Clinical Certified Coder Job at ProKatchers LLC, Nyack, NY

b2k0ZmJYTXo2bDlxNUdxWW5iQVpUR2p2M0E9PQ==
  • 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

Optum

Sterile Compounding Pharmacy Technician Job at Optum

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need...

Jobot

Litigation Paralegal Job at Jobot

Job Description Job Description Litigation Paralegal needed for AM 100 Law Firm, Hybrid/Remote option available This Jobot Job is hosted by: James Moon Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume. Salary: $50,...

A-Line Staffing Solutions

Inbound Benefit Enrollment Call Center Representative (159063) Job at A-Line Staffing Solutions

 ...Job Description NOW HIRING!! A-Line is seeking Call center Customer...  ...role in Pittsburgh, PA to work Remote or in office, As a Benefit...  ...providing assistance through web chat conversations and email. We provide...  ...: Pittsburgh, PA (Work From Home OR Onsite - Must Reside Within... 

aQua Dialysis

Registered Nurse PRN Job at aQua Dialysis

 ...Job Description Job Description aQua Dialysis League City is seeking a PRN RN to join our dynamic team! At aQua Dialysis, we know that our nurses have significant impact on patient treatment outcomes. First and foremost, the nurses on our team know how to... 

CBS Service

Office Assistant Job at CBS Service

 ...a motivated and detail-oriented Office Assistant to join our construction team. We are looking for individuals who are eager to learn,...  ...smooth office operations. Qualifications: No prior industry experience required. Basic familiarity with Microsoft Excel....