- 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
- Albany Medical Center (Albany, NY)
- …chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts professional fee billing integrity reviews/audits ... $60,367.47 - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding... Coding Auditor will apply an advanced professional coding skill set to act as a service line… more
- Northwell Health (Lake Success, NY)
- …medical record functions: acquisition and distribution, chart analysis, discharge coding , correspondence processing, quality audits, etc. Facilitates the even ... work-flow throughout functional areas. Job Responsibility + Promotes Coding department goals by selecting, motivating, and training capable team members. + Leads the… more
- Akumin (New York, NY)
- We are seeking an experienced, strategic, and results-driven Senior Director of Billing and Collections to lead our end-to-end billing operations. This senior ... leadership role will oversee all facets of the billing lifecycle, including charge capture, claims management, collections, cash application, denial resolution, and… more
- Molina Healthcare (Buffalo, NY)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form). * Advanced 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. * Advanced… more
- Molina Healthcare (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
- Rochester Regional Health (Rochester, NY)
- …(Or equivalent) PREFERRED QUALIFICATIONS: + Knowledge of medical terminology, EHR systems, coding , billing , and HIPAA. + Strong customer service, communication, ... multitasking, and problem-solving skills. + Associate's degree preferred; 1-3 years of experience in healthcare or administration. UNION: 1199-200B Clerical Workers (CPH) Note: Not all per diem roles are union eligible EDUCATION: LICENSES / CERTIFICATIONS:… more
- Catholic Health (Lewiston, NY)
- …working in physician practice operations, recruitment, operations, financial management, marketing, coding & billing , and regulatory standards + Knowledge of ... medical practices and reimbursement policies + Accomplished at establishing trust, developing strong working relationships with a range of audiences including executives, managers, physicians, business leaders, academic and community professionals +… more
- Molina Healthcare (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
- 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, ... Licensing: None but CPC preferred **Experience requirements:** + 2 years experience in medical billing or health claims with IDX billing systems in a health care… more