Clinical Certified Coder Job at ProKatchers LLC, Nyack, NY

aXNySGc2QXdhcXB4bXR6K0dmeENPTjlsY3c9PQ==
  • ProKatchers LLC
  • Nyack, NY

Job Description

Job Description

Job Title : Clinical Certified Coder

Location : 50 Water St #7, New York, NY 10004, United States

Duration : 2-3 Months

Education : Bachelor’s degree in Nursing, Medical Billing/Medical Coding, Healthcare or other related fields

Shift Details : Hybrid, 9am-5pm

General Description:

  • We need a clinician to review medical records to validate clinical and coding assessments Medical coding Review medical records and healthcare claims to determine the accuracy and compliance of billed codes with appropriate regulations, standards, policies, and procedures.
  • Collaborate with other team members to evaluate suspected cases of fraudulent activities, such as over-utilization of services, upcoding, and billing for non-medically necessary services.
  • Assist in preparing documentation for audits, recoupments, compliance/legal reviews and regulatory inquiries.
  • Maintain thorough documentation of investigations, including clinical findings, coding discrepancies and all communication with healthcare providers and investigators.

Stay updated to changes to coding guidelines, healthcare regulations, and fraud detection methods to ensure compliance and effective investigations.

Job Tags

Shift work,

Similar Jobs

Radisson Suites Oceanfront

Hotel Sales Manager Job at Radisson Suites Oceanfront

 ...Job Description Job Description Hotel Sales Manager Organization Name: Radisson Oceanfront Suites Hotel Employment Status: Full-time Regular Job Summary The Hotel Sales Manager is responsible for developing and implementing sales strategies to increase... 

CAPPS, Inc.

DPS - TOD - B - 2026 Trooper Trainee Job at CAPPS, Inc.

 ...enforcement service is not applicable to promotions, transfers, determining seniority or other matters in which years of service within DPS are relevant all new Troopers hired under this provision are subject to the one-year probationary period from the date of graduation... 

Sajix Software Solution

Data Scientist Job at Sajix Software Solution

 ...headquartered in Pleasanton, California, focused on transforming healthcare delivery through advanced digital solutions. Since its...  ...Website: Job Description About the Role: As a Trainee Data Scientist at Sajix, you will assist in building predictive models and... 

Dynasty Financial Partners

Investment Banking Analyst Job at Dynasty Financial Partners

 ...growth. At Dynasty Financial Partners, we power the growth of independent RIAs through a variety of different ways. The Investment Banking Analyst will join Dynasty's Investment Banking team and be an integral member supporting our clients on buy-side and sell-side M&... 

Whole Foods Market

Flex Shopper - Part Time - Seasonal Job at Whole Foods Market

 ...shop throughout our store for everyday goods including produce, meat, dairy, household items, prepared foods, specialty cheeses, wine, beer and more. Having a flexible schedule is key to meeting our customers needs. We especially need Team Members who can work on...