NewOutpatient Medical Coder (CPC) - Surgical - Temp to Perm Opportunity - Hybrid JobotOutpatient Medical Coder (CPC) - Surgical - Temp to Perm Opportunity - HybridAlbertson, NY$32–$35 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This is a fantastic temp-to-perm opportunity in the Revenue Cycle Department - you'll be working HYBRID out of any office in Long Island, Manhattan, Jersey, or Staten.
NewMDS Assessor Amsterdam Nursing HomeMDS AssessorNew York, NY$110,000–$115,000The essence of Amsterdam includes a unique combination of old-world charm, comfortable surroundings, and a state-of-the-art clinical care. Amsterdam Nursing Home is actively seeking an MDS Assessor or our Skilled Nursing Facility located in the heart of New York City.
NewRemote Mental Health - $43-55 per hour DGE Psychological ServicesRemote Mental Health - $43-55 per hourBRONX, NYRemote$43–$55 / hourThis position offers an exciting opportunity to make a meaningful impact through direct support, clinical counseling, and innovative therapeutic interventions in various settings such as outpatient clinics, inpatient facilities, or telehealth platforms. Provide specialized counseling services for child and family therapy, grief counseling, addiction counseling, gender issues counseling, and working with individuals with developmental disabilities or autism spectrum disorder.
NewMental Health - $43-55 per hour DGE Psychological ServicesMental Health - $43-55 per hourBRONX, NYRemote$43–$55 / hourWe are seeking a dedicated and compassionate mental health professional to join our team as a Licensed Mental Health Counselor (LMHC), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), or Psychologist with the necessary license or permit to practice. This position offers an exciting opportunity to make a meaningful impact through direct support, clinical counseling, and innovative therapeutic interventions in various settings such as outpatient clinics, inpatient facilities, or telehealth platforms.
NewMedical Scribe Oak Street HealthMedical ScribeBronx, NY$17–$34.15Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
NewProfessional Coder AxelonProfessional CoderNewark, NJ$34.80–$39.56 / hourThis position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist, P from the American Health Information Management (AHIMA).
Full Stack Developer AxelonFull Stack DeveloperJersey City, NJ$81–$85 / hour6-8 years of expertise in application design and development using technologies and frameworks such as Spring, Spring Boot, Java, Hibernate. Partner with multiple management teams to ensure appropriate integration of functions to meet goals and identify system enhancements for new products and process improvements.
Manager - H.I.M. Operations and Coding Episcopal Health Services IncManager - H.I.M. Operations and CodingGarden City, NY$100,000–$115,000 / yearThe Manager serves as a key operational leader within Revenue Cycle and partners closely with CDI, Revenue Integrity, Patient Financial Services, Patient Access, Compliance, Information Technology, Medical Staff Services, and clinical departments to ensure timely, accurate, and compliant documentation, coding, billing, and record management practices. Additionally, St. Johns is proud to be redesignated as a Baby-Friendly Hospital by Baby-Friendly USA - the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States.
Manager - H.I.M. Operations And Coding St. John's Episcopal HospitalManager - H.I.M. Operations And CodingGarden City, NY$100,000–$115,000 / yearThe Manager serves as a key operational leader within Revenue Cycle and partners closely with CDI, Revenue Integrity, Patient Financial Services, Patient Access, Compliance, Information Technology, Medical Staff Services, and clinical departments to ensure timely, accurate, and compliant documentation, coding, billing, and record management practices. Additionally, St. John's is proud to be redesignated as a Baby-Friendly Hospital by Baby-Friendly USA - the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States.
Manager - H.I.M. Operations and Coding Episcopal Health ServicesManager - H.I.M. Operations and CodingGarden City, New YorkThe Manager serves as a key operational leader within Revenue Cycle and partners closely with CDI, Revenue Integrity, Patient Financial Services, Patient Access, Compliance, Information Technology, Medical Staff Services, and clinical departments to ensure timely, accurate, and compliant documentation, coding, billing, and record management practices. Additionally, St. John's is proud to be redesignated as a Baby-Friendly® Hospital by Baby-Friendly USA – the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States.
Coding Specialist III Columbia UniversityCoding Specialist IIINew York, NY$72,000–$85,000 / yearReview and follow up on denials related to coding and charge entry processes; if a claim is denied due to incorrect coding, conducts medical records research and corresponds with insurance companies and clinicians to resolve issue. The Coding Specialist III is responsible for the review and resolution of all coding related prebilling edits and/or rejections to ensure prompt and accurate reimbursement.
NewInpatient Coder - HIM Coding - Full Time NewYork-PresbyterianInpatient Coder - HIM Coding - Full TimeNew York, NY$54.35–$62.35 / hourIn collaboration with two renowned medical schools, Weill Cornell Medicine and Columbia University College of Physicians & Surgeons, NewYork-Presbyterian is consistently recognized as a leader in medical education, ground-breaking research and innovative, patient-centered clinical care. NewYork-Presbyterian is one of the nation's most comprehensive academic health care delivery systems, dedicated to providing the highest quality, most compassionate care to patients in the New York metropolitan area and throughout the globe.
Coding Compliance Coordinator (Rehab) Columbia UniversityCoding Compliance Coordinator (Rehab)Fort Lee, NJ$67,300–$75,000 / yearMaintains a thorough working knowledge of all aspects of billing and collections including billing rules and regulations, collection practices, electronic billing processes, CMS 1500 Form requirements, diagnosis and procedure coding, and applicable county, state, and federal requirements. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training.
NewCoding Denials Analyst Garnet HealthCoding Denials AnalystMiddletown, New York$62,361–$77,951 / yearFull timeIf you’re interested in a health system that’s both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Coding Denials Analyst on our Coding team at/in Garnet Health Medical Center. When determining a team member’s compensation 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) .
NewRisk Adjustment Coding Accuracy Specialist Lumeris Inc (Inactive)Risk Adjustment Coding Accuracy SpecialistNYRemote$54,800–$73,250 / yearStrong knowledge of ICD-10-CM Coding Guidelines, E/M, CPT/HCPCS, CMS-HCC risk adjustment model, medical record review project management, encounter data management, and IPM/RADV Medical Record Reviewer Guidance. Partners with providers and clinical/administrative staff to enhance understanding of Clinical Documentation Improvement program goals in order to achieve Risk Adjustment strategic goals and initiatives.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorNY$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Financial Services Tech Consulting Rule Coding Senior, Investment Compliance - WAM - CRD / Aladdin Ernst & Young Global LtdFinancial Services Tech Consulting Rule Coding Senior, Investment Compliance - WAM - CRD / AladdinNY$102,500–$187,900 / yearIf you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
Coding Auditor and Educator, Physician Billing (PB) Hackensack University Medical CenterCoding Auditor and Educator, Physician Billing (PB)Hasbrouck Heights, NJThis work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation.
NewCoding Denials Analyst Garnet Health Medical CenterCoding Denials AnalystMiddletown, NY$62,361–$77,951 / yearIf you're interested in a health system that's both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Coding Denials Analyst on our Coding team at/in Garnet Health Medical Center. When determining a team member's compensation 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).
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesJamaica, Queens County$50–$100 / hourSome programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.
Robotics Coding Teaching Opportunities Concorde EducationRobotics Coding Teaching OpportunitiesNew York, NY$50–$100 / hourAssignments may include topics such as: • Robotics safety, equipment care, and responsible technology use; • Block-based programming using age-appropriate coding platforms; • Sequencing, algorithms, and logical problem-solving; • Loops, conditionals, and introductory programming concepts; • Debugging techniques and iterative testing; • Sensors, inputs, outputs, and basic robotics interactions, where applicable; • Engineering design, prototyping, testing, and continuous improvement; • Collaborative robotics challenges using LEGO® Education, Sphero, Ozobot, VEX, or similar educational robotics platforms; and. Preferred qualifications include: • At least 60 college credits, where required by the applicable assignment or site; • Experience with educational robotics platforms such as LEGO® Education, Sphero, Ozobot, VEX, or similar robotics and coding tools; • Experience teaching, tutoring, coaching, mentoring, or leading activities with school-age students; • Strong communication, organization, and classroom facilitation skills; • Availability to provide services for the accepted assignment schedule and communicate schedule issues as soon as reasonably practicable; and.
Medical Billing and Coding Associate DocGo IncMedical Billing and Coding AssociateNY$20–$24 / hourResponsibilities: • Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues • Responsible for escalating concerns regarding questionable paperwork to appropriate management • Contact payers to verify claim status via phone or web and follow up on unpaid claims • Process appeals on aged insurance claims/denials • Analyze, identify and resolve issues which may cause payer payment delays • Identify and resolve claim edits through understanding of billing guidelines and payer requirements • Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate • Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers Compensation and No Fault when applicable • Review all EOBs for correct payment, deductible, adjustments, and denials • Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment • Reconcile account balances, and verify payments are applied correctly • Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner • Follow up on appeals/corrected submitted claims • Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding • Review and audit customer service account inquiries • Receive inbound/outbound customer service call • Provide excellent customer service to all patients, Insurances & Facilities • Review and correct all rejections in clearing house • Perform all other related duties as assigned. Qualifications: Must have 2-3 years of medical billing experience (required) Ambulance billing experience (preferred) Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation Proficient in CPT and ICD-10 coding Ambulance/Medical billing certification or diploma preferred Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred Excellent organizational skills and the ability to multitask in a fast-paced environment Analytical - collects and researches data; uses intuition and experience to complement data.
NewSenior Python Engineer - AI Coding Agent Evaluation (Freelance) MindriftSenior Python Engineer - AI Coding Agent Evaluation (Freelance)Queens, NYYou'll create challenging tasks and evaluation criteria within realistic simulated environments: Build realistic developer environments - a virtual company with codebase, infrastructure, and context (tickets, docs, conversations) that forms a believable development history. Tasks have many valid solutions - writing tests that accept all correct solutions and reject incorrect ones is harder than it sounds.
Medical Billing and Coding Associate DocGoMedical Billing and Coding AssociateRidgewood, New YorkDocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. About DocGo: DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services.
Coding Auditor and Educator, Physician Billing (PB) Hackensack Meridian HealthCoding Auditor and Educator, Physician Billing (PB)Hasbrouck Heights, New JerseyFull timePerform coding quality audits of all records (outpatient, inpatient, procedures, diagnostic testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Medical Billing & Coding Instructor American InstituteMedical Billing & Coding InstructorClifton, New JerseyOther skills and abilities - ability to inspire students to meet career goals by tying course curriculum to potential career outcomes, Learning Management Systems, Student Information Systems, synchronous instructional tools. You collaborate closely with program leaders and other departments to enhance student success, foster retention, support certification, celebrate graduation milestones, and facilitate successful career placements.
Coding Instructor for Kids Code NinjasCoding Instructor for KidsNorwood, New Jersey$16.50–$19 / hourIn our center, kids ages 7+ learn to code in a fun, non-intimidating way – by playing and building video games they love. Have the ability to learn our curriculum and teach Microsoft MakeCode, JavaScrip t, to different ages of students (Grade K-7).
Medical Coding Specialist Weill Cornell Medical CollegeMedical Coding SpecialistNY$31.92–$35.44 / hourCornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of "any person, any study." Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds.
Billing & Coding Specialist-BI-FT Days Mount Sinai Health SystemBilling & Coding Specialist-BI-FT DaysNew York, NY$58,661–$81,675 / yearWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
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.
Billing and Coding Assistant Columbia UniversityBilling and Coding AssistantNY$68,000–$73,000 / yearReporting to the Coding Manager, this role is responsible for independently reviewing complex clinical documentation, interpreting coding and payer regulations, and ensuring accurate and compliant charge capture across multiple service lines. Independently review and interpret clinical documentation to ensure accurate, compliant, and complete charge capture across pain medicine and related specialties.
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.
Certified Professional Coder, Charge Review and Coding Edits Specialist III Ambulatory Medical Practices MSO, IncCertified Professional Coder, Charge Review and Coding Edits Specialist IIIValhalla, NY$31.40–$36.06 / hourWhen determining a team member’s base salary and/or hourly rate, several factors may be considered as applicable (e.g., job type, location, years of relevant experience, education, credentials, budgets, and internal equity) . ColumbiaDoctors Medical Group / Ambulatory Medical Practices MSO, Inc. , is looking for experienced Medical Certified Professional Coder/Charge Review Billing Specialist III candidates: CPC/Coding Certification is required.
Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditNY$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
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.
Manager Of DRG Coding & Clinical Validation Audit Elevance HealthManager Of DRG Coding & Clinical Validation AuditGreat Neck, NY$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Coding Specialist Job DetailsCoding SpecialistFort Lee, New Jersey$62,400–$78,600 / yearReview clinical documentation in 3M and Epic to assign accurate ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for Radiology and Interventional Radiology procedures in accordance with official coding guidelines. Independently code Interventional Radiology procedures, including complex multi-component cases, and apply appropriate evaluation and management (E/M) consultation codes as needed.
Revenue Cycle Senior Director, Coding & Revenue Integrity Job DetailsRevenue Cycle Senior Director, Coding & Revenue IntegrityFort Lee, New JerseyManages project in multi-level capacity, including but not limited to creating long- and short-term plans, setting targets for milestones and adhering to deadlines, delegating tasks, ensuring continuous alignment with organizational goals, and communicating with senior leadership on progress and deliverables. Reporting to the Chief Revenue Cycle Officer, the Senior Director of Coding & Revenue Integrity serves as a strategic leader overseeing all medical coding, charge capture, and revenue integrity functions within the department, ensuring accurate, compliant, and timely medical coding aligned with institutional policies and payer guidelines.
NewPROVIDER LIAISON - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) Integrated Resources, IncPROVIDER LIAISON - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS)Newark, New JerseyContractorResponsibilities: Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insightsWorks closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysisCollaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider EducatorsCollaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staffValidates documentation against submitted claims diagnosis codes and prepares detailed reportsSupports Risk Adjustment Data Validation auditsDrives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressedProvides status reports to managementCertifications:AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)Knowledge:Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment modelMastery of medical coding best practicesProject management skillsExperience displaying ability to think analyticallyStrong communications and presentation skillsComputer skills: Outlook, Excel, Word & Powerpoint; SAS & Access preferredQualificationsEducation Experience:Bachelor's degree in business, healthcare administration, or other related fieldRequires a minimum of three (3) years of healthcare experience, preferably with provider focusRequires CPC or CCS certificationRequires program/project management experience Job DescriptionOne of our direct client is looking for potential candidate with the below mentioned skillsDirect Client: Immediate InterviewContract to HirePosition: Provider LiaisonMUST HAVE:5 years of experience into Project ManagementAt least 2 years of experience after CPC or CCS certificationBachelor's degree is a mustCertificationsAAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)Job Summary:The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding Client's risk adjustment programs.
Certified Coding Specialist Spire Orthopedic PartnersCertified Coding SpecialistStamford, CTThis role directly impacts revenue integrity by ensuring optimal CPT/ICD-10 coding, minimizing denials, and supporting provider's documentation improvement. Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors: Review coding-related denials (medical necessity, bundling, documentation).
ACO Risk Coding Specialist (Hybrid) Essen Medical AssociatesACO Risk Coding Specialist (Hybrid)Bronx, New YorkFull timeQualifications: Qualifications : - Strong working knowledge of CMS‑HCC risk adjustment model (required for accurate coding and compliance) - Solid understanding of ICD‑10‑CM coding guidelines - Ability to accurately identify and code chronic conditions requiring annual recapture - Experience reviewing face‑to‑face encounters and validating provider documentation - Skilled in retrospective and/or prospective chart reviews - Experience with provider education or documentation improvement initiatives Knowledge, Skills, & Abilities : - Deep understanding of chronic disease processes (e.g., CHF, CKD, COPD, diabetes with complications) - Familiarity with hierarchical logic and exclusion rules in HCC coding - Strong analytical, organizational, and problem‑solving skills, especially in Excel - Ability to research and resolve coding discrepancies independently - Effective written and verbal communication with clinical and non‑clinical staff - Team-based orientation with ability to manage and report out KPIs - Cultural sensitivity and ability to work with diverse team members, both US-based and offshore, and with medical providers - Consistent ability to meet productivity and quality benchmarks Education : - High School Diploma or equivalent (required) - International Medical Graduate (preferred) - Certified Risk Adjustment Coder (CRC) - Certified Professional Coder (CPC) or CCS / RHIT / RHIA (AAPC or AHIMA) Compensation & Benefits. They will become experts in HCC-based risk adjustment (prior experience preferred, but not necessary), they will conduct medical chart reviews to identify suspect conditions, and they will design and manage workflows to ensure that providers are made aware of suspect conditions, so that they can evaluate the patient thoroughly and correctly document the patient’s risk factors.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Morristown, NJIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Certified Coding Specialist ONS MSO LLCCertified Coding SpecialistStamford, CTThis role directly impacts revenue integrity by ensuring optimal CPT/ICD-10 coding, minimizing denials, and supporting provider's documentation improvement. Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors: Review coding-related denials (medical necessity, bundling, documentation).
Associate Director of Billing & Coding ONS MSO LLCAssociate Director of Billing & CodingStamford, CTThe Associate Director actively reviews coding trends, resolves escalations, conducts audits, provides education and partners with clinical and operational leaders to reduce denials, prevent revenue leakage, and strengthen documentation practices. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
Lead Principal Product Manager, Healthcare AI - Autonomous Coding Oracle CorpLead Principal Product Manager, Healthcare AI - Autonomous CodingNY$119,200–$264,100 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. We are seeking an experienced Product Manager with a vision and experience in healthcare revenue cycle for improving medical coder's productivity and developing AI products that reduce their burnout.
NewSenior Manager Coding IP OP Boston Medical CenterSenior Manager Coding IP OPNY$97,500–$141,500 / yearThis job provides direct oversight and supervision of coding staff and related workflows, develops and maintains coding guidelines for inpatient and outpatient services, responds to billing edits and related reports to ensure accurate Diagnosis-Related Group (DRG) and Ambulatory Patient Categories / Ambulatory Patient Groups (APC/APG) assignment, and enforces the appropriate application of Official Coding Rules and Regulations, including Coding Clinic guidance. Manages and coordinates institutional responses to external audits, including Recovery Audit Contractor (RAC) reviews and commercial payer audits, ensuring all documentation is submitted within required timelines, with oversight of staff participation and supporting work efforts as applicable.
Coding Auditor Northwell Health IncCoding AuditorNYWhen determining a team member s 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). Current Coding credential: CER - Cert Professional Coder (CPC) OR CER - Certified Professional Coder (CCP), OR CCS - Certified Coding Specialist required.
(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.
After School Coding Instructor Fall 2026 East Harlem Scholars AcademiesAfter School Coding Instructor Fall 2026NYThese pursuits inform and are reflected in our current four key strategic priorities: to increase high-impact, high-quality academic curriculum, programming content, staff capacity, and coaching; to embrace and advance our use of technology; to deepen our embodiment of ethical and equitable radical humanity; and to efficiently operationalize teaching, learning, community, and care. East Harlem Tutorial Program (EHTP) began in 1958 as a children''s reading group and has since grown into a multi-site after-school program for traditional public school students and a network of public charter schools focused on significantly increasing the college graduation rate in East Harlem.
Coding Instructor Code NinjasCoding InstructorBrooklyn, New YorkWe are looking for a part-time Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.