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Medicare Coding Jobs in New York (NOW HIRING)

Coding Specialist I The Coding Specialist I is responsible for independently reviewing, analyzing ... Medicare reimbursement guidelines. * Familiarity with proper English grammar, usage, and ...

The Coding Specialist I is responsible for independently reviewing, analyzing, and resolving all ... Medicare reimbursement guidelines. * Familiarity with proper English grammar, usage, and ...

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Demonstrate familiarity with Medicare coding requirements, including FFS CPT, ICD-10, HCC, ACP, Palliative Care, and CCM documentation standards Requirements * ANP, AGNP, or FNP certification

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Medicare and Medicaid experience preferred. * Demonstrated ability to learn and apply new ... the Judi Health Code of Conduct including the reporting of non-compliance. This position ...

Medical Coding Specialist Charlotte, North Carolina, United States; Denver, Colorado, United States ... Medicare and Medicaid experience preferred. * Demonstrated ability to learn and apply new ...

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Medicare Coding information

See New York salary details

$17

$24

$37

How much do medicare coding jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for medicare coding in New York is $24.53, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $26.30 per hour, depending on experience, location, and employer.

What is Medicare coding?

Medicare coding refers to the process of assigning standardized codes to medical diagnoses, procedures, and services for patients covered under Medicare. These codes, such as ICD-10, CPT, and HCPCS, are used to ensure accurate billing and reimbursement from the Centers for Medicare & Medicaid Services (CMS). Proper Medicare coding is crucial for healthcare providers to receive correct payment and to comply with federal regulations. Coders must stay up to date with frequent changes in coding guidelines and Medicare policies.

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

To thrive as a Medicare Coder, you need a solid understanding of medical terminology, ICD-10-CM and CPT coding systems, and compliance with Medicare regulations, often supported by certification such as CPC or CCS. Proficiency with coding software, electronic health records (EHRs), and claims submission systems is typically required. Attention to detail, analytical thinking, and strong organizational skills help coders accurately interpret clinical documentation and manage complex billing requirements. These skills are essential to ensure accurate reimbursement, reduce claim denials, and maintain compliance with federal healthcare regulations.

What are some common challenges faced by professionals in Medicare coding, and how can these be managed effectively?

Medicare coding professionals often encounter challenges such as keeping up with frequent regulatory updates, accurately interpreting complex medical documentation, and ensuring compliance with strict billing guidelines. To manage these effectively, it’s important to participate in ongoing training, regularly review CMS updates, and utilize coding tools and resources. Collaborating closely with healthcare providers and billing teams can also help ensure accurate and timely claim submissions, reducing the risk of denials or audits.

What is the difference between Medicare Coding vs Medical Billing?

AspectMedicare CodingMedical Billing
Primary FocusAssigning medical codes for Medicare claimsProcessing and submitting insurance claims
CertificationsMedical Coding Certification (e.g., CPC)Billing and coding certifications often preferred
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Industry UsageUsed mainly in Medicare and insurance claimsUsed across various insurance providers

Medicare Coding involves assigning specific codes to medical procedures and diagnoses for Medicare claims, focusing on accurate coding for reimbursement. Medical Billing encompasses the broader process of submitting claims, following up on payments, and managing patient billing. While they overlap, Medicare Coding is more specialized in coding accuracy for Medicare, whereas Medical Billing covers the entire billing cycle across multiple insurers.

Infographic showing various Medicare Coding job openings in New York as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 13% Part Time, 1% Temporary, and 5% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution, with an average salary of $51,023 per year, or $24.5 per hour.

Coding Specialist

Jersey City, NJ • On-site

Other

Re-posted 26 days ago


Job description

Coding Specialist I

The Coding Specialist I is responsible for independently reviewing, analyzing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Coding Specialist I works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment.

Essential Functions:

  • Averages 10 front-end holds per hour
  • Maintains a minimum of 90% coding accuracy.
  • Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment.
  • Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses.
  • Ensures all diagnosis codes meet local and national medical necessity guidelines.
  • Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services.
  • Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality.
  • Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices.
  • Independently reviews and resolves all assigned front-end claim holds.
  • Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead.
  • Escalates identified client trends to the assigned Coding Team Lead.
  • Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification.
  • Maintains and completes all CEU requirements.
  • Performs other duties or tasks as assigned.

Preferred Skills & Experience:

  • Must hold a current AAPC or AHIMA Certification for a minimum of 3 years.
  • Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines.
  • Familiarity with proper English grammar, usage, and professional documentation standards.
  • Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues.
  • Ability to read, interpret, and apply policies, procedures, laws, and regulations.
  • Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures.
  • Demonstrated ability to exercise independent judgment in coding and claim resolution.
  • Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff.
  • Strong commitment to maintaining confidentiality and safeguarding protected health information.
  • Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements.
  • Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams).
  • Minimum of 3+ years of professional coding experience.

Work Environment:

  • Standard business office environment with moderate noise levels.
  • Requires extended periods of computer and monitor use.
  • Ability to lift and move up to 30 pounds on a non-routine basis.
  • Ability to sit for extended periods while performing coding and claim review tasks.
  • Frequent handling, including seizing, holding, grasping, and fingering objects, tools, and controls.
  • Close vision required to read medical documentation, electronic health records, and coding resources.
  • Hearing ability sufficient to receive and interpret detailed information through oral and telephonic communication.