Medical Coder Salary in New York, NY

A health services network in New York is currently seeking a new Claims Specialist for a promising opportunity with their growing team in Flushing.Responsibilities:The Claims Specialist will:Be responsible for reviewing claims processed by the outside vendor, including resolving provider appeals/disputes. Performs root cause analysis for all provider projects to identify areas for provider education and/or system (re)configuration. Initiates and follows through with resolution of all pended claims.Reviews and investigates claims to be adjudicated by the TPA, including the application of contractual provisions in accordance with provider contracts and authorizationsCompiles claim reports for adjustments resulting from external providers, vendors, and internal inquiries in a timely mannerInvestigates suspense conditions to determine if the system or procedural changes would enhance claim workflowCommunicates and follows up with a variety of internal and external sources, including but not limited to providers, members, attorneys, regulatory agencies, and other carriers on any claim related mattersAnalyzes patient and medical information to identify COB, Worker's Compensation, No-Fault, and Subrogation conditionsValidates DRG grouping and (re)pricing outcomes presented by the claims processing vendorAttends JOC meetings with providers as appropriate to assist in communicating proper billing procedures and to explain company coverage guidelinesAssists TPA with provider compensation configuration by creating and testing compensation grids used for reimbursement and claims processingEnsures that refund checks are logged and processed, enabling expedited credit of monies returnedAnalyzes check return/refunds volumes and trends to determine root causes. Proposes workflow changes to correct and enhance claim processes to prevent returned checks/refundsGenerates routine daily, monthly and quarterly reports used for managing process timeframes and vendor productivity, ensuring compliance with all regulatory requirements and contractual vendor SLAsParticipates in special projects and performs other duties as assigned Qualifications:Bachelor's degreeCertified Professional Coder (a plus)Desired Skills:3-5 years of insurance experience within a healthcare or managed care setting (preferred)Claims adjudication experience Knowledge of MLTC/ Medicaid/Medicaid benefit Knowledge of Member (Subscriber) enrollment & billing Knowledge of Utilization Authorizations Knowledge of Provider ContractingKnowledge of CPTs, ICD 9/ICD 10, HCPC, DRG, Revenue, RBRVSProficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees' professional development. Large company perks...Small company feel!We are now seeking a Medical Review Manager to join our team. This is a contingent position.RequirementsMinimum three (3) years' experience practicing nursing as a licensed Registered NurseMinimum of three (3) years' experience of supervisory/managerial experience in the health insurance industryBachelor's degree in Nursing is required. Registered Nurse LicensureCertified Professional Coder (CPC) Certification or the ability to obtain this certification or similar coding certification within 12 months of appointment

Location: New York City, NYSalary: $130.00 USD Hourly - $140.00 USD HourlyDescription: The Judge Group is looking for two Family Nurse Practitioners to perform Health Risk Assessments throughout Kings County/the Brooklyn NY area! This can be done either as a part time position or full time. For part time, the minimum days of working is 1 day per week. Payment is per assessment and is $140 per assessment, this is a fixed rate. Mileage is also reimbursed at 65 cents per mile. Here is a more complete job description: Job Description: - Perform health risk assessments which are essentially history and physicals done within the patient's home or on occasion in nursing home or other health facility. - Document acute, chronic, and long-term healthcare issues through patient encounter in EMR system; Documentation must be accurate, high quality, and completed in a timely manner.- Ensure all appropriate consent forms are signed and dated. - Interact frequently with patients, coders, schedulers, and supervising physician. - Educate patients and/or patient's family on chronic medical conditions, preventative care, and medication adherence compliance.- Complete referrals to case management, nursing, pharmacy, etc. as needed - Participate in clinical meetings and compliance trainings which are primarily web based; however, provider will occasionally be required to attend on-site training - Will NOT be required to prescribe medicine nor order any lab or diagnostic testing.- Occasionally need to obtain samples for diagnostic screening tests such as finger stick for HgbA1C, LDL, and Lead levels; urine analysis may also be required based on client need. - Responsible to review patient records for past and present health issues.- Collaborate with the supervising physician and other members of health care team.- Interpret laboratory data and diagnostic testing when available to assist in diagnosis of medical conditions- Complete ADL and Fall Risk evaluation, Depression and Nutritional Health Screening, BMI evaluation, and medication reconciliation - Perform other duties as assigned by supervising physician such as perform examinations using equipment for diabetic retinal exams, bone density, etc.Qualifications: - Family Nurse Practitioner - Must be board certified by the ANCC or AANP - Must have active/unrestricted New York NP license - New graduates will be considered - Must be able to be credentialed by Medicare, Medicaid, and other Private Insurance Companies - Proficiency with various computer based applications such as MS Office (Logging into programs, MS Word, MS Excel, MS Outlook, general use of mouse and navigation of different programs, typing) along with utilizing various websites to perform the required duties.- Strong background/interest in primary care and preventative medicine is a plus - Must have use of own car with adequate automobile insurance - Highly motivated, self-directed professional with strong organizational skills and comfortable working independently on a daily basis - Must have home internet connectionIf you or anyone you know is interested, please call/text me, Shawn Dunn, at 610-617-7495 or send me an email at [email protected]. I look forward from hearing from you! Contact: [email protected] job and many more are available through The Judge Group. Find us on the web at www.judge.com

Location: REMOTESalary: $20.00 USD Hourly - $35.00 USD HourlyDescription: The Judge Group is currently hiring fully remote inpatient coders.Job DutiesIdentify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facilityAbstract additional data elements during the Chart Review process when coding, as needed.Adhere to and maintain required levels of performance in both coding quality and productivity as established byProvide documentation feedback to providers and query physicians when appropriate Participate in coding department meetings and educational events.Required Experience:High school diploma or equivalent required.3+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.)Professional coder certification with credentialing from AHIMA and/or AAPC (ROCC, CPC, COC, CPC-P, CCS) to be maintained annually.DRG coding experienceIf you or someone that you know is interested, please email yours or their most updated resume to [email protected] for immediate consideration. Thank you and I look forward to speaking with you. Contact: [email protected] job and many more are available through The Judge Group. Find us on the web at www.judge.com

Instagram is seeking a talented Creative Technologist to develop product experiences that inspire creativity and enable expression. You'll join Instagram's Central Design Studio in a hybrid role that encompasses art, design, and software engineering, and will be involved in every phase of the product development cycle - from initial strategy through launch . The ideal candidate is a creative leader with experience across different technical disciplines, who can conceptualize, design and prototype innovative product experiences, and carry them through to polished, bug-free, performant code releases. Creative Technologist - Instagram Responsibilities: You'll provide creative and technical leadership, partnering with designers and engineers to ship creative tools and experiences in product. You'll drive creative and technical strategy and deliver hands-on solutions.You'll work independently but also collaborate with creative, design, engineering, research, data, and marketing partners to identify and implement creative/technical solutions throughout all phases of the product development cycle.You'll proactively identify opportunities for creative/technical innovation, and initiate projects that push the boundaries of creative technology while delivering on team, product, and business priorities.Build functional prototypes using Origami Studio, Spark AR Studio and other standard creative tools.Develop internal tools, prototypes, and production pipelines for your partners.Clearly articulate strategic thinking and creative/technical decisions to a variety of partners.Give and solicit feedback from partners in service of building the best products. Minimum Qualifications:5+ years professional experience as a creative coder, creative technologist, or similar role.Solid understanding of computer graphics fundamentals and experience authoring shaders.Experience with creative coding frameworks like openFrameworks, Processing, Cinder, and TouchDesigner.Experience designing and prototyping with Figma, Cinema 4D, and After Effects.Experience programming with JavaScript, Java, C++, C# or other relevant coding languages.Experience working cross-functionally with design, engineering, research, and data partners.Effective communication and collaboration skills.Portfolio that demonstrates experience visual design, product thinking, and broad technical skills. Preferred Qualifications:Bachelor's degree in visual design or technical field, such as Media Arts or Computer Science.Experience designing and prototyping with Origami Studio.Experience in augmented reality environments like Spark AR, Lens Studio, ARKit or ARCore.Experience in real-time 3D engines, such as Unity, Unreal or Three.jsKnowledge of generative AI, computer vision, and machine learning. About Meta: Meta builds technologies that help people connect, find communities, and grow businesses. When Facebook launched in 2004, it changed the way people connect. Apps like Messenger, Instagram and WhatsApp further empowered billions around the world. Now, Meta is moving beyond 2D screens toward immersive experiences like augmented and virtual reality to help build the next evolution in social technology. People who choose to build their careers by building with us at Meta help shape a future that will take us beyond what digital connection makes possible today-beyond the constraints of screens, the limits of distance, and even the rules of physics. Meta is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Meta participates in the E-Verify program in certain locations, as required by law. Please note that Meta may leverage artificial intelligence and machine learning technologies in connection with applications for employment. Meta is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at [email protected].