Clinical Certified Coder Job at ProKatchers LLC, Nyack, NY

WlphUXdQWmk2WHlJdFBtSmlRd3NKZFRRTFE9PQ==
  • ProKatchers LLC
  • Nyack, NY

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

GTT, LLC

Technical Lab Assistant - 1st shift Job at GTT, LLC

Primary Job Title: Technical Lab Assistant Location: Irving, TX (Onsite) Shift/Work Schedule: 1st Shift, 6:00 am 2:30 pm (Central...  ...is helpful Preferred: Math and science coursework Work Experience: No prior experience required Special Requirements:... 

Reid Health

Palliative Care Physician Job at Reid Health

 ...seeks clinicians with a focus on patient care to join its team. The ideal board-...  ...a patient-centered and empathetic Physician to join our Palliative Care team. This physician will attend...  ...Family Birthing Center, General Surgery, Hospice, PACE Center, Pediatrics, Pelvic... 

BOEING

Senior Software Engineer - Simulation Job at BOEING

 ...future with us. The Boeing Company is looking for a Senior Software Engineer - Simulation to join the Virtual Warfare Center...  ...engineer will work with a long-standing customer to meet all contracted software requirements. This position requires the Software Lead... 

Culligan International

Business Data Analyst Job at Culligan International

 ...Job Description JOB DESCRIPTION: Business Data Analyst Location: Hybrid Rosemont, IL Overview: Supports and contributes to business analytics projects and processes to provide data-driven insights related to business performance used to advise and develop... 

Ionis

Medical Director, Drug Safety Physician Job at Ionis

 ...our platform continues to revolutionize drug discovery and transform lives for patients...  ...energy into making our onsite, hybrid and remote work environments a place where solid and...  ...your career!MEDICAL DIRECTOR - DRUG SAFETY PHYSICIANSUMMARY:The Medical Director, Drug...