Medical billing coding jobs in Albany, New YorkCreate job alerts

Job DescriptionCoding & Billing SpecialistAlbany, NY (100% On-site) Fusco Personnel is actively recruiting for a detail-oriented and experienced Coding & Billing Specialist to join our client and their growing healthcare team. This role is responsible for ensuring accurate medical coding, timely claims processing, insurance follow-up, and reimbursement management.The ideal candidate will possess strong knowledge of medical coding standards, billing practices, and insurance regulations while maintaining a high level of accuracy and confidentiality.This position works collaboratively with providers, clinical staff, patients, and insurance carriers to support efficient revenue cycle operations and ensure compliance with all applicable healthcare regulations.This is a full-time, direct hire opportunity.If you are a motivated healthcare professional with a strong coding and billing background and a commitment to accuracy and compliance, we encourage you to apply!Duties and ResponsibilitiesMedical Coding • Review clinical documentation and accurately assign CPT, ASA, and ICD-10 codes for services rendered., • Research and obtain necessary documentation from physicians and facilities to support coding accuracy., • Serve as a coding resource for billing staff by providing guidance on coding questions and discrepancies., • Follow up with clinical staff regarding missing or incomplete documentation., • Meet established coding productivity and accuracy benchmarks., • Maintain coding certification requirements and stay current on industry regulations and updates., • Perform additional coding-related duties as assigned.Medical Billing & Accounts Receivable, • Manage insurance and patient accounts through resolution, including follow-up on outstanding balances., • Investigate, appeal, and resolve denied, underpaid, overpaid, and delinquent claims., • Respond professionally to patient and insurance inquiries via phone and written correspondence., • Process insurance and patient refunds according to organizational policies., • Post insurance and patient payments accurately within the billing system., • Retrieve and review payment remittances as needed., • Meet established billing productivity and performance goals., • Assist with revenue cycle improvement initiatives and account reconciliation activities.Qualifications, • CPC (Certified Professional Coder) certification required., • Strong working knowledge of CPT, ASA, and ICD-10 coding guidelines., • Experience with medical billing, insurance follow-up, and claims resolution., • Excellent attention to detail and organizational skills., • Strong verbal and written communication abilities., • Ability to work independently while contributing effectively within a team environment., • Proficiency with electronic billing systems and healthcare software preferred.Additional Requirements, • Maintain strict confidentiality of patient, employee, and organizational information in accordance with HIPAA regulations., • Complete all required compliance, safety, and confidentiality training., • Perform additional duties as assigned by management.Salary$21.00-$24.00/hrFusco Personnel takes great pride in successfully matching talent and culture for our valued clients. We accomplish this through the hard work and expertise of our exemplary specialty recruiters and staff.Whether you are contemplating your next career move, or you are seeking the key players to bring your business to the next level – consider contacting our experts.Fusco Personnel is a NYS Certified Women Business Enterprise (WBE) and an Affirmative Action/Equal Opportunity, Race/Gender/Veterans/Disability Employer

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months, • Online and in-person options available, • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who qualify. Take the first step towards your new career path today!

The Medical Billing Analyst is an intermediate billing position within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. The denials assigned in this role are more intricate than others and the denial response may require a professional narrative accompanied by supporting documentation to be overturned. Some or all these areas may be the focus of the position depending on the resources needed. The incumbent must be able to prove that they have an ability to learn quickly and work independently. They will possess the ability to use payer websites to locate payer policies that may be impacting the ability for AMHS to be paid timely. The incumbent will be expected to work independently and meet production standards after the prescribed onboarding and training is concluded. Communication with peers, trainers, and leaders will also be imperative to success. • Resolve the more intricate billing edits as assigned. The edits are the result of claims that have previously billed and require an increased ability to understand what happened initially and the additional requirements that are needed to rebill successfully., • Follow up on the No Response WQs as assigned. Communicate with the payer via phone, email, or website platforms as needed. Ability to locate denial or remittances via the payer websites as needed., • 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 submission of an appeal with supporting documentation., • Collaborate professionally internally or with external departments when needed to resolve the edit or denial. This may require consistent communication with coding or individual departments. For those that have coding certifications, the collaboration with Coding will be complementary and beneficial to both areas., • Identify and present the payer trends amongst the claims that are editing for similar reasons. Communicate and work with the leaders to mitigate. The expectation is that this role can work all billing edits and will serve as a resource to the Medical Billing Associate as needed., • Identify payer trends within the denials and work with leaders to mitigate those denials where possible. The goal is to minimize the 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 as required. Ability to locate claim adjudication details with the supporting documentation., • 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. Able to prioritize workload in an effective manner. Begin to articulate possible avenues to resolve claim challenges., • Meet daily/weekly productivity standards with acceptable QA results., • Other duties as assigned., • This position will identify accounts that need to be placed on the payer agendas as they are not being resolved through the normal dispute process. The accounts are aging on the accounts receivable. Concentration on the AR > 60 days., • Identification and communication of payer trends that are negatively impacting the overall AR., • Timely and professional communication with outside departments to resolve the billing or follow-up challenges. Consistent and responsive communication with Patient Access and Coding are a must., • Identification of department trends that need to be brought to Management to address with the departments. Participate as needed and at the request of leadership. These could include practices, hospital departments, as well as departments within the revenue cycle., • Build an understanding of expected reimbursement on the accounts to ensure correct payments are received., • Build an understanding of the reports provided by leadership as it pertains to the assigned task or assignment., • High School Diploma/G.E.D. - required, • Associate's Degree - preferred, • Prior office experience - preferred, • Medical Billing or claims knowledge - preferred, • Ability to work independently and within a team, • Excellent verbal and written communication skills., • Ability to communicate with internal peers and leadership, • Demonstrates an ability to learn and understand instruction, • Ability to effectively prioritize and execute tasks in a high-volume atmosphere., • Microsoft Office and website knowledge, • CCS-Certified Coding Specialist Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) Upon Hire - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Thank you for your interest in Albany Med Health System!? Albany Med Health System is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently., • Adheres to official coding guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge DRG & ICD 10., • Establishes national and best practice benchmarks and measures performance against benchmarks., • Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform., • Manages case volumes and review/audit schedules, prioritizing case load as assigned by Management., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities): • Performs complex audits or projects with minimal direction or oversight., • Acts as an expert in reviewing medical coding and medical record review with ability to oversee complex assignments, challenging customers, and highly visible issues., • Supports leadership in projects related to divisional/departmental strategies and initiatives., • Participates and represents in audits, payment methodologies, contractual agreements, with cross functional teams or with business partners as needed., • Serves as a mentor to new hires., • Demonstrates ability to participate and represent department on interna/external committees. Level III (in addition to Level II Accountabilities): • Provides expertise in developing data criteria for audits., • Acts as a Lead and provides training, guidance, consultation, complex performance analysis, and coaching expertise to team members around methods of continuous quality improvement., • Serves as an expert and resource for escalations and works directly with Payment Integrity staff to resolve issues and escalation problems., • Provides backup support for Management as necessary. Minimum Qualifications: • All Levels: Associate or bachelor's degree in health information management (RHIA or RHIT) or a Nursing Degree., • Three (3) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting., • Three (3) years of working experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology., • Coding Certification is to be maintained as a condition of employment of one of the following: RHIA or RHIT, Inpatient Coding Credential CCS or CIC., • Intermediate analytical and problem-solving skills; as well as keeps abreast of latest trends related to business analysis., • Intermediate knowledge of PC, software, auditing tools and claims processing systems., • Level II (in addition to Level I Qualifications): Five (5) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting., • Five (5) years of working experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology., • Demonstrated ability across multiple skills, products, processes, and systems with the Division., • Demonstrated ability to lead initiatives with occasional guidance and assistance from management and/or others., • Advanced analytical, problem solving, and judgement skills., • Advanced knowledge of PC, software, auditing tools and claims processing systems., • Level III (in addition to Level II Qualifications): Eight (8) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting., • Eight (8) years of working experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology., • Demonstrated leadership skills., • Demonstrated ability as a subject matter expert or consultant to other departments., • Demonstrated ability to work independently and assumes lead role in key business initiatives., • Expert proficiency in analytical skills, auditing skillset and ability to manage complex assignments, challenging situations, and highly visible issues., • Demonstrated expert proficiency in project management and presentation skills. Physical Requirements: • Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer., • Ability to travel across the Health Plan service region for meetings and/or trainings as needed. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E4: Minimum: $65,346- Maximum: $117,622 Level II: Grade E5: Minimum: $71,880 - Maximum: $129,384 Level III: Grade E6: Minimum: $79,068 - Maximum: $142,322 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications, and other procedures. Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Provides ongoing training to staff as needed. Handles special projects as requested.

Job Description About the Role: The Medical Assistant plays a critical role in supporting healthcare providers by ensuring the smooth operation of clinical and administrative tasks within a medical facility. This position involves direct patient interaction, including preparing patients for examinations, taking vital signs, and assisting with medical procedures such as phlebotomy and specimen collection. The Medical Assistant is responsible for maintaining a clean and sterile environment by properly sterilizing medical instruments and managing specimen processing. Additionally, this role requires effective communication skills to answer phones, schedule appointments, and coordinate with nurse practitioners and other healthcare staff. Ultimately, the Medical Assistant contributes to delivering high-quality patient care and enhancing the overall efficiency of the healthcare team. We are excited to announce we are looking for a Full-Time, Medical Assistant at Upstate Gastroenterology - Troy NY in Troy, NY Responsibilities: • Prepare patients for examination by taking vital signs and recording medical histories., • Assist healthcare providers, including Nurse Practitioners, during medical procedures and examinations., • Perform phlebotomy and draw blood samples accurately and safely., • Process and label specimens for laboratory testing following established protocols., • Sterilize medical instruments and maintain a clean clinical environment to prevent infection., • Answer phones, schedule patient appointments, and manage patient flow within the clinic., • Maintain accurate patient records and ensure confidentiality in compliance with healthcare regulations., • Support administrative tasks such as billing, coding, and inventory management as required. Skills: The required skills such as Medical Assisting, phlebotomy, and specimen processing are essential for performing clinical duties accurately and safely, ensuring patient comfort and compliance with health standards. Proficiency with medical instruments and sterilization techniques helps maintain a hygienic environment, reducing the risk of infection. Drawing blood and taking vital signs are routine tasks that require precision and attention to detail to support diagnostic processes. Effective communication skills, including answering phones and coordinating with nurse practitioners, facilitate smooth patient flow and enhance the overall patient experience. Preferred skills like familiarity with electronic health records and multitasking enable the Medical Assistant to manage administrative responsibilities efficiently while supporting clinical operations. Minimum Qualifications: • High School Diploma, • At least 1 year experience in a Medical office or Healthcare environment, • Bilingual in Spanish and English, • Proficiency in taking and recording vital signs accurately., • Basic knowledge of medical instruments and sterilization procedures., • Strong communication skills for patient interaction and administrative duties. Preferred Qualifications: • Experience working in a healthcare or clinical setting., • Completion of an accredited Medical Assistant training program., • Familiarity with electronic health record (EHR) systems., • Strong interpersonal and communication skills., • Ability to multitask and work efficiently in a fast-paced environment., • Additional certifications such as CPR or First Aid. We offer competitive base salary, generous benefits, including Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits. M-F: 8:30 AM - 4:30 PM

Medical office experience is a plus as well as electronic medical records experience. Summary: The Certified Medical Assistant collaborates with and assists patients, physicians, nurse practitioners, registered nurses, and licensed practical nurses in executing the CHP mission and vision. The Certif

ENT and Allergy Associates is an equal opportunity employer.We celebrate diversity and are committed to creating an inclusive environment for all employees.

Front Desk Medical Receptionist - Stony Brook Internists, UFPC. The medical receptionist will assist the department with coordination of the daily operations of the front desk, and other duties to ensure efficient work flow and patient care. Assess telephone calls, including determining urgency of c

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

Strong organizational skills, with the ability to manage multiple tasks and priorities in a fast-paced environment Excellent communication skills, both verbal and written, with the ability to interact effectively with all levels of personnel Ability to maintain confidentiality and handle sensitive i

Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Day (United States of America).Nursing Administrative Assistant role applies specialized knowledge to provide administrative support for effective operation of office functions within a designated department.Greets customers/patients in a friendly and professional manner.Answers and routes incoming

Day (United States of America).Nursing Administrative Assistant role applies specialized knowledge to provide administrative support for effective operation of office functions within a designated department.Greets customers/patients in a friendly and professional manner.Answers and routes incoming

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Primary responsibilities include uploading medical information from the hospital EMR into the home health EMR, updating the agency's admission calendar, contacting physician offices for agreement to sign home care orders, ensuring referral information is complete for the admitting clinician, creatin

As a Remote Data Entry Clerk, you will be responsible for inputting and maintaining data accurately from home, including: input data accurately into company systems from home.Duties and responsibilities can change depending on business needs.