New York City is the largest healthcare market in the country, with globally known academic medical centers, the nation's largest public hospital system and tens of thousands of independent practices across the five boroughs.
Medical Coder provides outsourced medical billing services in New York City for independent practices and groups — from eligibility checks to final payment — so you get paid faster with fewer denials.
New York City Medical Billing Built Around New York Payers
Most avoidable denials start with payer rules. For New York City practices we work every major payer in New York:
- Medicaid: New York Medicaid, administered by the Department of Health through eMedNY, and Medicaid managed care plans such as Fidelis Care, Healthfirst, MetroPlus Health and EmblemHealth.
- Medicare: Part A and Part B claims through National Government Services (Jurisdiction K), plus Medicare Advantage plans.
- Commercial plans: Empire BlueCross BlueShield, Excellus BCBS, Highmark BCBS of Western New York, EmblemHealth, MVP Health Care, CDPHP, Independent Health, UnitedHealthcare, Aetna and Cigna.
- TRICARE and VA Community Care for military families and veterans.
New York has payer rules of its own — see medical billing in New York for how we handle them.
Billing Challenges for New York City Practices
NYC practices bill Medicaid managed care plans such as Healthfirst, Fidelis Care and MetroPlus, commercial plans, no-fault and workers' compensation — often for the same specialty on the same day. We manage every line so nothing is missed.
What Our New York City Medical Billing Services Include
- Eligibility and benefits verification before every visit
- Certified ICD-10, CPT and HCPCS coding with modifier review
- Charge entry and claim scrubbing before submission
- Electronic claim submission and payment posting
- Denial management and appeals
- A/R follow-up on every unpaid claim, including aged A/R
- Patient statements and balance support
- Provider credentialing and payer enrollment
- Monthly reporting on collections, denials and days in A/R
Healthcare in New York City
New York City's healthcare market includes major systems such as NYU Langone Health, NewYork-Presbyterian, Mount Sinai, Memorial Sloan Kettering, Northwell Health and NYC Health + Hospitals. Independent practices compete with these systems for patients and staff — outsourced billing gives you the same revenue cycle depth without building a billing department. We support practices across Manhattan, Brooklyn, Queens, the Bronx and Staten Island.
Specialties We Bill For in New York City
We bill for 45+ specialties, including mental and behavioral health, OB-GYN, radiology, wound care. See all specialties.
Why New York City Practices Outsource Medical Billing
- No single point of failure — your revenue no longer depends on one biller.
- Certified coders who keep up with payer and code changes for you.
- Pay for results — percentage-of-collections pricing ties our fee to your revenue.
- A dedicated account manager who knows your practice and your payers.
Get a Free Medical Billing Audit in New York City
We will review your claims, denials and A/R at no cost and show you where revenue is being lost. Start with a medical billing audit, see how pricing works, or explore our New York medical billing services and nearby pages for Buffalo and Syracuse.