DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG Coding Auditor - MS-DRG and APR-DRGNew York, NY$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Coding Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeNew York, NY$26.44–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
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.
Professional Coding Provider Educator RWJ Barnabas Health Medical IncProfessional Coding Provider EducatorOceanport, NJRemote$68,700–$106,600 / yearJob Summary: Our Professional Coding Audit and Education team partners with physicians, advanced practice professionals, and operational leaders to strengthen provider documentation, professional-fee coding accuracy and compliance across a large multispecialty health system. Analyze a high volume of questions from providers, practice and regional managers, and senior executives; identify the core issue and provide guidance or engage the appropriate organizational team.
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.
DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG Coding Auditor - Ms-Drg And Apr-DrgNew York, NY$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
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.
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.
Inpatient Coding Data Quality Auditor/Educator University Hospital, Newark NJInpatient Coding Data Quality Auditor/EducatorNewark, New Jersey$118,941–$142,009 / yearFull timeAs the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs.
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.
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.
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.
Outpatient Coding Consultant - Remote Datavant LLCOutpatient Coding Consultant - RemoteNYRemote$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. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
Outpatient Coding Consultant Datavant LLCOutpatient Coding ConsultantNYRemote$20–$35 / 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. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
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.
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.
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.