- Excellus BlueCross BlueShield (Rochester, NY)
- …we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making and implementation ... of medical coding reviews and coding policies to ensure...payment rules as they apply to medical record documentation, billing of medical services, and health care reimbursement systems.… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION ... PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment and is...providers to claims being submitted for their services. Using billing system work queues and natural language processing (NLP)… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Billing Specialist-Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The Senior ... Billing Specialist is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting.… more
- ConnextCare (Oswego, NY)
- Billing Rep, Oswego Oswego, NY (http://maps.google.com/maps?q=121+E+First+St+Oswego+NY+USA+13126) Description Basic Function: To accurately collect and input ... billing data into the computer system Principal Accountabilities: +...chart note to make sure all charges match the coding guidelines and all procedures are billed correctly +… more
- Saratoga Hospital (Saratoga Springs, NY)
- …the HIM Operations Manager to ensure all clinical documentation is available to coding / billing and clinical staff via the electronic health record within 24 ... hours of discharge. + Retrieve and sort clinical documentation from departments when directed by HIM leadership team. + Prepare clinical documentation to be scanned by reconciling encounters, orders, referrals, etc. You'll follow up on incomplete record per… more
- Molina Healthcare (Yonkers, NY)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care ... concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. *… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation, coding and creates ... an education plan tailored to each assigned provider. The Senior Coding Educator work assignments involve moderately complex to complex issues where the analysis of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Offsite Billing Coordinator is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, ... of relevant experience + 2 years experience in medical billing or health claims, with experience in IDX ...health care or insurance environment, and familiarity with ICD/CPT coding + Licensing: None but CPC preferred **Responsibilities** 1.… more
- Arnot Health (Elmira, NY)
- …team focused on population health and evidence-based practices + Experience with medical coding and billing is a plus + Compassionate, patient-focused attitude ... test orders and patient education materials + Verifying and updating patient billing information and ensuring accurate documentation for billing purposes +… more
- Lumen (Albany, NY)
- …world and shape the future. **The Role** As a key member of the Billing Development Leadership Team, the Manager of IT Development will lead teams responsible for ... developing, configuring, and supporting our Order Integration into Billing , Data Usage Rating, and Post Billing applications. Reporting directly to the … more