Clinical Certified Coder Job at ProKatchers LLC, Nyack, NY

TnJHaFFSY3RRb21wZktPTVFUcEFJdGRDcmc9PQ==
  • 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

LHH Recruitment Solutions

Site Property Manager Job at LHH Recruitment Solutions

Job Title: Site Property ManagerLocation: El Cerrito, San DiegoDuration: Through December 2025 (Potential to become permanent)LHH Recruitment Solutions is seeking a compassionate and experienced Temporary Property Manager to oversee a permanent supportive housing site... 

Woodhome Insurance Group, Inc.

Insurance Agent Auto & Home Job at Woodhome Insurance Group, Inc.

 ...Commissions + Bonuses Group Medical, Dental, and Vision Insurance up to 15 paid vacation days Sick...  ...and Paid Time Off Do not have to work on Saturdays or Sundays Independent...  ...including agency management systems. Flexible work from home options available.... 

Kaiser

Medical Social Worker (32hrs, Days) Job at Kaiser

 ...Job Summary: The Social Worker provides comprehensive psychosocial assessments to members. Social work services are designed to support and maximize the members ability...  ...in a hospital, medical outpatient clinic, home health/hospice, or long-term care setting -OR... 

Virginia Staffing

Department Manager, Resilient Comms Job at Virginia Staffing

 ...Department Manager (DM) Role For N172 Resilient Comms Why choose between doing meaningful work and having a fulfilling life? At MITRE, you can have both. That's because MITRE people are committed to tackling our nation's toughest challengesand we're committed to the... 

Rivian

Field Product Guide (Part-Time) Job at Rivian

 ...About Rivian Rivianis on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge whats possible, never...