configure, customize, and maintain the Epic Professional Billing application, including components such as the Charge Router, Workqueues, Collection Agency Workflows, Statement Processing, Benefit Engine, and Estimates to meet specific business needs. Your expertise will be vital in ensuring accurate billing, efficient claims processing, and seamless reimbursement workflows for professional services, directly impacting the financial health of our organization.
Medical Coder and Auditor CNY Family Care, LLPMedical Coder and AuditorEast Syracuse, New YorkThe Medical Coder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers. Certified Professional Coder (CPC), Certified Coding Specialist-Physician-based (CCS-P), Certified Outpatient Coder (COC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required.
Medical Assisting Adjunct Professor Bryant & Stratton CollegeMedical Assisting Adjunct ProfessorNY$800–$900Qualifications: Minimum of Master's degree in allied health (i.e MBA with Healthcare focus, MSN, or MD, DO, DC or in related field such as OT, PT, Medical lab technologists, Clinical Lab tech, respiratory therapists, and speech language pathologists, heath care administration with a clinical background). Faculty wishing to teach medical office procedures or healthcare reimbursement must possess a billing and coding certification such as CMRS, CPC, CPC-H, CCS, CCS-P, RHIT, or RHIA.
NewAssistant Medical Biller Glaucoma Medical Consultants Of NyAssistant Medical BillerBrookyn, NYFull timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)NY$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Revenue Cycle Operations Senior Manager RadNetRevenue Cycle Operations Senior ManagerNew York$80,000–$95,000 / yearFull timeWhen you join RadNet as Revenue Cycle Operations Senior Manager , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. Working knowledge of full scope revenue cycle management process; patient registration, coding, billing, payment posting, revenue assurance, billing integrity, denial tracking/resolution, accounts receivable, medical terminology, payer contract familiarity with worker's compensation and no-fault billing.
AR Specialist U.S. Urology PartnersAR SpecialistNew YorkThrough Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy.
Remote Family Practice and/or Internal Medicine Medical Coder Practice┬áResources,┬áLLCRemote Family Practice and/or Internal Medicine Medical CoderSyracuse, NYRemote$18–$30 / hourApplycodingexpertisetosplit/sharedvisits, preventive services, transitional care management, chronic care management, behavioral healthservices,in-office procedures, and any other services that require coding. Understand and supportMedicare, Medicaid,andcommercial payerworkflows related to daily coding, denial reviews,appealsmanagement,andpreparation of supportingdocumentation for the appealsprocess.
Certified Medical Coder I (Professional Review Specialist I) CorVel Healthcare CorporationCertified Medical Coder I (Professional Review Specialist I)Syracuse, NY$19.24–$31.04 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Certified Medical Coder I (Professional Review Specialist I) CorVel CorpCertified Medical Coder I (Professional Review Specialist I)Syracuse, NY$19.24–$31.04 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
NewDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNCamillus, New York$87,797–$146,494 / yearOther: Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Patient Access Associate SUNY Upstate Medical UniversityPatient Access AssociateSyracuse, NYMinimum Qualifications: Associates degree and two (2) years of related patient financial/insurance services experience in healthcare related setting or equivalent combination of education and experience required. Job Summary: Ensures smooth patient flow and proper registration for all services provided in Nappi including ambulatory clinic registration, lab, radiology, convenience care, and infusion procedures.
Outpatient Administrative Specialist- Surgical Ambulatory Care SUNY Upstate Medical UniversityOutpatient Administrative Specialist- Surgical Ambulatory CareSyracuse, NYMinimum Qualifications: Associates degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and experience required. Surgical Ambulatory Care State of New York TH Staff Assistant 2, NSSL1 88525 UUP (State University Professional Services Unit).
Outpatient Administrative Specialist - SCSD SUNY Upstate Medical UniversityOutpatient Administrative Specialist - SCSDSyracuse, NYJob Summary: The Outpatient Administrative Specialist will provide clinical administrative support to the school-based mental health team located within the Syracuse City School District supporting students and families. Assist with patient check-in and check-out procedures including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other documentation.
Outpatient Administrative Specialist SUNY Upstate Medical UniversityOutpatient Administrative SpecialistSyracuse, NYMinimum Qualifications: Associate''s degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and experience required. Serves as a subject matter expert and resource for providers and staff, addressing all non-routine issues and concerns related to the referral and authorization process.
Referral Specialist SUNY Upstate Medical UniversityReferral SpecialistSyracuse, NYMinimum Qualifications: Associate''s degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and experience required. Working knowledge of medical terminology, medical billing/insurance requirements, familiarity with medical coding, and excellent written/oral communication skills required.
Senior Outpatient Administrative Specialist SUNY Upstate Medical UniversitySenior Outpatient Administrative SpecialistSyracuse, NYMinimum Qualifications: Associate degree and three (3) years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and experience required. Working knowledge of medical terminology, medical billing/insurance requirements, familiarity with medical coding, and excellent written/oral communication skills required.
NewCompliance Auditor Analyst SUNY Upstate Medical UniversityCompliance Auditor AnalystSyracuse, NY$25.10–$42.92 / hourJob Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits. Knowledge, Skills and Abilities: Strong computer skills specifically Microsoft word and Microsoft excel applications.
Director of Medical Billing Cordial HealthDirector of Medical BillingWillamsburg, New YorkAs Director of Medical Billing, you will play a critical leadership role in strengthening our revenue cycle infrastructure, improving billing performance, leading a team, and helping support the financial success of a growing healthcare organization. This is an excellent opportunity for a proven medical billing leader who wants to take ownership of a growing department, improve systems, manage a team, and play a key role in supporting the continued expansion of a multi-state healthcare organization.
Practice Manager Colon Rectal Associates of Central New YorkPractice ManagerEast Syracuse, NYFull timeColon Rectal Associates of Central New York is a trusted specialty practice serving the East Syracuse community and surrounding region, dedicated to providing compassionate, high-quality colorectal care. Colon Rectal Associates of Central New York is looking for an experienced and driven Practice Manager to lead operations at our established specialty medical practice in East Syracuse, NY.
NewAi Engineer Barker Staffing SolutionsAi EngineerNew YorkWe're looking for a talented and ambitious machine learning engineer with 5+ years of experience building production AI systems who's excited to tackle one of the toughest challenges in healthcare: automatically resolving claim denials. You'll design multi-agent workflows that collaborate to interpret complex denial reasons, retrieve relevant clinical and billing information through RAG systems, reason about payer policies, and generate compelling appeals.
Clerical Specialist II SUNY Upstate Medical UniversityClerical Specialist IISyracuse, NYMaintains attending, fellows and ancillary schedule for accuracy, blocks as appropriate, ensure schedules are full and templates are rolled out as per the division chiefs guidelines. Will also work to advise patients on insurance carrier requirements including services not covered, coordinates incoming and outgoing referrals and manages denial processes.
Psychiatrist HCP TalentPsychiatristNew YorkOperating on a predictable, daytime schedule, this position allows you to make a profound clinical impact while working alongside a highly collaborative, multidisciplinary team. Partner and coordinate closely with primary care providers, specialists, and behavioral health staff to ensure seamless continuity of care.
Psychiatrist , Part-time HCP TalentPsychiatrist , Part-timeNew YorkOperating on a predictable, daytime schedule, this position allows you to make a profound clinical impact while working alongside a highly collaborative, multidisciplinary team. Partner and coordinate closely with primary care providers, specialists, and behavioral health staff to ensure seamless continuity of care.
Configuration and Quality Audit Manager | Hybrid NY HealthfirstConfiguration and Quality Audit Manager | Hybrid NYHybrid, NY$103,400–$149,430 / yearManage, coach, and develop analysts responsible for claim configuration audits, payment validation, data analysis, issue documentation, and remediation tracking; assign work, monitor productivity, and ensure timely completion and consistent quality across all audit activities and deliverables; provide technical guidance, peer review, and feedback to ensure findings are well-supported, consistently documented, and appropriately risk rated. The Manager serves as a reimbursement and configuration audit subject matter expert, leads analysts, partners with operational and technical stakeholders, and reports audit results, root causes, financial impact, and corrective action status to leadership.
Configuration and Quality Audit Analyst | Hybrid NY HealthfirstConfiguration and Quality Audit Analyst | Hybrid NYHybrid, NY$68,900–$99,620 / yearAt least three years of experience in a managed care organization, commercial health plan, government program, third-party administrator, or other healthcare operations environment performing claims analysis, configuration audit, provider reimbursement, payment integrity, or healthcare data analysis. Candidate must display effective communication skills and have detailed skillset to configure Office365, effectively communicate product updates, interface with the vendor on potential issues, and ensure platform governance rules are followed.
Patient Access Rep FT TEMP Urgent Care -Fulton Oswego HealthPatient Access Rep FT TEMP Urgent Care -FultonFulton, NY$16.27–$19.52 / hourMore than 1,200 employees spread throughout its 17 locations, work for the Oswego Health system, which includes the 164-bed community hospital with a brand new Medical Surgical Unit, a 32-bed state-of-the-art psychiatric acute-care facility with multiple outpatient behavioral health service locations, The Manor at Seneca Hill, a 120-bed skilled nursing facility, and Springside at Seneca Hill, an independent retirement community. The health system also operates Oswego Health Home Care, the only hospital-based certified home healthcare agency in the County as well as two outpatient centers, including the Fulton Medical Center, offering urgent care, lab, medical imaging, physical therapy, and occupational health services; and the Central Square Medical Center, offering urgent care, lab, medical imaging, and physical therapy services.
NewMedical Data Entry Clerk Easy RecruiterMedical Data Entry ClerkNew YorkAssist with weekly and monthly billing for Medicare, Medicaid, Commercial Insurance and Private for SNF, Adult care, Assisted Living, and Outpatient Therapy. The qualified candidate will assist the Accounts Receivable Manager in billing, posting remittances, and tracking open balances and denials.
Endoscopy Procedural Scheduler SUNY Upstate Medical UniversityEndoscopy Procedural SchedulerSyracuse, NYJob Summary: The Endoscopy Procedural Scheduler schedules all endoscopy and procedural procedures and assures that all of the appropriate clinical, equipment and insurance coding information is collected for the surgery schedule. Scheduler provides accurate information so that all departments may view daily, and maintains open communication with hospital departments and physician offices regarding schedule changes.
Field Reimbursement Manager - Kidney (Tri-State - NY, PA, NJ) Vertex PharmaceuticalsField Reimbursement Manager - Kidney (Tri-State - NY, PA, NJ)New YorkCompliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Field Reimbursement Manager - Kidney (NYC Metro) Vertex PharmaceuticalsField Reimbursement Manager - Kidney (NYC Metro)New YorkCompliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
NewPatient Registration Clerk (CSEA) Rochester Regional HealthPatient Registration Clerk (CSEA)New YorkUnder the general supervision of the Patient Access Services Manager, this position performs imperative duties including registration pre and full, insurance verification, switchboard and life support alarm coverage, data entry, and point-of-service collections, while maintaining patient relations, customer satisfaction, and Canton-Potsdam Hospital financial solvency. Switchboard & Communications: Serve as hospital switchboard operator by professionally answering and routing calls, maintaining call schedules, paging providers, monitoring alarms, and providing directions and assistance to patients and visitors.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteAnywhere, NYRemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Configuration and Quality Audit Analyst | Hybrid NY HF Management ServicesConfiguration and Quality Audit Analyst | Hybrid NYNew YorkAt least three years of experience in a managed care organization, commercial health plan, government program, third-party administrator, or other healthcare operations environment performing claims analysis, configuration audit, provider reimbursement, payment integrity, or healthcare data analysis. Candidate must display effective communication skills and have detailed skillset to configure Office365, effectively communicate product updates, interface with the vendor on potential issues, and ensure platform governance rules are followed.
Configuration and Quality Audit Manager | Hybrid NY HF Management ServicesConfiguration and Quality Audit Manager | Hybrid NYNew YorkManage, coach, and develop analysts responsible for claim configuration audits, payment validation, data analysis, issue documentation, and remediation tracking; assign work, monitor productivity, and ensure timely completion and consistent quality across all audit activities and deliverables; provide technical guidance, peer review, and feedback to ensure findings are well-supported, consistently documented, and appropriately risk rated. The Manager serves as a reimbursement and configuration audit subject matter expert, leads analysts, partners with operational and technical stakeholders, and reports audit results, root causes, financial impact, and corrective action status to leadership.
Senior Manager, Application Software Engineering Oracle CorpSenior Manager, Application Software EngineeringNY$118,300–$264,100 / yearYou will be responsible for technical execution, people leadership, operational excellence, and the delivery of scalable platform capabilities across three primary areas: Platform Development: Semantic object models, platform frameworks, services, user-facing capabilities, and AI-enabled developer experiences. This is a highly visible leadership position that requires strong technical judgment, effective organizational influence, and the ability to communicate complex technical topics to engineering teams, product partners, and senior executives.
VP of Engineering IMPaCT CareVP of EngineeringNY$190,000–$225,000We have built the largest and most scientifically-proven Community Health Worker platform in the country, used across 20 states by 50 organizations like Kaiser Permanente, the Veterans Affairs Administration and United Way. Lead a small team of security and IT professionals to maintain IMPaCT's strong security stance, ensure continued SOC2 compliance and successfully complete security reviews for large-scale customer organizations.
NewSr. Data Analyst/Risk Adjustment ESRhealthcare and EXEC STAFF RECRUITERSSr. Data Analyst/Risk AdjustmentNew YorkWork closely with cross-functional teams, including clients, to understand business needs, and determine the right methodology for analysis and assumptions to provide data-driven insights into program performance and partnerships. Data Analyst, you will: Take ownership of complex data workflows, build scalable analytics pipelines, and contribute to productizing insights using modern data tools such as SQL, dbt, Airflow, Snowflake, and Databricks.
Nursing Support Coordinator Trinity Health CorporationNursing Support CoordinatorSyracuse, NY$19.20–$28.80 / hourCore Values: In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are. Leads patient outreach to ensure health maintenance compliance, especially on preventive services such as annual wellness visits, breast cancer screening, colorectal cancer screening, depression screening, hypertension, and diabetes follow-ups.
Clinical Abstraction Medical Assistant Crouse HospitalClinical Abstraction Medical AssistantSyracuse, NY$17–$23 / hourPosition Overview The Clinical Abstraction Medical Assistant will meticulously review medical charts to extract, validate, and structure clinical data. (3-6 months) Required Qualifications: High School Diploma Must have completed a Medical Assistant Program Minimum of 2 years experience in healthcare.