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.
NewClinical Coding Auditor & Trainer (Associate & Senior Level) Macpower Digital Assets Edge Private LimitedClinical Coding Auditor & Trainer (Associate & Senior Level)New York City, NYRemote$100,000–$135,000 / yearLocation: Primarily remote with biannual travel to New York required, applicant outside of New York can also apply for this role, as long as they are open to NYC few times in year. Position Purpose: Develop and conduct training and quality auditing programs for Diagnosis Related Group (DRG) and Medical Record Audit programs.
Manager Of Coding & Revenue Integrity Spire Orthopedic PartnersManager Of Coding & Revenue IntegrityStamford, CTWho we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. 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 - Healthcare - Coding Quality Auditor Sutherland GlobalLead - Healthcare - Coding Quality AuditorClifton, NJThis role evaluates coding accuracy, identifies documentation deficiencies, conducts audits, provides education to coding staff and providers, and supports revenue cycle integrity while minimizing compliance risk. The Medical Coding Auditor is responsible for keeping Sutherland coders in compliance by reviewing medical records and coding practices to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS Level II codes in compliance with federal, state, payer, and organizational guidelines.
Billing and Coding Assistant Columbia UniversityBilling and Coding AssistantNew York, NY$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.
Certified Coding Auditor St. Joseph HealthCertified Coding AuditorPaterson, NJResponsible 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. Provides assistance with the creation of EMR templates in order to to improve capture of correct documentation to support E&M (Evaluation and Management Coding) levels.
NewHealthcare 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.
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.
Inpatient Coding Manager Huron Consulting Group IncInpatient Coding ManagerNew York City, NY$90,000–$130,000 / yearREQURIED SKILLS: Effective and efficient organization and planning skills with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members. is directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics.
Risk Adjustment Coding Specialist I Millennium Physician GroupRisk Adjustment Coding Specialist IFlorida, PRUnder the direction of Burden of Illness department leadership, the Risk Adjustment Coding Specialist is responsible for various aspects of decision-making and coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation for clinical conditions that accurately reflect the severity of illness and complexity of patient care. Review the encounter level patient medical record and provider selected ICD-10-CM diagnosis codes in real time prior to claim submission to validate completeness and accuracy of provider selected ICD-10-CM codes.
Manager of Coding & Revenue Integrity ONS MSO LLCManager of Coding & Revenue IntegrityStamford, CTHeadquartered 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. Who we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future.
NewKids Coding Instructor Athletes Global CorporationKids Coding InstructorFairfield, CTPart timeStudents will learn core coding concepts, while improving there critical, creative thinking and problem-solving skills. Job description: Athletes Global is looking for an enthusiastic instructor for our Kids Coding & Programing Class!
NewSenior HotDocs Coding Specailist Troutman PepperSenior HotDocs Coding SpecailistNew York, GA$85,000–$125,000 / yearBridging legal technology and practice innovation, the Senior HotDocs Coding Specialist leverages AI-assisted drafting, intelligent document review, and research automation to assist attorneys and business professionals to produce higher-quality work products with greater speed and consistency. The Senior HotDocs Coding Specialist drives efficiency across the firm's legal operations by designing and implementing automated document generation solutions and integrating Generative AI tools into everyday workflows.
Lead Full Stack Developer with Code Modernization & GitHub Copilot - 100% Remote The Dignify Solutions, LLCLead Full Stack Developer with Code Modernization & GitHub Copilot - 100% RemoteJersey City, NJRemoteThe candidate will be responsible for modernizing legacy applications, driving engineering best practices, leveraging Al-powered development tools to improve productivity, and leading end-to- end full-stack development efforts. The ideal candidate should have strong expertise in Code Modernization, Al-assisted development tools such as GitHub Copilot, and experience leading development teams through large-scale digital transformation initiatives.
Offsite Billing Coordinator- Multispecialty, Bronx, New York, Full Time, Days Mount Sinai Health SystemOffsite Billing Coordinator- Multispecialty, Bronx, New York, Full Time, DaysBronx, NY$20–$28.98 / hourWe 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.
Chinese Speaking Medical Biller NY Otolaryngology PLLCChinese Speaking Medical BillerFlushing, NYFull timeAs a Medical Biller, you will be working closely with patients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients. You will also assist and follow-up inquiries to patients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Medical Billing Specialist - Denials Sonic Healthcare USAMedical Billing Specialist - DenialsHicksville, NY$18–$24 / hourUse established protocols to contact providers and clients to resolve discrepancies in processed, partially paid and unpaid claims with timely appropriate follow up action. We offer Medical, Vision and Dental Insurance | Short Term and Long-Term disability | Voluntary term life | 401-K plus match | Paid Time Off| Paid holidays.
Facility-Fee Emergency Department Medical Coder Sutherland GlobalFacility-Fee Emergency Department Medical CoderClifton, NJThe Facility-Fee Emergency Department Medical Coder is responsible for the accurate review, abstraction, and assignment of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. The coder will review clinical documentation, emergency department records, physician documentation, nursing notes, ancillary reports, and charging information to accurately capture facility services rendered during emergency department visits.
Revenue Integrity Analyst, CDM -Revenue Integrity- Corporate-Full-Time Days- Hybrid Mount Sinai Health SystemRevenue Integrity Analyst, CDM -Revenue Integrity- Corporate-Full-Time Days- HybridNew York, NY$79,720–$119,580 / yearThe Revenue Integrity Analyst, Charge Description Master (CDM) for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) combines advanced financial analysis with a strong hospital healthcare revenue cycle background to ensure an accurate and compliant Chargemaster. 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.
Senior Billing Tech Developer The Doctors CompanySenior Billing Tech DeveloperNew York, NY$124,548–$163,879 / yearWe offer competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. Serve as a technical lead for one or more project teams, working collaboratively with the team to ensure code quality and technical solution integrity for the Duck Creek Billing implementation.