Top 69 Coder/sr coder Jobs in New York, Ny

Senior Fraud Investigator-NYC (Hybrid)
1199SEIU Family of Funds —New York, NY
- $89,200 - $111,500 a year
- Full-time
- Microsoft Outlook
- HIPAA
- Office
Sr Risk Adjustment Coder
University HealthCare Alliance —Newark, NJ
- $44.13 - $57.36 an hour
- Full-time
- Hybrid work
- 5 years
- HIPAA
- Research
Sr. Partner - Data and Analytics Advisory
Genpact LLC —New York, NY
- $210,000 - $300,000 a year
- Full-time
- Hybrid work
- Computer Science
- English
- Master's degree
Quick Apply
Coder
Northwell Health —Lake Success, NY
- $55,070 - $85,720 a year
- Full-time
- Mid-level
- High school diploma or GED
- 1 year
Sr. Principal - Process Analytics - SCM
Genpact LLC —New York, NY
- $165,300 - $235,000 a year
- Full-time
- Computer Science
- English
- Office
Quick Apply
1d
Senior Analyst, Vendor Payment Integrity - Remote
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Oracle
- Master's degree
- Bachelor's degree
Agentic Developer, LLM‑Native / Enterprise (Contractor)
ION —New York, NY
- Contract
- System design
- Office
- Java
Agentic Developer, LLM‑Native / Enterprise (Contractor)
Lab49 —New York, NY
- Contract
- Hybrid work
- System design
- Office
- Java
Lead Solution Architect - F&A
Genpact LLC —New York, NY
- $165,300 - $235,000 a year
- Full-time
- Hybrid work
- CPA
- Computer Science
- English
Quick Apply
Senior Backend Engineer
Gen Digital Inc. —New York, NY
- $168,480 - $189,280 a year
- Full-time
- Hybrid work
- Computer Science
- Bachelor's degree
- Mentoring
Quick Apply
Staff Full Stack Engineer (Frontend) - Time Products
Rippling —New York, NY
- $180,000 - $315,000 a year
- Full-time
- Hybrid work
- Computer science
- 7 years
- Computer Science
Chief of Staff - Staff
Genpact LLC —New York, NY
- $145,350 - $215,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- English
- Finance
Quick Apply
8d
Senior Coding Manager
Rendr —New York, NY
- $120,000 - $150,000 a year
- Microsoft Excel
- 8 years
- Analysis skills
- Commuter assistance
- Health savings account
GTM Engineer
Morning Brew Inc. —New York, NY
- $150,000 - $170,000 a year
- Full-time
- Hybrid work
- System design
- Office
- Military encouraged
- Paid parental leave
- Health insurance
Chief of Staff - Staff
Genpact LLC, USA-ADMCTK —New York, NY
- $200,000 - $290,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- English
- Finance
Quick Apply
8d
Senior/Staff Software Engineer, Database Team
Pinecone —New York, NY
- $190,000 - $270,000 a year
- Full-time
- Hybrid work
- Azure
- 5 years
- AWS
- Paid parental leave
- Health insurance
Staff Full Stack Software Engineer (Backend) - Time Platform
Rippling —New York, NY
- $189,000 - $315,000 a year
- Full-time
- Hybrid work
- Computer science
- Computer Science
- System design
Senior Software Engineer, Payments
Order.co —Manhattan, NY
- $175,000 - $195,000 a year
- Full-time
- Hybrid work
- Computer science
- Computer Science
- SQL
- Health insurance
- Dental insurance
Quick Apply
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Brooklyn, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
Quick Apply
1h
Senior / Staff Software AI Test Engineer, AI Engineering
TWG Global AI —New York, NY
- $160,000 - $190,000 a year
- Full-time
- Azure
- Computer Science
- System design
Quick Apply

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coder/sr coder jobs near new york, ny

Senior Fraud Investigator-NYC (Hybrid)

1199SEIU Family of Funds -
New York, NY

Apply Now

Job Details

Full-time
$89,200 - $111,500 a year

Qualifications

Healthcare financial misconduct investigations
Customer communication
Documentation review
Medical record review for billing accuracy
Documentation reviews

Full Job Description

Requisition #:

7462

# of openings:

Employment Type:

Full time

Position Status:

Agency Temp

Category:

Non-Bargaining

Workplace Arrangement:

Hybrid

Fund:

1199SEIU National Benefit Fund

Job Classification:

Exempt

Responsibilities

Conducts investigations into allegations of fraud, waste, or abuse, including preliminary assessments and full end-to-end case work.
Reviews and analyzes medical records, claims data, enrollment data, and other documentation to evaluate potential FWA.
Performs coding, billing, reimbursement, and medical necessity assessments based on CPT, HCPCS, ICD-9/10, DRG, and related coding guidelines.
Uses advanced data mining techniques to identify aberrant billing patterns, outliers, and other indicators of fraudulent activity.
Produces reliable, accurate and timely written investigative reports for internal and/external review detailing investigation findings, based on industry standard(s) and/or internal policy and procedure.
Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.
Coordinates with various internal customers to gather documentation pertinent to investigations.
Incorporates communication skills to work with physicians, other health professionals, attorneys as well as external regulatory agencies and law enforcement personnel.
Communicate effectively and collaboratively with internal staff, leadership and external customers in a professional manner.
Conducts settlement negotiations with providers and/or attorneys.
Maintain the confidentiality required of the organization and the department.
Follow all Health Insurance Portability and Accountability Act (HIPAA) and Personal Health Information (PHI) requirements and regulations

Qualifications

Bachelor’s degree in business, criminal justice or related field.
Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AFHI), Certified Insurance Fraud Investigator (CIFI), and/or Certified Economic Crime Forensic Examiner (CECFE) preferred (but not required).
Minimum three (3) years’ experience with medical coding and medical record review performed required.
Minimum three (3) years’ experience in healthcare industry within a Special Investigation Unit (SIU) or equivalent governmental agency responsible for investigating healthcare fraud required.
Knowledge of medical coding and medical terminology.
Experience using STARSSolutions or other healthcare FWA case management and detection software preferred (but not required).
Proven track record in conducting investigations and/or the identification and pursuit of the recovery of overpayments.
Excellent report writing skills.
Knowledge of claims processing, reimbursement procedures, and a solid understanding of fraud detection and prevention practices.
Knowledge of data analysis of claims and documenting findings on spreadsheets.
Proficiency in Microsoft Office/Suite applications (Excel, Word, PowerPoint, Outlook, etc.).
Excellent interpersonal and communication skills – oral, written and listening.

This is a hybrid posiiton that will require you to report to our offices in Midtown Manhattan.

Apply Now

Refine Your Search

coder/sr coder jobs in new york, ny

Senior Fraud Investigator-NYC (Hybrid)

Sr Risk Adjustment Coder

Sr. Partner - Data and Analytics Advisory

Coder

Sr. Principal - Process Analytics - SCM

Senior Analyst, Vendor Payment Integrity - Remote

Agentic Developer, LLM‑Native / Enterprise (Contractor)

Agentic Developer, LLM‑Native / Enterprise (Contractor)

Lead Solution Architect - F&A

Senior Backend Engineer

Staff Full Stack Engineer (Frontend) - Time Products

Chief of Staff - Staff

Senior Coding Manager

GTM Engineer

Chief of Staff - Staff

Senior/Staff Software Engineer, Database Team

Staff Full Stack Software Engineer (Backend) - Time Platform

Senior Software Engineer, Payments

Coder Auditor/Senior CDI Specialist

Senior / Staff Software AI Test Engineer, AI Engineering

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