Medical Coding Reviewer - Risk Adjustment GuideWell Mutual Holding CorpMedical Coding Reviewer - Risk AdjustmentNY$28–$45 / hourManager Risk Adjustment Audit, the Risk Adjustment Coder is responsible for reviewing medical records to apply appropriate diagnosis coding in compliance with International Classification of Diseases, Tenth Revision (ICD-10) coding guidelines for the purposes of risk adjustment. Review and validate provider-submitted and/or vendor-submitted medical record documentation and ICD-10 diagnosis codes to identify and correct any inaccuracies or discrepancies to ensure accuracy and compliance of risk adjustment.
Operatory Surgical Coding Specialist West End Orthopaedic Clinic IncOperatory Surgical Coding SpecialistWestchester, NY$24.23–$36.35 / hourOrthoVirginia is seeking an Operatory Surgical Charge Capture Specialist who understands what happens during a surgical case-from the procedure performed to the implants, instruments, and supplies used-and can translate that activity into accurate charges, coding, and reimbursement. With more than 159 physicians in over 35 locations-including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads-OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy.
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote 61st Street Service CorpAR Follow-Up Specialist III - Coding and Complex Denials #Full Time #RemoteFort Lee, NJRemote$28.72–$36.92 / hourThe AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving complex coding-related denials and appeals in addition to following up on unpaid accounts with insurance companies and third parties. The Specialist III assists the unit supervisor and manager with complex cases, supports training efforts, and identifies denial trends to inform process improvements.
Senior Coding and Revenue Integrity Analyst Boston Medical CenterSenior Coding and Revenue Integrity AnalystNYRemote$78,000–$113,000 / yearREQUIRED EDUCATION AND EXPERIENCE: Associate's degree in Business, Healthcare, or a related field; and at least five (5) years of healthcare experience, including at least two years in an active role involving coding, auditing, finance, revenue cycle management, and/or physician billing (preferably within an Academic Medical Center setting); or equivalent combination of education and experience. ESSENTIAL RESPONSIBILITIES / DUTIES: Revenue Cycle Initiative Leadership: Leads complex revenue cycle initiatives and large-scale optimization projects across high-revenue-generating or at-risk clinical departments to improve overall revenue integrity, operational efficiency, and regulatory compliance.
Product Safety Data Coordinator and Coding Associate LancesoftProduct Safety Data Coordinator and Coding AssociateNutley, NJRemote$25Computer proficiency required, including data entry of adverse event information. Description of Responsibilities: Code and enter information into the Product Safety database for Adverse Events.
Certified Coding Auditor St. Joseph's Healthcare SystemCertified Coding AuditorPaterson, NJWork requires the level of knowledge normally acquired through the completion of two to three years of occupationally specific education beyond high school OR an Associates degree in Medical Record Technology or closely related field and two to three years of previous work related experience. Responsible for audits which are internal record reviews for compliance with coding regulations and guidelines in order to provide rebuttals to CMS or other payer denials and to assist and improve on physician correct coding/documentation education.
Clinical Data Coordinator - ICD10/CPT Coding - Full Time NewYork-PresbyterianClinical Data Coordinator - ICD10/CPT Coding - Full TimeNew York, NY$109,100–$130,000 / yearProvide expertise in the areas of coding and classification systems to healthcare providers throughout our hospital, with a focus on Inpatient and Ambulatory Surgery, and help drive improvements in documentation, reimbursement and the revenue cycle. At NewYork-Presbyterian, our multi-campus team of HIM professionals is behind every world-renowned patient treatment, surgery and procedure.
Profee Coding Consultant - Full Time DatavantProfee Coding Consultant - Full TimeNew York City, NY$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. The estimated base pay range per hour for this role is: $20—$28 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Profee Coding Consultant - PRN DatavantProfee Coding Consultant - PRNNew York City, NY$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. The estimated base pay range per hour for this role is: $20—$28 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Vice President, Transformation Services - Coding & CDI Med-Metrix, LLCVice President, Transformation Services - Coding & CDIParsippany-Troy Hills, NJServing as the executive transformation lead and strategic advisor to Coding Leadership, CDI Leadership, operational stakeholders, and executive teams, this role partners closely with operational leaders to assess current-state performance, identify opportunities for improvement, and develop transformational solutions that enhance operational effectiveness, documentation integrity, compliance, reimbursement accuracy, and financial outcomes. Partner with Coding, CDI, HIM, Revenue Cycle, Compliance, Quality, Provider, Technology, Analytics, and executive leadership to assess current-state performance, identify operational and financial opportunities, and develop strategies focused on revenue integrity, documentation improvement, compliance, quality, efficiency, and sustainability.
NewCoding Auditor- Remote Med-Metrix, LLCCoding Auditor- RemoteParsippany-Troy Hills, NJRemotePhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance.
Risk Adjustment Coding Specialist VNS HealthRisk Adjustment Coding SpecialistNew York, New York$33.88–$42.35 / hourFull timeMinimum two years of payor work experience with medical records, including ICD-10-CM or current coding system and medical record systems required Working knowledge of medical terminology, provider reimbursement, ICD-10, HCPCS and CPT-4 coding, coordination of benefits required Additional years of experience/specialized certification/training may be considered in lieu of educational requirements required Knowledge of medical terminology, physiology, pharmacology, and disease processes and related procedures required Strong knowledge of claims processing procedures and systems, State, Federal and Medicare Regulations and Coordination of Benefits applications required Strong planning, organizational, interpersonal, verbal and written communication skills required Must be PC literate and possess a strong understanding of Microsoft applications required Ability to handle multiple priorities and meet deadlines required Knowledge of HIPAA, understanding a commitment to Privacy, Security and Confidentiality of all medical chart documentation required Ability to work both in a fast-paced environment and/or be independently self-driven to complete day to day tasks required Ability to switch gears and independently collaborate with other departments for all ad lib projects as necessary required. Provider Engagement, Audit, Training and Support and supports supervisor in preparing internal presentations, knowledge libraries, coding guidelines, and summary reports of coding review for department infrastructure, maintains professional communication with provider engagement team by assisting with analysis, trending, and presentation of audit/review findings, outcomes, and issues.
Coding Education Specialist Boston Medical CenterCoding Education SpecialistNY$62,500–$91,000 / yearCERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician(CCS-P) through AHIMA(American Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder(CPC) credential or Certified Professional Coder-Hospital (CPC-H). The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers.
Senior Product Manager, Coding Data Platform DatavantSenior Product Manager, Coding Data PlatformNew York, NY$170,000–$200,000 / yearYou will understand how clinical data flows from payer to retrieval to coding; how it gets ingested, transformed, and structured and you will have direct influence over how the underlying platform infrastructure is optimized for downstream consumption by AI models, reporting tools, and client-facing products. The estimated total cash compensation range for this role is: $170,000—$200,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Supervisor, Coding Northwell Health IncSupervisor, CodingLake Success, NYBuilds and maintains collection of reference tools including codebooks, groupers, encoders and other software applications, coding guidelines, dictionaries and texts for organization staff; collaborates in the selection, implementation, and operation of electronic coding and documentation improvement software; monitors interfaces with billings systems and workflow changes with computer patient information. Performs new employee orientation including scheduling, training, and submission; plans, organizes, coordinates, and evaluates staffing requirements to meet operational goals; assigns and schedules direct reports to ensure smooth and efficient workflow.
NewCoding Analyst II Medica Health Plans IncCoding Analyst IINY$45,900–$68,775 / yearAnnual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data. The analyst also supports cross-functional partners by offering coding expertise that strengthens data integrity, payment accuracy, and operational consistency.
Auditor, HCC Risk Adjustment Coding Datavant LLCAuditor, HCC Risk Adjustment CodingNY$29–$32 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
Senior Product Manager, Retrospective Risk Adjustment Coding Datavant LLCSenior Product Manager, Retrospective Risk Adjustment CodingNY$170,000–$200,000 / yearYou will also support scalable, reliable, and performant project data ingestion pipelines and maintain databases that support specific product services, while providing end to end visibility into these pipelines and databases. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Healthcare Revenue Cycle Coding Director Chartis Group LLCHealthcare Revenue Cycle Coding DirectorNY$100–$120 / hourThe hourly range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs. We work with more than 1,250 organizations annually to develop and activate transformative strategies, operating models, and organizational enterprises that make US healthcare more affordable, accessible, safe, and human.
(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time Northwell Health Inc(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full TimeGarden City, NYRemoteWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.