Clinical Certified Coder Job at ProKatchers LLC, Nyack, NY

N1o0ckFZK2swQys2SUNjdm15N0d0dVBONlE9PQ==
  • 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

MedStar Health

Scientist V (Immunologist / Virologist) (Frederick) Job at MedStar Health

 ...of general experience and fifteen (15) years of relevant experience. Shall possess senior level experience in pharmaceutical/biotechnology vaccine and drug development portfolio management (i.e., investment decisions based on the risk management process). Clearance... 

eTeam Inc

Customer Engineer/Buffer - Flexforce - Customer Engineer Job at eTeam Inc

Pay Rate: $19 - $21/Hour Role: Field Service Technician This is a field support role Schedule: 5 days a week including weekends and nights Overview: Position responsible for installation, maintenance and repairs on equipment...

RAYTHEON TECHNOLOGY ASSOCIATES, INC.

Chief Administrative Officer (, MA, United States) Job at RAYTHEON TECHNOLOGY ASSOCIATES, INC.

 ...engineering, and innovation, we focus on providing exceptional administrative and operational support across various sectors. Our...  ...administrative leadership role. Role Description: Chief Administrative Officer (Part-Time, Remote) We are seeking a proactive, strategic... 

Zaxby's

Cook - Restaurant Crew Member Job at Zaxby's

 ...observe and respond to the environment Work in an environment that features hot and cold temperature variations and exposure to food allergens Operate and work safely with restaurant equipment including, but not limited to, knives, fryers, and potentially hazardous equipment

ServiceMaster Quality Cleaning by Weibye

Hospital Cleaner M-F 10AM-6PM Job at ServiceMaster Quality Cleaning by Weibye

 ...Training Jobsite Days and Hours Details Location: Boise, ID hospital Desired Start time: 10:00/11:00 a.m. (some flexibility)...  ...Description: This position is responsible for maintaining a clean and healthy environment for our customers buildings and grounds...