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Medical Billing Coding Entry Jobs in Commack, NY

Performance Optimal Health

Billing Specialist

Stamford, CT · On-site

$20.50 - $27.75/hr

Working knowledge of CPT, ICD-10, and HCPCS codes and insurance reimbursement processes ... entry and documentation. Benefits * Competitive pay based on experience * Medical, Dental, and ...

Virtual Firm LLC

Medical Data Entry Professionals

Westport, CT · On-site +1

$17.50 - $21/hr

Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations ... Participate in and assist with audits to capture lost charges and determine the accuracy of billing ...

Virtual Firm LLC

Medical Data Entry Professionals

Westport, CT · On-site +1

$17.50 - $21/hr

Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations ... Participate in and assist with audits to capture lost charges and determine the accuracy of billing ...

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All JobsMedical Billing Coding Entry JobsMedical Billing Coding Entry Jobs in Commack, NY

Medical Billing Coding Entry information

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How much do medical billing coding entry jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for medical billing coding entry in Commack, NY is $21.24, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $23.41 per hour, depending on experience, location, and employer.

What is a medical billing coding entry?

Medical Billing Coding Entry jobs involve entering and processing healthcare data, such as patient information, diagnoses, treatments, and insurance details, into electronic health records systems. These professionals are responsible for accurately assigning standardized codes to medical procedures and diagnoses, which are used for billing and insurance purposes. Their work ensures that healthcare providers are paid correctly and that insurance claims are processed efficiently. Attention to detail, knowledge of medical terminology, and familiarity with coding systems like ICD-10 and CPT are essential for this role.

What are the key skills and qualifications needed to thrive as a medical billing coding entry?

To thrive as a Medical Billing Coding Entry professional, you need a solid understanding of medical terminology, healthcare coding systems (such as ICD-10, CPT, and HCPCS), and a high school diploma or equivalent, with some employers preferring certification like CPC or CCA. Familiarity with billing software, electronic health record (EHR) systems, and coding databases is typically required. Attention to detail, organizational skills, and the ability to communicate effectively with healthcare providers and insurers are essential soft skills. These competencies ensure accurate claim processing, minimize billing errors, and support efficient revenue cycles in healthcare organizations.

What are some common challenges faced by medical billing coding entry professionals, and how can they be managed?

Medical Billing Coding Entry professionals often encounter challenges such as keeping up with frequent updates to coding standards (like ICD-10 or CPT), managing claim denials, and ensuring accuracy under tight deadlines. To overcome these, it's important to stay current through regular training, utilize software tools for accuracy, and communicate effectively with healthcare providers for clarification on documentation. Developing strong attention to detail and organizational skills also helps minimize errors and streamline workflows.

What is the difference between Medical Billing Coding Entry vs Medical Billing Coding Specialist?

AspectMedical Billing Coding EntryMedical Billing Coding Specialist
CertificationsTypically none or basic certificationsOften requires CPC or equivalent
Work EnvironmentData entry, administrative tasksReviewing, coding, and billing processes
Job ResponsibilitiesInputting billing and coding dataAnalyzing, verifying, and coding medical records
Industry UsageEntry-level roles in healthcare billingMore advanced coding and billing tasks

Medical Billing Coding Entry focuses on basic data entry and administrative tasks, while Medical Billing Coding Specialist involves analyzing medical records, applying codes, and ensuring billing accuracy. The specialist role typically requires certifications and more experience, making it a step above entry-level positions.

How to get hired as a medical billing coding entry with no experience?

To get hired as a medical billing and coding entry-level worker, focus on obtaining a relevant certification such as the Certified Billing and Coding Specialist (CBCS) or CPC. Gaining familiarity with medical terminology, coding systems like ICD-10 and CPT, and using billing software can improve your chances, even without prior experience.

Is it hard to get hired as a medical billing coding entry?

Getting hired as a medical billing and coding entry-level position generally requires basic knowledge of medical terminology, coding systems like ICD-10 and CPT, and familiarity with billing software. While competition can vary, having relevant certifications such as Certified Professional Coder (CPC) can improve job prospects, but many employers are willing to train candidates with the right skills and a strong attention to detail.

What job categories do people searching Medical Billing Coding Entry jobs in Commack, NY look for?

The top searched job categories for Medical Billing Coding Entry jobs in Commack, NY are:

What cities near Commack, NY are hiring for Medical Billing Coding Entry jobs?

Cities near Commack, NY with the most Medical Billing Coding Entry job openings:

Medical Billing Coding Entry jobs near you

Medical Coder & Billing Specialist

Planned Parenthood of Greater New York

New York, NY

$70K - $80K/yr

Full-time

Posted 3 days ago

New

Job description

POSITION SUMMARY

This position will be responsible for performing on-going auditing of outpatient provider coding, and education. Individuals must be a certified coder, with experience in NY Medicaid regulations.

The Senior Coding & Billing Specialist is responsible for auditing outpatient provider coding and documentation to ensure accurate code assignment, regulatory compliance, and optimal reimbursement. This position serves as a subject matter expert in CPT, ICD-10-CM, HCPCS, New York State Medicaid, CMS, and commercial payer requirements, ensuring services are coded and billed accurately in accordance with applicable federal, state, and payer guidelines.

In addition to coding audits, this role is responsible for reviewing and resolving billing work queues, analyzing claim denials and reimbursement trends, identifying charge capture and documentation opportunities, and supporting timely claim resolution. The Senior Coding & Billing Specialist partners with providers, operations, finance, and revenue cycle leadership to improve documentation quality, reduce denials, optimize reimbursement, and strengthen overall revenue integrity through education, Epic optimization, auditing, and continuous process improvement.

DUTIES AND RESPONSIBILITIES 

Revenue Cycle Coding Functions (45%)

  • Identify provider documentation improvement opportunities through coding audits and collaborate with providers and clinical leadership to enhance documentation quality and optimize reimbursement.
  • Identify coding, billing, charge capture, and documentation issues impacting reimbursement and provide recommendations for corrective actions to the VP of Revenue Cycle.
  • Identify coding-related payer denials and collaborate with appropriate stakeholders to reduce denials and improve coding accuracy.
  • Maintain current knowledge of CPT, ICD-10-CM, HCPCS, CMS, New York State Medicaid, and commercial payer coding requirements and educate providers and staff in regulatory updates.
  • Analyze trends in provider documentation, coding accuracy, and missed coding opportunities, and develop professional educational materials and recommendations for providers.
  • Collaborate with third-party revenue cycle vendors to identify coding issues and opportunities and develop remediation plans.
  • Recommend Epic automation, SmartSets, documentation templates, hard stops, soft stops, and workflow enhancements to improve coding accuracy, documentation compliance, and reimbursement.
  • Perform other duties and special projects as assigned.

Revenue Cycle Billing (40%)

  • Work assigned Epic billing work queues (WQs) to timely resolution, ensuring accurate claim submission and reimbursement.
  • Identify Epic billing work queue issues and collaborate with Revenue Cycle leadership to develop and implement corrective action plans and workflow improvements.
  • Identify billing edits, charge capture, pricing discrepancies, claim rejections, and reimbursement issues, and recommend corrective actions to optimize revenue.
  • Perform billing and reimbursement audits utilizing EpicSlicerDicer and various other reporting tools, and advanced Microsoft Excel functions, including Pivot Tables to ensure compliant billing and accurate reimbursement.
  • Maintain current knowledge of New York State Medicaid, CMS, and commercial payer billing regulations, reimbursement methodologies, and payer contract requirements, and communicate updates to appropriate stakeholders.
  • Monitor billing work queues, denial trends, and timely filing requirements to improve first-pass claim acceptance and reduce revenue leakage.
  • Collaborate with the VP of Revenue Cycle Operations and Optimization to resolve complex billing and reimbursement issues.
  • Identify opportunities for Epic billing automation, workflow optimization, and process improvement to enhance operational efficiency and reimbursement.
  • Participate in revenue cycle initiatives, system testing, and special projects as assigned.

Training and Education (15%)

  • Develop and provide ongoing education for current and new providers regarding coding accuracy, documentation requirements, reimbursement, and regulatory compliance.
  • Evaluate the results of internal and external coding audits and partner with Revenue Cycle, Operations, and Clinical Leadership to provide education, feedback, and corrective action plans to improve provider coding performance and documentation quality.
  • Maintain current knowledge of CMS, New York State Medicaid, and commercial payer coding and billing regulations, and communicate updates to providers and Revenue Cycle staff.
  • Complete all required organizational training and participate in departmental meetings, educational sessions, and revenue cycle initiatives.

CORE COMPETENCIES

  • A demonstrated commitment to PPGNY’s mission related to bodily autonomy, health equity, gender and racial justice. 
  • A demonstrated commitment to learning about and enhancing practices related to racial equity and its impact on healthcare systems.  
  • Strong relationship building skills, including an ability to work and build trust across cultural differences related to race, age, gender, gender identity and expression, sexual orientation, religion, ethnicity, national origin or ability; and to reflect on one’s personal identity with humility. 
  • Customer service and interpersonal skills and the ability to coordinate work with others, both internally and externally, engages in mutual problem solving.  

REQUIRED SKILLS/ABILITIES

  • Knowledge of Third-party payer contracts and Medicaid reimbursement
  • CPT4 ICD-10 coding requirements and compliance and all other carrier guidelines; strong knowledge of New York State Medicaid rules.
  • Ability to learn data and analytics techniques to ensure good decision making, performance measurement and financial analysis.
  • Strong time management skills, including the ability to work in a high distraction environment and to juggle multiple deliverables at one time.
  • Excellent interpersonal, written and verbal skills and the ability to explain complex coding regulations to individuals who are not subject matter experts.  
  • Strong team building skills.
  • Proficient with Microsoft Office Suite, including Excel skills, such as macros, pivot table and v look up options.
  • Demonstrated ability to learn new systems. 
  • Process improvement orientation.
  • Proven ability to remain focused and calm in stressful situations.

REQUIRED QUALIFICATIONS

Minimum Education and Work Experience

  • High school diploma/GED.
  • Five plus years’ experience in outpatient provider coding, including coder certification.
  • Five plus years’ experience in compliant provider documentation.
  • Three plus years’ experience in EPIC EMR coding, billing and provider documentation.
  • Strong knowledge and utilization of Microsoft Windows, Excel, Word, Power Point and Outlook.
  • Strong CMS Compliance knowledge and audit guidelines. 

PREFERED QUALIFICATIONS

  • Associate’s degree in business.

TYPICAL PHYSICAL DEMANDS

Requires prolonged sitting and repetitive tasks including use of a computer. Periodic standing, walking, bending. Requires lifting or moving of up to 15 pounds. Visual acuity sufficient to perform frequent work on a computer screen and review printed reports and other materials. Requires the ability to hear and to communicate orally with others. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets, and will require reaching, grasping, pushing, and pulling. 

TYPICAL WORKING CONDITIONS

This job operates in a professional office environment. Potential exposure tocommunicable diseases and other conditions in a health center environment. Requiresflexible schedule and during peak activity periods work more than 7.5 hours per dayand/or 37.5 hours per week. 

PPGNY's benefits package includes:
Generous PTO and holiday schedule
Medical, dental and vision coverage options for you and eligible dependents
FSA, HSA, Commuter pre-tax reimbursement funds
Short- and Long-Term Disability, Free Basic Life and AD&D
401(k) Retirement Plan with Safe Harbor contributions after 1 year of employment
All positions at PPGNY require:
Proof of immunization or immunity to certain communicable diseases (including influenza during the flu season and Covid-19) and testing for tuberculosis. These certifications are required by the NYC DOHMH Health Code, NYSDOH and OSHA.

Planned Parenthood of Greater New York (PPGNY) is a leading provider, educator, and advocate of sexual and reproductive health care in New York State. PPGNY is proud to provide a wide-range of family planning services at our brick-and-mortar health centers and mobile care units. We care for everyone regardless of their immigration status, zip code or ability to pay. PPGNY’s education and outreach programs are backed by medically accurate, evidence-based information that allows people to make informed decisions about their health and future. As a voice for reproductive freedom, PPGNY supports legislation and policies that ensure all New Yorkers have access to the full range of reproductive health care and education.

At PPGNY, we provide the absolute best care to our patients and our communities through innovative health care delivery and education programming. We care for everyone who walks through our doors regardless of insurance, ability to pay or immigration status. As a leading voice for reproductive freedom, PPGNY fiercely advocates for policies to ensure that all New Yorkers will have access to the full range of reproductive health care services and information.

PPGNY is committed to diversity, equity, and inclusion. We believe we are most impactful when people with a wide range of backgrounds, experiences, and identities come together with common purpose. We encourage candidates from all backgrounds to apply.