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Claims Edit Coder Jobs in New York (NOW HIRING)

University of Rochester

Med Records Coder III

New York, NY · On-site +1

$21.78 - $30.53/hr

Troubleshoots problems that prevent claims from being released. Identifies cause of edit and ... Responds to coding information requests and inquiries from various sources. * Consults with ...

Capital Rx

Director, Payment Integrity

Manhattan, NY · On-site

Establish edit maintenance workflows to keep rules current with coding updates (CPT, ICD-10, HCPCS ... Analyze claims data to surface patterns of billing errors, upcoding, unbundling, duplicate billing ...

Accendra Health, Inc.

Associate Collector

White Plains, NY · On-site

$19 - $20/hr

Familiar with medical terminology and insurances HCPC/ICD-9 codes, * Documents activities in ERP ... Ability to edit and resubmit claims for payment. * Prepares and reviews clean claims for submission ...

Accendra

Associate Collector

White Plains, NY · On-site

$20/hr

Familiar with medical terminology and insurances HCPC/ICD-9 codes, * Documents activities in ERP ... Ability to edit and resubmit claims for payment. * Prepares and reviews clean claims for submission ...

Innova Solutions, Inc

RCM Functional Lead

Manhattan, NY · On-site

$60 - $65/hr

... or claims/billing * Working fluency in CARC/RARC denial codes, payer contract and fee schedule ... missed edit upstream turns into a downstream denial Details: • Partner directly with our ...

All JobsClaims Edit Coder JobsClaims Edit Coder Jobs in New York

Claims Edit Coder information

What is a claims edit coder?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What are the key skills and qualifications needed to thrive as a claims edit coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What are some common challenges faced by a claims edit coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are popular job titles related to Claims Edit Coder jobs in New York?

For Claims Edit Coder jobs in New York, the most frequently searched job titles are:

What job categories do people searching Claims Edit Coder jobs in New York look for?

The top searched job categories for Claims Edit Coder jobs in New York are:

What cities in New York are hiring for Claims Edit Coder jobs?

Cities in New York with the most Claims Edit Coder job openings:

Claims Edit Coder jobs near you
Infographic showing various Claims Edit Coder job openings in New York as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 78% In-person, and 22% Remote job distribution.

Med Records Coder III

New York, NY • On-site, Remote

University of Rochester
Colleges, Universities, and Professional Schools • 10K+ employees

8.3

Company rating: 8.3 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

130th of 625 rated colleges and universities

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Recommended by students

Learn more about University of Rochesterexternal

$21.78 - $30.53/hr

Full-time

Posted 21 days ago

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
Remote Work - New York, Albany, New York, United States of America, 12224
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
900370 Health Info Mgmt-Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 106 H
Compensation Range:
$21.78 - $30.53
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Reviews codes for accuracy in accordance with coding rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution.
ESSENTIAL FUNCTIONS
  • Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal.
  • Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem. Provides feedback for correction and follow-up.
  • May abstract data and review codes for accuracy. Ensures accurate reimbursement based on guidelines and/or abstraction of provider documentation.
  • Responds to coding information requests and inquiries from various sources.
  • Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
  • Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE
  • High School diploma or equivalent and 1 year Medical Coder experience required
  • Associate's degree preferred
  • Or equivalent combination of education and experience

KNOWLEDGE, SKILLS AND ABILITIES
  • Knowledge of ICD-10CM, CPT and HCPSC required
  • Working knowledge of medical terminology and anatomy required

LICENSES AND CERTIFICATIONS
  • American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred
  • Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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