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Certified professional coder • newark nj

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Accounts Receivable, Certified Professional Coder

Accounts Receivable, Certified Professional Coder

Columbia UniversityNew York, NY, United States
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Job Type : Officer of Administration.Standard Work Schedule : 9AM-5PM, M-F.The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area.Actual co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Certified Coder (Risk Adjustment / Outpatient Required) - REMOTE

Certified Coder (Risk Adjustment / Outpatient Required) - REMOTE

Molina HealthcareNew York City, NY, United States
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Provides support to the business by making sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and denials. Performs on-going chart reviews and abstr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Coder

Coder

CarePoint Health SystemHoboken, NJ, US
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CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Cente...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Sales Professional

Sales Professional

Claire Myers ConsultingNew York, NY, US
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Sales Professional New York, NY or Hollywood, FL.Our client is seeking a driven, competitive Sales Professional to join their high-performing team in New York or Hollywood, FL.This is a great oppor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Director, Registered Nurse / Certified Risk Adjustment Coder (CRC)

Director, Registered Nurse / Certified Risk Adjustment Coder (CRC)

AnkuraNew York, NY, US
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Ankura Health Care Team Opportunity.Ankura is a team of excellence founded on innovation and growth.Ankura's Health Care team is a recognized leader in health care disputes, compliance, and investi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Coder - Inpatient

Coder - Inpatient

Highmark HealthNY, Working at Home, New York
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This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems andassists in decreasing the ave...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Certified Professional Coder

Certified Professional Coder

VirtualVocationsElizabeth, New Jersey, United States
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A company is looking for a Coder+ Specialist who will be responsible for processing claims and providing support in a healthcare setting. Key Responsibilities Analyze medical records to convert do...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Outpatient Coder

Outpatient Coder

Axelon Services CorporationNew York, NY, US
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Outpatient Hospital Coding Educator.Length of Contract : Temp to Perm ONLY position.Can only reside in the below states : . Under the direction of the Health Information Management (HIM) Supervisor of ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Sales Professional

Sales Professional

Targeted TalentNew York, NY, US
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Build and maintain a network of sources from which to identify new sales leads.Communicate with customers and leads to identify and understand their product or service needs; identify and suggest p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Certified Home Health Aide Professional

Certified Home Health Aide Professional

Home Instead Senior CareNorth Caldwell, NJ, United States
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NJ CERTIFIED HOME HEALTH AIDE LICENSE REQUIRED.Full Time / Part Time / WEEKENDS / 12 HOUR SHIFTS - ALL AVAILABLE!.EXPERIENCED LIVE-IN CARE PROFESSIONAL & HOURLY CARE PROVIDER NEEDED FOR WEEKEND SHIFTS •.I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Medical Coder

Medical Coder

MomentumrsNew York City, NY
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Duties : Medical coding in an acute care setting; must posses proficient computer skills (e.MS Word, Excel, ICD 9 CM, CPT 4, Encoder). knowledge of coding guidelines, payor guidelines, federal billi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Certified Professional Coder

Certified Professional Coder

SUNY College of OptometryNew York, New York, United States
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The University Eye Center (UEC) of the State University of New York College of Optometry, an Article 28 Diagnostic and Treatment Center, is seeking a Certified Professional Coder.The successful can...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Biller & Coder

Medical Biller & Coder

Rooted Talent SolutionsNew York, New York, .US
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Why Apply Through Rooted Talent Solutions?.Personalized Matching : We align your skills and preferences with healthcare organizations that fit your goals. Streamlined Process : Our team and technology...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Certified Health Professional (LMSW / LCSW / LMHC)

Certified Health Professional (LMSW / LCSW / LMHC)

TAG MedStaffingNew York, NY, US
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Job Overview - Certified Health Professional (LMSW / LCSW / LMHC) : .Become a valued member of our client’s team as a Certified Health Professional, where you’ll conduct thorough clinical asses...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Professional Driver

Professional Driver

A1 Quality Express IncElizabeth, NJ, US
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Join Our Team of Professional Drivers!.Class B or Class C license (Passenger Endorsed).We are dedicated to providing top-tier service, and we prioritize. Class B or Class C CDL with Passenger Endors...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

CVS HealthWork from hom, NY, US
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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Nurse Clinician Managed Care (Certified Coder)

Nurse Clinician Managed Care (Certified Coder)

Integrated ResourcesNew York, NY, United States
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Job Title : Nurse Clinician Managed Care (Certified Coder).Duration : 3+ months with very high possibility of extension.Shift Time : Monday - Friday, 9 : 00 AM - 5 : 00 PM (Hybrid).Special Investigations ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Risk Adjustment Coder

Risk Adjustment Coder

Village CareNew York, NY, US
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CPC, CCS, RHIT or RHIA and CRC are required • •.Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Risk Adjustment Coder Specialist

Risk Adjustment Coder Specialist

Oscar HealthNew York, NY, US
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We're hiring a Senior Specialist to join our Risk Adjustment team.Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members.We...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Medical Coder

Medical Coder

TradeJobsWorkForce10011 New York, NY, US
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Medical Coder Job Duties : Accounts for coding and abstracting of patient encounters, includ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Accounts Receivable, Certified Professional Coder

Accounts Receivable, Certified Professional Coder

Columbia UniversityNew York, NY, United States
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Job Type : Officer of Administration

Regular / Temporary : Regular

Hours Per Week : 35

Standard Work Schedule : 9AM-5PM, M-F

Salary Range : $65,000.00-$75,000.00

The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions.

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. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance with payer regulations, supports denial resolution, and contributes to efficient revenue cycle operations. The CPC plays a vital role in ensuring proper billing and reimbursement while maintaining high standards of compliance and accuracy.

Responsibilities

Accounts Receivable Coding

  • Research root causes of claim denials and apply knowledge of payer policies to determine the appropriate course of action, including appeals.
  • Manages complex coding-related cases and recommends resolutions while escalating issues when necessary.
  • Prepares and reviews correspondence with insurance companies, patients, or guarantors to address claim-related inquiries.
  • Documents all actions and findings in the billing system to maintain accurate and comprehensive account records.
  • Collaborates with the senior leadership to address unresolved or escalated issues.

Coding and Charge Review

  • Reviews charges in work queues for compliance and accuracy, ensuring alignment with Current Procedural Terminology (CPT), ICD-10, and other coding standards.
  • Performs reconciliation of charges against appointment reports or procedure logs to ensure all patient services are billed appropriately.
  • Verifies the accuracy of charge header information, including service provider, billing area, CPT codes, modifiers, and diagnosis linkage.
  • Communicates with providers to resolve discrepancies via Epic or a secure chat.
  • Reviews charge correction requests and ensures accuracy prior to resubmission.

    • Denials Management

  • Collaborates with Accounts Receivable staff to resolve denied or rejected claims related to coding issues.
  • Provides expertise in payer-specific coding requirements to facilitate successful appeals and payment recovery.
  • Tracks trends in denials and recommends process improvements to reduce future errors.

    • Insurance Verification and Compliance

  • Conducts thorough insurance verification to ensure accurate claim submission and timely reimbursement
  • Updates patient accounts with corrected demographic or insurance information as necessary.
  • Ensures compliance with organizational and regulatory coding standards, including HIPAA and Medicare / Medicaid guidelines.

    • Continuous Improvement

  • Monitors key performance indicators and participates in performance improvement initiatives.
  • Provides coding expertise to support department goals and enhance revenue cycle operations.

    • Compliance & Other

  • Performs other tasks and assumes additional responsibilities within the Revenue Cycle Department as assigned.
  • Represents the FPO Clinical Revenue Office on cross-functional committees, task forces, and work groups as assigned.
  • Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.

    • Please note : While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

    Minimum Qualifications

  • Bachelor's Degree or an equivalent combination of education and experience.
  • A minimum of 3 years of medical coding experience, preferably in a physician billing or third-party payer environment.
  • An equivalent combination of education and experience may be considered.
  • CPC certification is required.
  • Proficiency in CPT, ICD-10, and HCPCS coding, as well as payer-specific billing guidelines.
  • Strong working knowledge of managed care eligibility, referrals, and authorizations.
  • Demonstrated ability to interpret clinical documentation and ensure compliance with coding and billing standards.
  • Excellent organizational skills and attention to detail with the ability to handle multiple tasks effectively.
  • Proficiency in Microsoft Office (Word, Excel) and electronic health record systems (e.g., Epic).
  • Must successfully complete systems training requirements.

    • Preferred Qualifications

  • Experience in a physician practice or healthcare setting.
  • Experience in EPIC.
  • Familiarity with quantitative and qualitative data analysis related to coding and billing.

    • Competencies

    Patient Facing Competencies

    Minimum Proficiency Level

    Accountability & Self-Management

    Level 3 - Intermediate

    Adaptability to Change & Learning Agility

    Level 2 - Basic

    Communication

    Level 2 - Basic

    Customer Service & Patient Centered

    Level 3 - Intermediate

    Emotional Intelligence

    Level 3 - Intermediate

    Problem Solving & Decision Making

    Level 3 - Intermediate

    Productivity & Time Management

    Level 3 - Intermediate

    Teamwork & Collaboration

    Level 2 - Basic

    Quality, Patient & Workplace Safety

    Level 3 - Intermediate

    Leadership Competencies

    Minimum Proficiency Level

    Business Acumen & Vision Driver

    Level 1 - Introductory

    Performance Management

    Innovation & Organizational Development

    Level 1 - Introductory

    Equal Opportunity Employer / Disability / Veteran

    Columbia University is committed to the hiring of qualified local residents.