- Highmark Health (Albany, NY)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… 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
- ZOLL Medical Corporation (Albany, NY)
- …of patients indicated for a WCD and all essential ordering and billing requirements.Essential Functions + Provide customers with relevant clinical data that supports ... clinicians as well as educating HCP's and staff about all essential ordering and billing requirements for the WCD + Maintain database of accounts, prepare and submit… more
- Albireo Energy, LLC (New York, NY)
- …Billings and Financials: + Take responsibility for timely and accurate project billing , cost forecasting, and financial tracking to ensure alignment with project ... reports, ensuring adherence to the Schedule of Values (SOV) and AIA billing processes. + Perform detailed financial analysis to ensure project expenditures align… more
- Intermountain Health (Albany, NY)
- …to inquires from Revenue Services related to use of codes and modifiers within the billing process to assure accuracy and avoid delays in the billing process. 5. ... (AHIMA) OR completion of coding certification through American Academy of Professional Coders (AAPC) with coding certification of Certified Professional … more
- Rochester Institute of Technology (Rochester, NY)
- …+ Perform detailed work in the following areas: third party billing , collections, student account services, accounts receivable, cashier functions, and Federal ... total over $25,000 per semester. Recommend solutions for payment plans. Exercise professional judgment in resolving past due balances. + Demonstrate a strong working… more
- Ellis Medicine (Schenectady, NY)
- …setting preferred. + Must have knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9 coding and be able to apply such ... companies, other healthcare providers, physicians and adverse situations, in a professional and courteous manner. + Provides assistance and information on programs… more
- Elevance Health (Latham, NY)
- …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as… more
- University of Rochester (Rochester, NY)
- …Services serves as a liaison between the department and other hospital/ professional departments in the areas of customer service and satisfaction. Responsibilities ... hospital and departmental procedures relative to explanation of charges, billing , reimbursement and accounting functions. + Reviews, compiles, approves, submits… more
- Rise Life Services (Hampton Bays, NY)
- …staff meetings at least once per month- Alongside Manager, prepares a thorough, professional agenda; Maintains minutes of staff meetings as well as a sign-in sheet; ... staff assignments for goal-related activities, data collection, progress notes, billing requirements. + Participates in bi-annual Utilization Management Reviews and… more