Clinical Certified Coder Job at ProKatchers LLC, Nyack, NY

SnNta0ozZk1OZm9pRkdzYmQvdzJLU1k1aWc9PQ==
  • 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

CSG Talent

Project Manager (Lorain) Job at CSG Talent

 ...Main Job Tasks and Responsibilities~Lead the planning and implementation on a project~Manages client interaction on assigned projects and promotes a positive partnering relationship among all project team members.~Coordinates project scope, complexity, planning... 

National Performance Warehouse

Auto Parts Store Delivery Driver Job at National Performance Warehouse

 ...mission is to be the premier provider of parts and services while forming meaningful and...  ...Purchase Program Weekly pay 401K Advancement Opportunities Responsibilities: Punctuality...  ...traffic laws, regulations, & National Auto Parts safety standards Maintain a... 

Emergent Hiring

Inventory Specialist Job at Emergent Hiring

 ...Job Description Job Description: We are looking for a reliable and organized Inventory Specialist to manage and maintain accurate inventory records. This role is responsible for tracking inventory levels, conducting regular audits, processing shipments, and ensuring... 

Enhance Recruiting

Packaging Sales Executive Job at Enhance Recruiting

 ...SUMMARY We are seeking an experienced, results-driven Packaging Sales Executive in the Dallas/Grand Prairie, TX area. Other locations...  ...This packaging machinery leader specializes in food packaging equipment, co-packing service, and packaging materials. This role will... 

Anheuser-Busch

Driver Helper Job at Anheuser-Busch

 ...you do?ROLE SUMMARY:Interested in delivering some of the worlds best-known brands to accounts in the local area? If so, our Driver Helper role could be the job for you. You will work alongside our world class Drivers to deliver beer and smiles to our customers faces...