Medical coding manager jobs in Commack, New YorkCreate job alerts

Primary PartnerCare Physicians, a multi-site primary care group, is opening a brand new site in the heart of Huntington and needs a seasoned Medical Office/Operations Manager to open and grow the new primary care site! We are opening with one physician and recruiting for a 2nd physician. You be involved from the ground up building this new site, overeeing the staff & all administrative/operational aspects of the care center, including the excitement of marketing a brand new care center! Base Salary ($62,000-$70,000 based on experience) + Annual Performance Bonus $7,500 We are seeking an energetic, tech savvy professional who will take the lead on all practice operations activities such as best practices, efficient workflows, managing with data and KPIs, resolving billing issues, authorizations, chart prep, launching new service lines, and growing the practice! Additionally, you will be the face of the practice site working with the community and local healthcare providers to get our doctors known! As primary care physicians, we want to ensure our patients receive all the preventive care they are entitled to with appropriate follow-up visits, and rely on the operations manager to ensure this is happening. In addition to these responsibilities, you will oversee quality reporting and other ACO and value-based initiatives. You will supervise all non-clinical staff such as front desk and medical assistants. We are looking for a career-oriented professional that wants to grow with our new large primary care group! Our primary care practices have longstanding relationships with our patients and we are truly their medical home. As the Operations Manager, you will manage the administration of the care center, including overseeing staff and jumping in to help the staff as needed: • Organize office operations and procedures, including process to ensure all patients receive preventive care services and follow-up visits, • Oversee patient registration, eligibility and scheduling, • Manage authorizations and referrals, and communicate with the payors and patients, • Ensure front desk staff is collecting patient copays, coinsurance and deductibles and complete daily and weekly financial reconciliations, • Help explain insurance coverage (EOBs) and patient balances to the patients when front desk needs support, • Manage practice site and staff using data & KPIs, • Help providers with their billing responsibilities in Athena EMR as may be needed, • Serve as liaison with medical group's MSO and management team, and ensure that all programs, policies and compliance issues are implemented, • Oversee the non-clinical staff, including scheduling, performance reviews, time and attendance and training (career development is important to us!) We require: • 5+ years in management position: leading, coaching and overseeing performance of medical office staff, • 10+ years of medical practice experience, with strong understanding of insurance and patient liabilities (copays, coinsurance, deductibles), • Bachelors Degree preferred but advanced experience may serve as a substitute, • General billing and coding knowledge, and zest to stay abreast with changes and learn health insurance rules as they relate to primary care, • Strong technology skills to succeed with a tech-driven practice, including ability to use Excel, • Ability to quickly masterAthena EMR, billing software, managed care software, • Strong organizational and leadership skills to be the calming force as we evolve and implement change, • Demonstrated communication skills, oral and written, • Experience on patient engagement and satisfaction approach - as a primary care group, its critically important, • Successful experience implementing new processes, procedures, and services, • Knowledge of OSHA, HIPAA and other regulations, state and federal, that oversee medical practices, • Caring spirit that recognizes each patient as an individual, and through their actions and leadership let the patients know that the practice is their true medical home, • Compassion and patience with people during times of illness and wellness with ability to build a patient-focused culture, • Financial acumen and interest in growing a primary care practice In addition to your salary, we offer performance bonuses, health insurance, 401K with employer contribution of 3% + profit-sharing, paid time off, sick leave and paid holidays

Job Description About the Role: The Certified Medical Coder - Manager plays a pivotal role in overseeing the accuracy and efficiency of medical coding and billing operations within a healthcare organization. This position ensures that all medical records are coded correctly according to established guidelines, facilitating proper reimbursement from insurance providers and patients. The manager will lead a team of AR billing specialists, providing training, support, and quality control to maintain compliance with healthcare regulations and payer requirements. Minimum Qualifications: • Certified Professional Coder (CPC) or equivalent certification in medical coding., • Minimum of 3 years of experience in medical coding and billing, including experience with CPT coding and healthcare reimbursement., • Proven experience managing a team or leading projects within a medical coding or billing environment., • Strong knowledge of Medicare, commercial insurance billing, and patient collections processes., • Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field., • Experience with electronic health record (EHR) systems and medical billing software., • Additional certifications such as Certified Coding Specialist (CCS) or Certified Medical Reimbursement Specialist (CMRS)., • Demonstrated success in process improvement initiatives within a healthcare revenue cycle., • Supervise and mentor a team of billing specialists to ensure accurate and timely coding and billing processes., • Review and audit medical records and coding to ensure compliance with CPT, ICD-10, and other relevant coding standards., • Develop and implement policies and procedures to improve coding accuracy and reimbursement rates. The required skills such as Medical Billing, Medical Coding, and CPT Coding are essential for ensuring that all healthcare services are accurately documented and billed according to regulatory standards. Patient Collections and Medical Insurance Billing skills are used daily to manage accounts receivable and ensure timely payments from both patients and insurance companies. Knowledge of Private Pay and Medicare billing processes allows the manager to navigate complex reimbursement environments and resolve payment issues effectively. These skills are applied in training and supervising staff to maintain high coding accuracy and compliance. Preferred skills like proficiency with EHR systems and advanced certifications enhance the ability to implement efficient workflows and improve overall revenue cycle management.

Job DescriptionAbout Us Groth Pain and Spine is Long Island's number one pain management practice because we value our team and treat everyone as valuable individuals. We have high standards and expect a great work ethic with patient centered values. We believe in going the extra mile for the patients we serve and the people who work for us! As a more modern practice we focus on teamwork, collaboration, and proactive problem solving so that we are always ahead of the game and building together. Position Summary The Care Coordination Manager oversees all scheduling, insurance verification, and authorization operations for the pain management department. This leader is responsible for managing a team of Surgery Schedulers, Verification Specialists, and Authorization Specialists, ensuring accurate and timely scheduling of in-house procedures, hospital cases, ASC procedures, and same-day add-ons. The manager ensures efficient workflow, accurate documentation, high-quality patient communication, and compliance with insurance and facility requirements. This role is critical in supporting seamless patient care, maximizing provider productivity, and maintaining financial and operational integrity. Key Responsibilities * Supervise and support teams including: * Surgery Schedulers * Insurance Verification Specialists * Authorization Specialists * Provide training, coaching, performance evaluations, and ongoing development. * Establish clear performance metrics for scheduling accuracy, authorization turnaround time, and patient communication standards. * Monitor workloads and redistribute tasks to ensure timely completion of all scheduling and authorization needs. * Oversee all scheduling for: * In-house pain procedures (injections, RFAs, stim trials, nerve blocks, fluoroscopic procedures). * Hospital surgeries and interventional pain procedures requiring OR-level care. * ASC (Ambulatory Surgery Center) procedures. * Urgent same-day add-ons and schedule adjustments. * Ensure accurate communication between schedulers, hospitals, ASCs, anesthesia teams, and providers. * Develop and enforce standardized protocols for procedure scheduling, prep requirements, and documentation. * Oversee verification of insurance benefits for all scheduled procedures and appointments. * Manage and optimize authorization workflows to ensure approvals are obtained accurately and on time. * Ensure correct CPT/ICD-10 codes are used and communicated between teams. * Monitor authorization denials and collaborate with billing to address issues. * Implement quality checks to prevent scheduling patients without proper verification or authorization. QualificationsEducation & Experience * Minimum 3–5 years of medical office experience in scheduling, authorizations, or related operations required. * Experience with pain management, surgical scheduling, or high-volume clinical operations highly desirable. * Working knowledge of CPT/ICD-10 coding, insurance requirements, and authorization workflows. * Strong understanding of Workers comp and No Fault Skills & Competencies * Strong leadership and team-building skills. * Excellent communication (verbal and written). * Ability to multitask and manage competing priorities in a fast-paced environment. * Strong organizational, analytical, and problem-solving skills. * Proficiency with EMR/EHR and scheduling systems. * High attention to detail and ability to maintain accuracy under pressure. * Ability to handle sensitive patient interactions with patience and professionalism.

Job Description Established in 1926, Family Service League is a social services agency transforming lives and communities through mental health, addiction, housing, and essential human services with more than 60 social service programs in over 20 locations. SCHEDULE Hybrid Remote Schedule. Monday – Friday, 9:00AM – 5:00PM SUMMARY Family Service League is seeking a full-time HR-Benefits Specialist to work in our administrative office in Huntington, NY. The HR-Benefits Specialist will be responsible for supporting the administration of worker’s compensation, leave of absence (LOA) processes, incident reporting, and unemployment claims. This role ensures accurate documentation, compliance with regulations, and provides exceptional service to employees while maintaining confidential records and supporting various HR functions. We offer a generous benefits package including the following: • Health and Dental Insurance, • Vision Insurance, • Flexible Spending Account (FSA), • Retirement Savings Plan with a 5% employer contribution, • Life and AD&D Insurance, • Generous PTO (paid time off), • Up to 11 paid Holidays, • Paid Sick Leave, • Student Tuition Remission Program, • Employee Assistance Program (EAP), • Company paid Short-Term and Long-Term Disability, • Employee Discounts and more! RESPONSIBILITIES • The HR-Benefits Specialist will initiate LOA paperwork and assist in facilitating the LOA process., • Review LOA timecard coding per pay period for accuracy and guide staff on necessary corrections., • Track, collect, and process insurance payment deductions, including follow-up on outstanding payments., • Respond to LOA-related inquiries, as appropriate., • Conduct initial intake of employee incident reports and ensure completeness of incident report. Obtain supporting documents, medical records, police reports, and camera footage as necessary., • Partner with the Benefits Team to determine if the incident should be filed as a Worker’s Compensation claim., • File Worker’s Compensations claims, notify employees of claim information, and ensure proper documentation and follow-up paperwork., • Maintain the incident report spreadsheet., • Complete wage verifications for No-Fault claims., • Assist the Benefits Manager with Worker’s Compensation and Retirement Plan audits, as needed., • Support ACA compliance, including data corrections and distribution of 1095-C forms to terminated employees., • The HR-Benefits Specialist will prepare and submit the annual OSHA report., • Maintain quarterly Medical Waiver eligibility details and submit to payroll for payment., • Process unemployment claims, complete DOL inquiries, attend unemployment telephone hearings, and maintain related records., • Provide backup support for benefits functions, including:, • Communicating benefit program details during open enrollment., • Conduct audit of post open enrollment election changes., • Tracking new hire benefit eligibility., • Preparing monthly insurance deduction reports for Payroll., • Processing insurance changes due to qualified life events, ensuring proper documentation., • Managing benefits provider invoicing., • The HR-Benefits Specialist will assist with onboarding and new hire paperwork, as needed., • Maintain strict confidentiality of employee records, sensitive information, and confidential data in compliance with company policies and applicable laws., • Perform all other duties as assigned. QUALIFICATIONS A Bachelor’s degree in related field plus one year of related Human Resources experience, or some college plus two years related experience in Human Resources required. Benefits and Leave Management experience is preferred. Proficient computer skills, including Microsoft Office, and a demonstrated working knowledge of Microsoft Excel, with the ability to use pivot tables, formulas and data analytic tools are required. Experience in ADP or other HRIS is preferred. Strong organizational, interpersonal, teamwork and communication skills, both verbal and written, required. Excellent analytical skills and strong attention to detail is required. Ability to multi-task in a fast-paced environment. PHYSICAL REQUIREMENTS This position requires sitting at a desk for long periods of time.