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Coding Reviewer Jobs in Bronx, NY (NOW HIRING)

Coding Reviewer

Jericho, NY ยท On-site

$65K - $70K/yr

As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in ...

Coding Reviewer As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and ...

Conducts quality assurance reviews on an acceptable sample of all coding performed by the staff within the department and arrange for education or corrective action based on results of the internal ...

Conducts quality assurance reviews on an acceptable sample of all coding performed by the staff within the department and arrange for education or corrective action based on results of the internal ...

Hybrid Coding Educator

New York, NY ยท On-site

$29.75 - $34/hr

Review and analyze new ICD10 coding guidelines, new ICD10 changes and create education material every year around said changes * Proficient on coding guidelines on all the specialties. * Reviews ...

Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing.

DRG Reviewer

Manhattan, NY ยท On-site +1

$85K - $90K/yr

Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing.

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You will apply premium CPT and ICD-10 coding skills to enhance billing accuracy and compliance ... Review the relevant documentation (referral, history and physical, clinical summaries) and then ...

Coding Auditor

New Hyde Park, NY ยท On-site

$29 - $33/hr

Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. * Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to ...

Promotes Coding department goals by selecting, motivating, and training capable team members ... Researches, reviews, and evaluates "Best Practices" for implementation throughout organization ...

Coding Auditor

Lake Success, NY ยท On-site

$66K - $98K/yr

Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to ...

Supervisor, Coding

Lake Success, NY ยท On-site

$75K - $126K/yr

Promotes Coding department goals by selecting, motivating, and training capable team members ... Researches, reviews, and evaluates "Best Practices" for implementation throughout organization ...

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Coding Reviewer information

What is a coding reviewer?

Coding Reviewers are professionals responsible for evaluating, analyzing, and verifying code written by other developers to ensure it meets established standards and best practices. They check for errors, maintainability, security vulnerabilities, and adherence to coding guidelines. Their feedback helps improve code quality, reduce bugs, and facilitate team collaboration. Coding Reviewers often participate in code walkthroughs, pull request reviews, and may also mentor junior developers.

How does a coding reviewer typically collaborate with software development teams during the review process?

Coding Reviewers work closely with developers by examining code for quality, consistency, and adherence to best practices before it is merged into the main codebase. They often provide constructive feedback through code review tools or meetings, helping developers understand and resolve issues. Effective collaboration also involves clear communication to ensure that suggested changes are well-understood and implemented, fostering continuous improvement and knowledge sharing within the team.

What are the key skills and qualifications needed to thrive as a coding reviewer, and why are they important?

To thrive as a Coding Reviewer, you need in-depth knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), healthcare regulations, and relevant clinical terminology, typically supported by a certification like CPC or CCS. Familiarity with electronic health records (EHR) systems, coding audit tools, and healthcare compliance software is essential. Strong attention to detail, analytical thinking, and effective communication skills help Coding Reviewers identify errors and provide clear feedback. These skills ensure accurate billing, regulatory compliance, and optimized revenue cycles in healthcare organizations.

What is the difference between Coding Reviewer vs Medical Coder?

AspectCoding ReviewerMedical Coder
CredentialsCertification in coding (e.g., CPC, CCS)Certification in coding (e.g., CPC, CCS)
Work EnvironmentReviewing medical codes, often in healthcare settingsAssigning medical codes from patient records
Industry UsageUsed in hospitals, clinics, insurance companiesUsed in hospitals, clinics, billing companies
Primary RoleReview and validate coding accuracyAssign and input medical codes

Both Coding Reviewers and Medical Coders require similar certifications and work in healthcare environments. Coding Reviewers focus on verifying the accuracy of codes assigned by others, ensuring compliance and correctness. Medical Coders are responsible for assigning the initial codes based on medical records. While their roles are interconnected, Coding Reviewers primarily audit and validate, whereas Medical Coders handle the coding process itself.

What cities near Bronx, NY are hiring for Coding Reviewer jobs?

Cities near Bronx, NY with the most Coding Reviewer job openings:

Coding Reviewer

Jericho, NY โ€ข On-site

$65K - $70K/yr

Full-time

Re-posted 5 days ago


Job description

As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to:
•    Confirm and verify submitted codes for DRG validation.
•    Apply national coding standards and regulations to the claims and clinical data.
•    Provide subject matter input and support agency-wide projects.
•    Other duties as assigned.

This position requires working on-site at the Jericho, NY office.

Qualifications:

•    Excellent interpersonal and communication skills, both written and verbal.
•    Ability to relate effectively with technical, medical, analytical and administrative personnel.
•    Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint.
•    Being able to handle sensitive and confidential information.
•    Ability to work in a team environment and independently.

Education & Experience:

•    Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required. 
•    Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required
•    Bachelor’s degree in healthcare administration or health information management preferred.
•    Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing.
•    Some experience in utilization reviews preferred. 

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.

The salary range listed does not include other forms of compensation or benefits.

IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.