NewMedical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistPaterson, NJRemote$20.45–$24.70Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology.
Advanced Practice Clinician, Per Diem VNS HealthAdvanced Practice Clinician, Per DiemNew York, NY$58.30–$77.72Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Urgent interventions (i.e., escalations for the Care Teams, RPM, and the 24/7 Line), pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling, and patient education.
Advanced Practice Clinician, Per Diem (Bilingual Cantonese/Mandarin preferred) VNS HealthAdvanced Practice Clinician, Per Diem (Bilingual Cantonese/Mandarin preferred)New York, NY$58.30–$77.72Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Urgent interventions (i.e., escalations for the Care Teams, RPM, and the 24/7 Line), pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling, and patient education.
Advanced Practice Clinician (Bilingual Chinese required) VNS HealthAdvanced Practice Clinician (Bilingual Chinese required)Brooklyn, NY$109,900–$146,500Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Provides care in one or more care settings based on the clinical requirements: virtually, telephonically or travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options.
NewOutpatient Medical Coder (CPC) - Surgical - Temp to Perm Opportunity - Hybrid JobotOutpatient Medical Coder (CPC) - Surgical - Temp to Perm Opportunity - HybridWayne, NJ$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.
Associate Director Access & Reimbursement CSL SeqirusAssociate Director Access & ReimbursementSummit, NJ$210,000–$250,000Convinces internal and external stakeholders about the value of the CSL Seqirus Customer Experience vision; Acts as the voice of the customer with internal stakeholders to build Seqirus’ acumen on customer challenges; Develops and executes business solutions at customers that help enhance CSL Seqirus’ partnership within CSL Seqirus primary channels. With relationship depth and breadth of customer interaction at various (senior management clinical / financial / operational) levels of the customer’s organization, builds and maintains relationships with key individuals to enable market access of CSL Seqirus vaccines, developing a favorable environment for pull-through at the national, regional, and local provider levels.
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.
NewMedical Scribe - Bilingual Spanish Required Oak Street HealthMedical Scribe - Bilingual Spanish RequiredNew York, 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.
Software Engineer III Kforce Inc.Software Engineer IIINew York, NY$60–$65Proven experience with Microsoft Azure services (App Services, Azure Functions, Azure DevOps, Azure Storage, Azure SQL). Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.
NewMedical Scribe - Float Oak Street HealthMedical Scribe - FloatQueens, NY$18.50–$42.35Scribes 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.
NewMedical Scribe - Bilingual Spanish Preferred Oak Street HealthMedical Scribe - Bilingual Spanish PreferredFreeport, 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.
NewPodiatrist Curalta Foot + AnklePodiatristWyckoff, NJ$150,000–$180,000 / yearTheir duties include consulting with patients, practicing evidence-based medicine with best practices, prescribing appropriate medication and devices as indicated for the condition, and performing all necessary procedures and surgeries to remedy patients' conditions. Curalta's providers combine decades of experience with a forward-thinking, innovative approach to treatment in order to maximize patient outcomes and experiences across all lower extremity conditions.
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.
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.
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.
HIM Coding Manager - AI Systems MercorHIM Coding Manager - AI SystemsNew York, New YorkRemoteEvaluate AI-generated coding assignments for ICD-10-CM/PCS , CPT/HCPCS , and DRG assignments to ensure accuracy and compliance. Monitor coding KPIs such as coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors.
Coding Quality Specialist St. Joseph HealthCoding Quality SpecialistNJJosephs University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures. The combined efforts of the organizations outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nations "100 Best Places to Work in Health Care".
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.
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.
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 Qlty Anlst & Prov Educ Westchester Medical Center Health NetworkCoding Qlty Anlst & Prov EducValhalla, NY$82,501–$103,724 / yearJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support clerical/Administrative Supportc Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Job Details: Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines.
NewManager Coding Maimonides Medical CenterManager CodingBrooklyn, NY$75,000–$80,000 / yearThe system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Serves as a role model for the staff managed in terms of consistently demonstrating timely reporting to work, appropriate use of work time and resources, exceptional work ethic, collaborative teamwork, positive reinforcement, lifelong learning, and conducting oneself in a professional manner, especially when representing the Department and Medical Center.
Backend Engineer - AI Coding Agent MercorBackend Engineer - AI Coding AgentNew York, New YorkRemoteRegular use of AI coding agents such as Cursor, Claude Code, Codex, Windsurf, Gemini CLI, or similar tools. Use frontier AI coding agents to complete and evaluate complex engineering tasks.
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.
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.
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.
Medical Billing and Coding Specialist Saint Peter's Healthcare System IncMedical Billing and Coding SpecialistNew Brunswick, NJPerform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. May assist with the education and training of office staff on processing office and surgery claims, managing the Athena hold buckets, IngeniousMed tasks, precertifications, and other billing related functions.
Prof Coding & Billing Auditor Maimonides Medical CenterProf Coding & Billing AuditorBrooklyn, New York$70,000–$79,000 / yearFull timeThe system is anchored by Maimonides Medical Center, one of the nation’s largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. About Us: We’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers.
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.
Medical Coding Analyst HealthCare Partners, MSOMedical Coding AnalystGarden City, NY$65,000–$75,000 / yearEssential Position Functions/Responsibilities: Review and interpret medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10 CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation. Position Summary: The Coding Analyst will provide Risk Adjustment/HCC coding and auditing services that include the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated alphanumerical codes.
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.
Product Safety Data Coordinator and Coding Associate Lenmar Consulting, Inc.Product Safety Data Coordinator and Coding AssociateNutley, NJRemoteThe individual will verify the accuracy and completeness of information for each adverse event report for which he/she is assigned in conjunction with the source documents and ensure that all activities are performed in a manner consistent with SOPs. Code and enter information into the Product Safety database for Adverse Events reported in association with ***’s Marketed and investigational products.
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.
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.
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesNew York, NY$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.
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.
Product Safety Data Coordinator and Coding Associate Artech LLCProduct Safety Data Coordinator and Coding AssociateNutley, NJRemote$23–$26 / hourThe individual will be responsible for verifying the accuracy and completeness of information for each adverse event report for which he/she is assigned in conjunction with the source documents and ensuring that the activities are performed in a manner consistent with SOPs. Code and enter information into the Product Safety database for Adverse Events reported in association with *** s Marketed and investigational products.
Product Safety Data Coordinator and Coding Associate Integrated Resources, IncProduct Safety Data Coordinator and Coding AssociateNutley, NJRemoteThe individual will be responsible for verifying the accuracy and completeness of information for each adverse event report for which he/she is assigned in conjunction with the source documents and ensuring that the activities are performed in a manner consistent with SOPs. Description of Responsibilities: Code and enter information into the Product Safety database for Adverse Events reported in association with client’s Marketed and investigational products.
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.
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.
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.
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.
HCC Coding Leader - Risk Adjustment MercorHCC Coding Leader - Risk AdjustmentNew York, New YorkRemote5+ years of experience in risk adjustment coding , HCC coding , or Medicare Advantage coding operations , with at least 2 years in a leadership role. Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs.
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.
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.
Sr. Coding Compliance Educator Privia Health Group, IncSr. Coding Compliance EducatorNY$70,000–$82,500 / yearThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
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.
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.