- Mount Sinai Health System (New York, NY)
- **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst ... knowledge of insurance billing and collection procedures and CPT and ICD-9 coding **Preferred Experience:** . + 3 plus years of multispecialty coding … more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG &ICD… more
- …This position is at an intermediate level of complexity and ensures compliance with coding guidelines, documentation requirements, and reimbursement policies, as ... codes for diagnoses and procedures. + Ensures accuracy and completeness of coding and documentation and resolve any discrepancies or errors. + Utilizes appropriate… more
- SUNY Upstate Medical University (Syracuse, NY)
- …routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. Interpretation of coding , ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable… more
- Mount Sinai Health System (New York, NY)
- …**Senior Contract Manager Analyst ** will play a critical role in testing, coding , modeling, and reporting on Hospital Billing (HB) and Professional ... Professional Billing (PB) contracts. + Strong background in contract coding , logic, and reimbursement structures. + Prior experience in revenue cycle management… more
- Mount Sinai Health System (New York, NY)
- …experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance , and optimization of the ... teams to support rebilling and correction processes as needed ** Coding & Billing Accuracy:** + Audit and...Administration & Regulatory Support:** + Support implementation of regulatory coding changes and ensure CDM compliance across… more
- Mount Sinai Health System (New York, NY)
- …update systems, and align charging workflows. + Support the implementation of new coding changes and ensure overall Professional CDM compliance . + Builds new ... issues and drive improvements. + Ensure adherence to coding guidelines and compliance regulations set by...compliance violations, audits, and potential penalties related to billing errors. + Resourceful in creating or fine-tuning the… more
- Catholic Health (Buffalo, NY)
- …Specialists, Corporate Compliance , Ancillary departments and private clients to ensure coding is consistent, accurate, and meets data integrity for use in ... will ensure that medical records are coded and billed in accordance with coding conventions, billing rules and Federal and State regulations. The… more
- Intermountain Health (Albany, NY)
- …and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Audits ... **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture,...consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This… more
- ACLD (Bethpage, NY)
- …purpose of monitoring compliance with quality of service delivery systems, billing , documentation and/or coding standards. + Collaborate with programs to ... Regulatory Affairs Analyst When a group of families came together...support. Primary Purpose of Job Assess and support regulatory compliance and the quality of service delivery systems. Assist… more