Rochester Regional Health is a physician-led, integrated hospital and healthcare organization serving over 1 million residents across central and western New York. Headquartered in
Lead Coder
Location
New York
Posted
17 days ago
Salary
$23 - $33 / hour
Seniority
Senior
Job Description
Lead Coder
Rochester Regional Health
• Provides leadership and subject matter expertise to the coding team across inpatient and/or outpatient care settings. • Ensures daily operational functions are met, supports coding quality and compliance. • Serves as a super user and resource for internal and external stakeholders. • Monitors daily activity of coding work queues to support productivity benchmarks and turnaround times. • Collaborates with various stakeholders to identify and resolve coding-related issues impacting reimbursement or compliance. • Maintains regular hands-on coding responsibilities.
Job Requirements
- Minimum of 3 years of professional coding experience in inpatient and/or outpatient settings.
- RHIA, RHIT, CCS, or CPC credential.
- Associate's degree preferred.
- Demonstrated knowledge of State, Federal, and payer-specific regulations pertaining to documentation, coding, and billing.
- Advanced knowledge of ICD-10-CM, CPT, and PCS coding guidelines.
- Strong understanding of reimbursement methodologies (DRG, APC/E-APG, etc.) and revenue cycle workflows.
- Proficiency in EHR and coding systems (e.g., Care Connect, UDS, Clintegrity).
Benefits
- Health insurance
- Retirement plans
- Paid time off
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Medical Receptionist
Remote RecruitmentRemote Recruitment operates as a full-service employment agency providing recruitment/staffing for UK based companies
Role Description We are seeking a motivated and empathetic Medical Receptionist to manage patient bookings and medical administration for a remote-first healthcare practice. - Schedule, confirm, and manage patient appointments via phone and online booking systems - Handle patient enquiries via phone, email, and messaging platforms - Capture and update patient records accurately in the practice management system - Process medical aid authorisations and claims administration - Liaise with healthcare providers, specialists, and medical aids on behalf of patients - Manage virtual waiting room coordination and patient intake forms - Ensure patient confidentiality and compliance with POPIA and healthcare regulations Qualifications - 1+ year of experience in medical reception or healthcare administration - Familiarity with medical aid schemes and authorisation processes - Proficiency in practice management software (GoodX, Elixir, or similar) is advantageous - Excellent communication skills with a warm and professional manner - Strong organisational skills for managing high volumes of bookings - Discreet and trustworthy when handling sensitive patient information - Reliable home office setup with stable internet connection - Matric certificate required; medical admin qualification preferred Requirements - Salary: R16,000/month - 100% Remote
Investigator Professional Standards and Conduct
NSW GovernmentThe New South Wales (NSW) Government serves as the governing body for Australia’s most populous state, dedicated to delivering programs and services that enha
Investigator Professional Standards & Conduct Location: Australia Occupation Human Resources and Recruitment Work type Full-Time Location Sydney City Salary Information $113,574 - $125,720 + super Job Description: Clerk Grade: 07/08 Salary range: $113,574 - $125,720 + super, commensurate with experience. Employment Type: Ongoing, Full-Time opportunity Location: Haymarket, with hybrid working arrangements including office attendance The People & Culture division at the Department of Customer Service has an exciting opportunity for an Investigator to join our dynamic Professional Standards and Conduct team. - Enjoy genuinely flexible working arrangements that support work-life balance. - Collaborate in state-of-the-art offices designed for innovation and connection. - Access a wide range of wellbeing programs and resources to support your mental, physical, and emotional health. - Take advantage of excellent professional development and learning opportunities to help you thrive. About the role We are seeking a highly skilled and principled Investigator to support complex misconduct investigations and coordinate advisory services on professional standards and conduct matters. This role is pivotal in ensuring that ethical behaviour is embedded across the organisation and aligned with NSW Government values, legislation, and departmental policies. Your day to day will include: - Support end-to-end misconduct and workplace investigations, ensuring matters are handled confidentially, fairly and in line with legislation, policies and the NSW Government Code of Ethics and Conduct. - Assess, triage and investigate allegations relating to employee conduct, behaviour, and workplace issues, providing timely, evidence-based advice and recommendations. - Conduct investigation interviews, gather and analyse evidence, and evaluate information to form clear, defensible findings. - Prepare high-quality investigation reports, correspondence and briefs, clearly outlining findings, risks and recommended actions to support decision-making. - Provide expert advice to managers and stakeholders on professional conduct matters, ensuring alignment with relevant legislation, policies and best practice. - Monitor trends and emerging conduct risks, contributing insights to inform policy improvements, education and prevention strategies. - Support the design and delivery of awareness initiatives, guidance and training to uplift capability in ethical behaviour and workplace standards. - Support and maintain effective relationships with internal stakeholders, including HR, leaders and employee representatives, to achieve balanced and fair outcomes. - Contribute to continuous improvement of processes, governance and case management practices to ensure efficient, consistent and compliant handling of conduct matters. About you: - Demonstrated experience in workplace or misconduct investigations, including end-to-end case management. - Strong understanding of employment-related legislation, procedural fairness, and workplace policies/frameworks. - Proven ability to analyse complex information, identify key issues and provide practical, evidence-based recommendations. - Experience in conducting interviews and preparing clear, structured investigation reports for decision-makers. - Highly developed communication and stakeholder engagement skills, with the ability to influence and negotiate outcomes. - Ability to manage sensitive and confidential matters with professionalism, sound judgement and discretion. - Strong organisational skills with the ability to manage competing priorities in a high-volume environment. - Relevant qualification and/or experience in investigations, employee relations, HR, or a related discipline is desirable.
Medical Coder - Orthopedic
UnitedHealth GroupUnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Title: Medical Coder - Orthopedic Location: United States Requisition number: 2352159 Job category: Medical & Clinical Operations Overtime status: Non-exempt Travel: No Job Description: Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts - Assigns CPT and ICD-10 codes to all orthopedic services - Monitors assigned work schedules to ensure all records are charged/coded in a timely matter - Generates coding queries for clarification regarding physician documentation as needed - Stays abreast of all changes in coding conventions and coding updates - Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision - All other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - High School Diploma/GED - Professional coder certification with credentialing from AHIMA and/or AAPC (CPC-A, RHIT, RHIA, CCA, CPC, COC, CPC-P, CCS) to be maintained annually - 2+ years of experience with PCs in a Windows environment, including MS Excel and EMR systems - 2+ years of experience with ICD-10 and CPT coding with a focus in orthopedics and professional E/M Preferred Qualifications: - 2+ years of post-certification medical coding experience - 2+ years of Outpatient Physician coding (Pro-Fee) experience - Experience with EMR systems (Epic) - All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN
Medical Records Coder Supervisor
InovaInova describes itself as the leading nonprofit healthcare provider in northern Virginia. The organization is on a mission to provide world-class healthcare to
Role Description Inova Health is looking for a dedicated Medical Records Coder Supervisor to join the Inpatient team. Full-time Day Shift: Monday–Friday, general office hours, working remotely. This position is eligible for remote work for candidates residing in the following states – VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. - Reviews, assesses, studies, and analyzes the overall coding and documentation for potential compliance problems and non-compliant activities. - Reviews encounters to identify trends in documentation that result in incomplete coding; presents to management weekly. - Uses a systematic approach for the identification and resolution of complex compliance problems. - Identifies coding problems and coordinates problem resolution sessions where multiple departments and/or service areas are involved with management. - Completes aging encounters report weekly; identifies areas of complex issues to management. - Addresses special projects as assigned. - Analyzes Candidate for Billing (CFB) reports and dashboards regularly in support of weekly and monthly department goals. - Reviews high-risk documentation areas identified by leadership. - Performs a comprehensive quantitative analysis and review of the record to ensure the presence of all components such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. - Evaluates and performs a qualitative analysis of the record for documentation consistency and adequacy. - Sets day-to-day operational objectives for the team and oversees everything related to work and performance of direct reports, including training and learning programs. Maintains payroll exceptions. - Performs all duties according to established safety procedures and Inova Health System’s policy. - Oversees and assists team members in assigned functional area, which may include but not limited to, ensuring team is meeting key-deliverables and quality standards, addressing and resolving challenges, managing and tracking performance, and assisting in time management and scheduling; escalates issues to senior leaders as needed. Qualifications - Associate's Degree or 2 years of additional relevant experience in lieu of degree. - 5 years of Coding experience, ICD-10-CM/PCS. - Certifications: RHIA, RHIT, CCS, CCS-P (upon start). Requirements - Inpatient Coding experience in an acute care setting (preferred). Benefits - Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. - Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. - Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. - Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. - Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.


