Medical Billing and Coding

• Evaluates medical records, provides clinical and surgical abstraction and assigns appropriate clinical diagnosis and procedure codes.
• Analyzes medical information from medical records
• Accurately codes diagnostic and procedural information in accordance with national coding guidelines
• Consults with medical providers to clarify missing or inadequate record information and to determine appropriate codes.
• Provides thorough, timely and accurate coding in accordance to department specific productivity and quality standards.

Profee Coder – Primary Care

• Assess documentation and verify the correct ICD and CPT codes to patient medical records
• Monitor records for timely coding turnaround
• Maintain coding and documentation quality standards
• Perform audits to support data quality and medical necessity

Outpatient Coder – Revenue Cycle

• Ensure 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate CPT, ICD-10-CM codes and modifiers.
• Daily review of EPIC Charge Review Work queues is essential.
• Monitor and report on accounts receivable issues related to payer compliance and/or billing processes.
• Act as a resource to providers, office staff, administration and the Central Business Office.
• Participation in coding training and education is also required.
• Maintain yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders.

Senior Billing Liaison, Coder

• Review medical records to assign accurate diagnostic and procedure codes to patient records.
• Responsible for coding specific areas of the organization as assigned.
• Use of encoder software to assign appropriate CPT and ICD-10-CM/PCS codes.
• Interact with providers regarding documentation and selection of procedure codes and Evaluation/Management levels.
• Ensure patients and visitors follow current infection control guidelines.

Full-time Certified Medical Coder

• Engages with providers and other internal external stakeholders to ensure proactive collaboration in reviewing coding and documentation guidelines
• Examine medical records and various documentation to ensure the precision of code assignment
• Researches, validates, and stays abreast of coding and billing issues, trends and changes to recommend concepts
• Conducts analyses of claims data to bolster the creation of educational concepts
• Provide providers with comprehensive feedback on current year coding guidelines

Medical Coding Education Associate

• Analyze inpatient medical records to extract comprehensive clinical, pathologic, and procedural data
• Assign and sequence ICD-10-CM diagnoses and ICD-10-PCS procedures with highest specificity
• Determine and accurately apply Present on Admission (POA) indicators for all applicable diagnoses
• Review admission, discharge, and concurrent documentation to validate coding completeness and accuracy
• Collaborate with clinical teams and query providers when documentation clarification is required
• Ensure compliance with federal, state, and payer-specific inpatient coding and reporting guidelines
• Support accurate MS-DRG assignment and reimbursement through thorough coding practices
• Maintain integrity of coded data for quality reporting, research, and regulatory submissions
• Meet productivity benchmarks while maintaining high-quality standards across assigned inpatient cases

Medical Coding Specialist I – Inpatient

• Ability to comprehend medical record documentation to accurately assign codes for both concurrent and discharged accounts across multiple specialties.
• Meets minimum requirements for production and quality monthly.
• Requires a working knowledge of code sequencing for grouper-related payers with attention to detail to avoid rework and waste with charge capture assessment component.
• Requires understanding and application of M.E.A.T. criteria (i.e., monitoring, evaluation, assessment, treatment) using ICD 10 CM transaction data set to capture diagnoses.
• Analyzes high-risk encounters for accurate and/or missing charges gaps prior to encounter completion (i.e., missing charges from anesthesia, surgery) when manual charge capture occurs.
• Understand complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce “take backs” associated with unclear, or unsubstantiated care rendered. (i.e., varying modifier assignment for EAPG vs. Non-EAPG payer specificity)
• Requires excellent coding knowledge of ICD 10 CM, CPT 4, and modifier application, with expectations to maintain certification (i.e., CCS, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines specific to both inpatient and outpatient encounters.
• Facilitate modifications to clinical documentation through query interaction to ensure that the information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF).
• Demonstrates an excellent working knowledge of hospital information systems to retrieve data specific information (i.e., order diagnosis, patient type) within a complicated filing schema including non-hospital data (i.e., Media Tab, Office Visits etc)

Outpatient Surgery Coder

• Prepare course(s) assigned in Blackboard with required elements by the designated deadline
• Provide approximately 12-14 hours per week of instruction over the course of five days each week, per course
• Facilitate discussion, grading student work, checking email, engaging in personalized retention efforts and outreach to support student success, and answering student inquiries
• Respond to all outreach from students, supervisors, colleagues, etc. within 48-hours
• Facilitate discussion with substantive, high-quality posts, higher-order questioning, and supplemental resources
• Ensure the grade book is updated each week no later than Thursday at 11:59 pm, ET for Weeks 1-6
• Review student work, adhere to grading rubrics, and provide detailed, individualized feedback
• Meet final grades deadline for each course each session, which is Thursday after the last day of class at 9:00 am ET

Online Adjunct Professor – Medical Coding and Reimbursement, CPC / CCA / CCS / CCSP

• Prepare, review, and submit clean medical claims to commercial payers.
• Verify claim accuracy, including coding, modifiers, eligibility, EAP authorizations, and provider details
• Monitor claim rejections and take timely corrective actions
• Manage denial resolution: research root cause, correct and resubmit, or prepare appeals
• Conduct proactive follow-up on outstanding A/R and aging claims
• Support patient billing activities and inquiries when needed
• Document all billing activities clearly and accurately in internal systems
• Ensure compliance with HIPAA, payer regulations, and state/federal billing guidelines
• Collaborate with credentialing, eligibility/benefits, clinical operations, and internal RCM teammates
• Identify trends and recommend process improvements to reduce denials and rework

Medical Billing Specialist

• Execute tasks focused on revenue generation through account resolution for any company client.
• Review documentation to support or contest payer coding decisions for multiple facilities.
• Prepare clear, concise, and well-supported appeals where applicable, using all available documentation, coding guidelines, and regulatory references to defend billed claims and secure reimbursement on insurance accounts receivable.
• Investigate the root causes of denials and downgrades, as needed.
• Provide targeted training on coding practices to Currance team members, promoting accuracy, compliance, and efficiency in resolving coding-related issues.
• Participate in daily shift briefings and contribute actively.
• Resubmit corrected claims according to Federal, State, and payer-mandated guidelines.
• Research, analyze, and correct claim errors and rejections to ensure accurate resubmission and to avoid payer denials due to preventable errors.
• Escalate problematic accounts, recurring issues, or trends to Supervisor and recommend education or denial prevention measures to the client.
• Stay current on payer updates, process changes, and coding guidelines to maintain compliance with Federal, State, and payer requirements.
• Meet productivity standards while maintaining quality output.
• Communicate payer-specific issues to the team and management for timely resolution.
• Engage in continuous learning to remain up to date on coding and payer policies.

Denial Resolution Specialist

• Resolve all levels of denials.
• Professional appeal submission with supporting documentation.
• Identify and present the payer trends amongst the claims that are denying.
• Communicate and work with the leaders to mitigate.
• Collaborate professionally internally or with external departments when needed to resolve the edit or denial.
• Present appropriate accounts for payer agendas with clear rationale and supporting documentation.
• Ability to be the learning partner for peers.
• Manage and complete assigned projects timely.
• Proper and detailed notation of actions taken on the account.
• Review, understand, and locate payer policy guidelines as required.
• Ability to locate claim adjudication details with the supporting documentation.
• Proficient use of Epic, OnBase, and other platforms as needed.
• Meet daily/weekly productivity standards with acceptable QA results.

• Resolve all billing edits found in the assigned WQs.
• Respond to denials received on accounts as assigned. This may require a re-billing of a claim after updating the correct information or it may require the initiation of a dispute or appeal to the payer.
• Collaborate professionally internally or with external departments when needed to resolve the edit or denial.
• Recognize payer trends amongst the claims that are editing for similar reasons.
• Communicate those trends to leaders within the department to determine if a systematic update is required.
• Identify payer trends within the denials and work with leaders to mitigate those denials where possible.
• Goal to minimize aging AR.
• Proper and detailed notation of actions taken on the account. Others will rely on those notes when taking the next step on the account follow up.
• Payer Website navigation as needed to obtain information.
• Review, understand, and locate payer policy guidelines for billing or denial resolution.
• Proficient use of Epic, On Base, and other platforms as needed.
• Ability to work independently and under time constraints and deadlines and with minimal supervision.
• to prioritize workload in an effective manner.
• Meet daily/weekly productivity standards with acceptable QA results.
• Other duties as assigned.

Medical Billing Associate

• Reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS
• Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software
• Responsible for coding high dollar and long length of stay cases for all patient types
• Serves as a subject matter expert to Coding department leaders and peers
• Recommends modifications to current policies and procedures as needed to coincide with government regulations
• Collaborates with the Clinical Documentation Improvement and Quality teams to ensure a match in the DRG and reconciles each Medicare case from a CDI perspective
• Responsible for clinician communication related to disease processes on a clinical level to ensure accurate coding
• Participates in payer audits and meetings by acting as a resource for coding-related audits, as requested

Inpatient Coder Specialist – Community Facility

• Accurately assigns diagnosis and procedure codes for inpatient facility and professional services.
• Performs necessary tasks within MHS GENESIS and other military coding systems.
• Accurately assign Evaluation and Management (E&M) codes, ICD-CM diagnoses, CPT and HCPCS, modifiers, and quantities derived from medical record documentation.
• Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies.
• Assigns accurate codes based on provider responses to coding queries.
• Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance.
• Utilizes MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other MTFs.
• Achieve and maintain DHA coding productivity and accuracy standards for the position.
• Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.
• Acts as a source of reference to medical staff having questions, issues, or concerns related to coding.
• Responds to provider questions and provides examples of appropriate coding and documentation reference(s).

Medical Coder II

• Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies
• Analyzes, enters and manipulates database
• Responds to or clarifies internal requests for medical information
• Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines
• Reviews and resolves coding denials
• Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
• Abstracts data and reviews codes for accuracy
• Performs system edit checks and corrects errors as needed
• Responds to coding information requests from various sources
• Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete
• Other duties as assigned.

Medical Records Coder III, Complex

• Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies.
• Analyzes, enters and manipulates database.
• Responds to or clarifies internal requests for medical information.
• Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines.
• Reviews and resolves coding denials.
• Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
• Abstracts data and reviews codes for accuracy.
• Performs system edit checks and corrects errors as needed.
• Responds to coding information requests from various sources.
• Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.

Med Rec Coder III, Complex

• Oversees office operations, assists in administering personnel related duties, and acts as the liaison with hospital staff.
• Coordinates the daily work of subordinate staff and resolves coding problems.
• Performs duties with an advanced knowledge of department coding policies and procedures.
• Supports priorities assigned by designated leader.
• Acts as a resource to staff.
• Serves as a focal point for answering questions and solving problems for subordinate staff and researching coding questions on difficult records.
• Keeps current on relevant areas of knowledge.
• Ensures accuracy of coding by performing ongoing data quality checks on Coding staff and reporting findings.
• Ensures corrections are made, and analyzes data output to identify coding problems and participates in corrective action as needed.
• Responds to non-routine and complex requests, inquiries or problems.
• Resolves complex problems that require a high level of expertise and knowledge of clinical coding, charge capture, charge entry, and systems.
• Investigates and resolves matters of significance on behalf of designated leader.
• Assists in personnel related matters such as time reporting, preparing performance evaluations, and interviewing applicants.
• Trains new staff and assigns work.
• Coordinates daily staff assignments and assigns staff to accommodate daily office priorities to ensure quantity goals.
• Cultivates and maintains professional relationships with internal customers and external vendors.

Medical Records Coder, Lead

• Analyze outpatient medical records to extract clinical, pathological, therapeutic, and epidemiologic data
• Apply ICD-10-CM and CPT-4 coding principles to ensure accurate and compliant clinical data
• Verify patient demographics, admission details, discharge data, and treatment information prior to coding
• Assign and sequence principal and secondary diagnoses and procedures at the highest level of specificity
• Ensure coding accuracy to support research, reimbursement, planning, statistics, and regulatory reporting
• Enter and maintain accurate coding data across multiple databases and information systems
• Complete assigned case volumes, corrections, and special coding projects within established standards

Medical Coding Specialist I – Outpatient

• The Coding Specialist analyzes physician/provider documentation contained in health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures.
• Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers.

Coding Specialist

• The Medical Coder III functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG)
• Analyzes, enters and manipulates database
• Responds to or clarifies internal requests for medical information
• Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines
• Reviews and resolves coding denials
• Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
• Abstracts data and reviews codes for accuracy
• Performs system edit checks and corrects errors as needed
• Responds to coding information requests from various sources
• Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete
• Other duties as assigned

Medical Billing and Coding jobs in New York

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Profee Coder – Primary Care

Outpatient Coder – Revenue Cycle

Senior Billing Liaison, Coder

Full-time Certified Medical Coder

Medical Coding Education Associate

Medical Coding Specialist I – Inpatient

Outpatient Surgery Coder

Online Adjunct Professor – Medical Coding and Reimbursement, CPC / CCA / CCS / CCSP

Medical Billing Specialist

Denial Resolution Specialist

Medical Billing Specialist

Medical Billing Associate

Inpatient Coder Specialist – Community Facility

Medical Coder II

Medical Records Coder III, Complex

Med Rec Coder III, Complex

Medical Records Coder, Lead

Medical Coding Specialist I – Outpatient

Coding Specialist

Med Records Coder III, Complex