- Travel + Leisure Co. (New York, NY)
- …presentations and work independently. + Must meet or exceed minimum performance standards 1350 APG and not be on any level of formal corrective action. + President ... Club achievers preferred. **How You'll Be Rewarded:** We offer a diverse range of comprehensive health and welfare benefits to associates who work 30 or more hours per week to meet your needs and support you throughout your career with us. Travel + Leisure Co.… more
- University of Rochester (Rochester, NY)
- …final resolution.- - - Re-calculate claim based on fee schedule, APC or APG grouper, appropriate % of charge, or ASC payment methodology, including add-ons + ... Follow up with payers on incorrectly paid claims through final resolution and adjudication, including refund of credits + Review and advise supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor/manager on… more
- University of Rochester (Rochester, NY)
- …final resolution.- - - Re-calculate claim based on fee schedule, APC or APG grouper, appropriate % of charge, or ASC payment methodology, including add-ons - ... - Follow up with payers on incorrectly paid claims through final resolution and adjudication, including refund of credits - - Review and advise supervisor or manager on trends of incorrectly paid claims from specific payers - - Work with supervisor/manager on… more
- Albany Medical Center (Albany, NY)
- …Excellent command of the ICD-10-CM/PCS and CPT4 classification systems and DRG, APC and APG methodology. + Experience working with CDI + Must be able to understand ... and comply with policies and procedures + Ability to multi-task while utilizing multiple screens + Strong computer skills with the ability to learn multiple EMR systems as well as data reporting systems + Demonstrated excellent communication skills. +… more
- Albany Medical Center (Albany, NY)
- …abstract data elements for billing and reporting, and assign DRG, APC, and APG as appropriate. (High proficiency) + Highly skilled in team development, critical ... thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency) + Ability to work independently and effectively with a team. Knowledge in… more
- Arnot Health (Elmira, NY)
- …healthcare settings preferred. + Familiarity with rural hospital payment systems, NYS APG /ARG insurance regulations, charge capture, error management, and audits + A ... solutions-focused mindset with an eye for compliance and efficiency + Strong analytical and communication skills + Ability to work independently and collaboratively in a dynamic environment + Commitment to continuous learning and customer service At Arnot… more
- Molina Healthcare (Yonkers, NY)
- …FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups ( APG 's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. ... * Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in healthcare + Ability to mine and manage information from large data sources. **Preferred… more
- Glens Falls Hospital (Albany, NY)
- …and / or CPT-4 codes. * Groups the visits to the appropriate DRG / APG / APC using the 3M-Encoder and sequencing knowledge, optimizing after assignment of all ... complications or comorbidities (CC's) and Major Complications or comorbidities (MCC's) from the documentation. * Sends queries to physician "Question Table" for clarification of documentation. * Educates the physician regarding documentation requirements.* *… more
- WMCHealth (Warwick, NY)
- …record. + Ensures that all factors necessary for assigning an accurate APC/ APG 's are present, and that all diagnoses are ranked properly. + Makes appropriate ... contacts in order to acquire or clarify necessary information. + Enters final diagnostic code numbers and narrative descriptions of diagnoses and procedures into an automated grouper system. + Provides information to and responds to inquiries regarding medical… more