- University of Rochester (Rochester, NY)
- …issues within team, revenue cycle or stakeholders handling charging and billing related issues. May perform other duties as assigned. **Background Expectations:** ... or + CCS-Certified Coding Specialist upon hire required or + Certified Professional Coder (CPC) from American Academy of Professional Coders upon hire required or +… more
- Cardinal Health (Albany, NY)
- …supervises and manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation of… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- JOB TITLE: Professional Coding Educator/Auditor DEPARTMENT: Billing Department STATUS: Full Time (Non- Exempt Hourly) LOCATION: 696 Dutchess Turnpike Poughkeepsie NY ... Educator/Auditor provides educational and physician support for coding and billing practices, performs annual provider audits, and provides continuing education… more
- Mount Sinai Health System (New York, NY)
- …in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential required + Proficient in CPT, HCPCS, ... revenue codes, and Medicare billing regulations. + Advanced proficiency in Epic, especially in...and related tools. + Epic certification in Charging or Billing is highly desirable. + Experience with Meditech and… more
- Highmark Health (Albany, NY)
- …hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
- Catholic Health Services (Melville, NY)
- …resulting in effective auditing and education to assigned services/departments, coding and billing teams. It also requires a broad exposure and knowledge of the ... Minimum Education Requirements + Associate's Degree with 5 years of coding or coding/ billing experience in a professional billing setting or High School Diploma… more
- Molina Healthcare (Rochester, NY)
- …necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical ... an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues.… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Analyze OP admits for appropriate billing requirements involving Advanced Beneficiary Requirement (ABN) waivers, pre-authorizations, referrals, correct ... orders for appropriate clinical indications and provide ICD-10 coding. Monitor new billing /compliance regulations for both the Hospital and MSG to determine the… more
- Datavant (Albany, NY)
- …for reviewing records via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. **What You Will Do:** + Performs Inpatient ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. + 5+ years of… more
- Baylor Scott & White Health (Albany, NY)
- …to meet daily un-coded accounts receivable. + Is a resource for resolving billing edits using the National Correct Coding Initiative and Local and National Coverage ... Determinations. Facilitates billing issues with Physician Fee Schedules (PFS) and informs...Certified Coding Specialist-Physician Based (CCS-P), or + Certified Professional Coder (CPC), or + Reg Health Info Administrator (RHIA),… more
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