Top 6 Risk adjustment coder Jobs in New York State

Certified Medical Coder
MJHS —New York, NY
- $61,463.13 - $73,755.75 a year
- Full-time
- Remote
- Microsoft Word
- Adults
- Mid-level
- Health insurance
- Dental insurance
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Brooklyn, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
Quick Apply
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Spring Valley, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
Quick Apply
Certified Medical Coder I (Professional Review Specialist I)
CorVel Corporation —Syracuse, NY
- $19.24 - $31.04 an hour
- Full-time
- Hybrid work
- Mid-level
- Experience equivalent to degree accepted
- Associate's degree
- Health savings account
- Disability insurance
Quick Apply

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Director, Provider Education & Risk Adjustment
MJHS —New York, NY
Maintain a current and in-depth knowledge of CMS guidelines related to risk adjustment, coding, documentation, as well as knowledge of new models of risk…
$175,000 - $200,000 a year
Lead Director, Healthcare Medicaid Risk Adjustment Analytics
CVS Health —New York State
Align risk adjustment programs with state Medicaid models (e.g., CDPS, CRG, or state-specific methodologies). Lead reconciliation of plan-calculated risk scores…
$100,000 - $231,540 a year

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Risk Adjustment Coding Specialist
Mount Carmel —Columbus, OH
Licensure / Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification required; Certified Risk…
Reimbursement Variance Analyst
Orthopedic One —Westerville, OH
Revises Standard Fees to comply with federal & state billing regulations & guidelines. Candidates must have current certification as a Certified Professional…

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risk adjustment coder jobs near new york state

Certified Medical Coder

MJHS -
New York, NY

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Job Details

Full-time
$61,463.13 - $73,755.75 a year

Benefits

Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
403(b)
Loan forgiveness

Qualifications

Microsoft Word
Process audits
Healthcare documentation compliance audits
Medical coding experience in physician offices
Retrospective medical coding audits
Clinical data entry
Electronic health record (EHR) management for billing and coding
Clinical documentation standards
Associate's degree
Medical terminology
Quality data entry

Full Job Description

Req #:
4271

Job ID:
15674

Job Location:
New York, NY

Zip Code:
10041

Category:
Medical Billing and Coding

Agency:
Medical Associates, P.C.

Status:
Regular Full-Time

Office:
Remote

Salary:
$61,463.13 - $73,755.75 per year

MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees.

The MJHS Difference

At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Benefits include:
Tuition Reimbursement for all full and part-time staff

Generous paid time off, including your birthday!

Affordable and comprehensive medical, dental and vision coverage for employee and family members

Two retirement plans ! 403(b) AND Employer Paid Pension

Flexible spending

And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities:
Our MJHS Medical Associates, P.C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan members who are residents of assisted living and long term care facilities, as well as to those living at home.

Supports medical professional corporation procedural and diagnostic coding of medical records for billing.

Works with professional and non-professional staff for timely record review and ensuring accuracy of medical

documentation and sequencing ensuring that codes meet required legal and insurance rules. Works with internal

and external billing staff to ensure timely and complete billing of claims and encounters. Collaborates and

corresponds with insurance companies and health care professionals to resolve claim denials. Maintains

medical records both electronically and hard copies, maintains productivity and chart metrics. Collaborate with

management staff for process improvement, project work. Performs compliance audits regarding billing,

procedural and diagnostic coding to ensure documentation is accurate and timely. Submits statistical data for

analysis and research by other departments. Able to handle multiple priorities.

Collaborate with health plan leadership and third-party vendor to plan and conduct education initiatives to improve and enhance clinical documentation. Assist in developing and implementing monitoring programs, policies, and procedures of review process. Develop and execute reporting tools for monitoring

Review and complete procedural and diagnostic coding of medical visits and encounters ensuring compliance with current legal standards

Interact with third parties to resolve payment denials and medical record requests

Collaborate with finance to generate revenue cycle reporting on key financial indicators including visit volume,

coded, billed, paid, denied, rebilled and write off

Maintains and secures medical records for professional corporation. Makes management aware of issues related to incomplete work and/or problem areas. Accurately prepares medical record documentation for internal and external audits

Assist with manager with all departmental initiatives

Qualifications:
Associates degree required. Bachelor’s degree preferred

Required coding certification (CCS-P or CPC through AHIMA/AAPC)

Requires at lead 1 year of medical record coding and record review experience required

ICD-10 certified, knowledge and experience in CPT codes required

Proficiency with electronic medical records (EMR) or electronic health record (EHR) required

Certified Risk Adjustment Coder (CRC) preferred

Experience working with managed care health organization and outpatient medical practice preferred

Ability to work independently and collaboratively within a team environment to ensure that changes and encounters are posted accurately and timely

Able to multi-task and meet deadlines

Excellent problem-solving skills

Must have excellent interpersonal and communication skills including written, oral and active listening skills

Intermediate Excel, MS Word, Access data entry and report generation

Must have excellent written and oral communication skills, active listening skills

Medical terminology and coding both ICD-9 and ICD-10, CPT required

Experience in internal and external audits required

Knowledge of billing cycle required

Apply Now

Refine Your Search

risk adjustment coder jobs in new york state

Certified Medical Coder

Coder Auditor/Senior CDI Specialist

Coder Auditor/Senior CDI Specialist

Certified Medical Coder I (Professional Review Specialist I)

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